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Topic: RE: type 2 diabetes
Bariatric surgery may be used for patients who have type 2 diabetes, but are not necessarily obese. Any unusual changes please inform the doctor immediately.
Health is important!
(deactivated member)
on 5/9/10 11:21 pm - Woodbridge, VA
on 5/9/10 11:21 pm - Woodbridge, VA
Topic: RE: Which surgery would be best for my diabetes?
Wow - I've met probably more than 25 DSers in person and have yet to hear of a single one say they would get a different surgery. I have to wonder if it might have to do with a poor follow-up program for DSers in your local area (lots of bariatric offices, even those who do perform the DS, are not well-equipped to give post-op DSers good info on supplements, diet, how to prevent the negative potential side effects, etc.).
(deactivated member)
on 5/9/10 11:18 pm - Woodbridge, VA
on 5/9/10 11:18 pm - Woodbridge, VA
Topic: RE: How do I handle no meds for 3 days pre-surgery?
Do not consume more than 5 grams of total carbs at any one meal/snack. High protein, unrestricted fat, VERY low carb - this is often how many diabetics stay off of medications. Studies show that fewer than 5g carbs at a time is not enough to trigger an insulin response from the pancreas. It's not an easy diet plan long term, but for 3 days, it should be fine, and should even help to shrink your liver a bit, which is an added bonus for surgery.
Topic: RE: diabetes improving pre surgery
Good for you, that's great! Well, just keep it up. My friend's also trying to hit the target she's having RNY. Keep it up!
Health is important!
Topic: How do I handle no meds for 3 days pre-surgery?
Hi,
My Dr has instructed me to get off of all my diabetes medications by 3 days prior to surgery.
I verified with the PA that is really the intent. She just kind of shrugged when I asked what I was supposed to do about my blood glucose during that time.
I realize I won't be in danger of major damage in 3 days. However, I keep tight control on my blood glucose as I don't like the way I feel when I don't. I'll be feeling mighty crappy when I get to the hospital for that surgery.
What did you experience? Did you find any helpful pointers for this time?
Any info appreciated! thanx...tammy
My Dr has instructed me to get off of all my diabetes medications by 3 days prior to surgery.
I verified with the PA that is really the intent. She just kind of shrugged when I asked what I was supposed to do about my blood glucose during that time.
I realize I won't be in danger of major damage in 3 days. However, I keep tight control on my blood glucose as I don't like the way I feel when I don't. I'll be feeling mighty crappy when I get to the hospital for that surgery.
What did you experience? Did you find any helpful pointers for this time?
Any info appreciated! thanx...tammy
Topic: RE: Byetta.
ADVERSE REACTIONS SIGNIFICANT
>10%:
Endocrine & metabolic: Hypoglycemia (with concurrent sulfonylurea therapy 14% to 36%; frequency similar to placebo with metformin therapy)
Gastrointestinal: Nausea (44%), vomiting (13%), diarrhea (13%)
Miscellaneous: Anti-exenatide antibodies (low titers 38%, high titers 6%)
1% to 10%:
Central nervous system: Dizziness (9%), headache (9%)
Endocrine & metabolic: Appetite decreased (<5%)
Gastrointestinal: Dyspepsia (6%), GERD (<5%)
Neuromuscular & skeletal: Weakness (<5%)
Miscellaneous: Feeling jittery (9%), diaphoresis increased (<5%)
Additional information can be found at http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInfo rmationforPatientsandProviders/ucm113705.htm
the above is a portion of the info my Dr sent to me to read when we discussed Byetta.
>10%:
Endocrine & metabolic: Hypoglycemia (with concurrent sulfonylurea therapy 14% to 36%; frequency similar to placebo with metformin therapy)
Gastrointestinal: Nausea (44%), vomiting (13%), diarrhea (13%)
Miscellaneous: Anti-exenatide antibodies (low titers 38%, high titers 6%)
1% to 10%:
Central nervous system: Dizziness (9%), headache (9%)
Endocrine & metabolic: Appetite decreased (<5%)
Gastrointestinal: Dyspepsia (6%), GERD (<5%)
Neuromuscular & skeletal: Weakness (<5%)
Miscellaneous: Feeling jittery (9%), diaphoresis increased (<5%)
Additional information can be found at http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInfo rmationforPatientsandProviders/ucm113705.htm
the above is a portion of the info my Dr sent to me to read when we discussed Byetta.
Topic: RE: Which surgery would be best for my diabetes?
My surgeon told me the only 2 options for surgeries that will resolve the diabetes were DS & RNy. After doing much research and speaking to as many people I could find who had the surgeries, I chose RNy. It resolved my diabetes immediately. I would recommend speaking with as many real folks you can who have had the surgery. I have found that here on OH the DSers tend to push their surgery and will not talk about negative aspects of the surgery, in my experience the real life people will be a bit more honest and tell you the real deal. I spoke to 8 people who had DS before I made my decision all 8 said they would have chosen one of the other surgeries if they had known what they know now.
Topic: RE: Which surgery would be best for my diabetes?
I am very confused. My surgery is May 18th. I had planned all along to have the sleeve but when I say my surgeon he suggest I had the RnY as there would be a good chance I would leave the hospital with little or no diabetes meds. I have diabetes, thryoid and BP. I just do not know what will be the best for me. Is there one thing that helped everyone decide for them what would be best.
Topic: RE: Which surgery would be best for my diabetes?
I had a sleeve a week ago and came home off all of my meds.
Topic: RE: type 2 diabetes
Hi.
One thing to remember is to understand the amout of sugars in the modified foods you are now eating. I am a type 2 diabetic who had his surgery April 12,2010. When I was buying smoothies and other things I knew I could eat, I looked at the sugar content. Some of those "healthy" drinks had more sugar than I usually consumed. Before surgery, I took Januvia, Avandamet, Vytorin, Lisinopril, Glimiperide. Now I am only taking 2 4mg Glimiperide (Once in morning, once late afternoon). My fasting BS have been in the 140's. I rarely go above 170. Once my sugar stays at 120 and below, I can phase out that last medicine.
Keep an eye on the sugar content and as you lose weight, your sugar level should drop. Oh and keep drinking. The kidneys are important in getting that excess sugar flushed out.
Best of luck - Jim
One thing to remember is to understand the amout of sugars in the modified foods you are now eating. I am a type 2 diabetic who had his surgery April 12,2010. When I was buying smoothies and other things I knew I could eat, I looked at the sugar content. Some of those "healthy" drinks had more sugar than I usually consumed. Before surgery, I took Januvia, Avandamet, Vytorin, Lisinopril, Glimiperide. Now I am only taking 2 4mg Glimiperide (Once in morning, once late afternoon). My fasting BS have been in the 140's. I rarely go above 170. Once my sugar stays at 120 and below, I can phase out that last medicine.
Keep an eye on the sugar content and as you lose weight, your sugar level should drop. Oh and keep drinking. The kidneys are important in getting that excess sugar flushed out.
Best of luck - Jim
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