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on 1/25/10 9:01 pm - Woodbridge, VA
Check your fasting when you wake up (obviously), and if you can't check 2 hours post-prandial after everything you eat, maybe try checking at 1 hour and then 90 minutes to at least see if, by 90 minutes, your level is starting to go back down as it should.
on 1/25/10 8:57 pm - Woodbridge, VA
http://www.obesityhelp.com/forums/diabetes/3751535/If-you-ar e-Type-2-and-considering-WLS/
DAWN
Hi.. I have type 2 diabetes and am in the final stages of the bypass surgary, however I don't know which surgery is best for me. Lap Band or Bypass?
I'm 5'2 and 206 lbs..
Any advise?
Check your sugar in the moring before breakfast (fasting blood sugar) and record the time then check it 1 hour after you eat and record the time. Check before lunch then 1 hour later same for dinner then check before you go to bed.
It is assumed by your doctors you will stick to some sort of diet after you have been diagnosed being diabetic, you and i know thats not always the case but if you eat meals bweteen meals it will make it almost impossible to control your blood sugar shots or not, i have been there and done that, or tried to. Some bariatric plans will require your blood sugars to be under control before surgery.
Are you taking oral meds or shots or both? Long acting or short acting insulin or both? It is important you keep track of your blood sugars espeacially if you are taking insulin, short acting will bring your sugars down RIGHT NOW and too low is as bad as too high. Long acting will help keep it in check for longer periods. Once you start your two week preop diet you must be very very good about checking your blood sugar, the lower calories will cause your blood sugars to drop. I was able to stop taking diabetes meds during my two week pre-op diet and never went back on them, my A1C is now normal.
I do not know what a diabetes educator is but your doctor should be able to tell you how to check your blood sugars in the proper manner, if they have a hard time ask if you can see an Endocronologist, a doctor who specalizes in diabetes.
I will add that for me having to jump through hoops checking my blood sugars (5 finger *****s a day or more) and taking upwards of 7 shots a day ( 2 lantus long acting and then regular insulin on a sliding scale depending on what my sugars were before each meal) was a major contributing factor in my choice to have WLS. I hated taking shots, my fingers hurt from all the sticks, it basicaly sucked!
Hope that helps..good luck!
Joe Was Here
Failure is not an option!
Buuuut. But, I am all over the place trying to figure out WHEN to test.
Yes, yes, yes, the diabetes educator has instructed me about the time for a.m. fasting test, then the pre- and post-prandial times, and the before meals time, and the before bed time.
Buuuut. But, it seems to me that these test times ASSUME YOU DON'T EAT ALL THE TIME. (I'm pre-sugery, prepping to get an RNY.) I don't really let more than two hours go by without a meal or a snack. And, as a result, I'm not sure when I should be tesing, given my eating patterns.
My big question is this:
How soon after eating can I test as "before lunch" or "before dinner" or "before bed"? For each of those, should I have NOT eaten for 2 hours? If I've eaten more recently, then should I skip that test and try for a time when the piehole's been shut for a while (2 hours?)?
Does this make any sense? I could not seem to get my diabetes educator to understand what I'm asking. Maybe you have an answer (or at least a better way of asking)? I think she thinks I'm going to magically follow the diabetes eating plan to a T after 15 years of three meals, and two snacks, a day until after dinner when all hel* breaks loose in the eating department.
Any ideas for me? I've been at this testing effort for one month. Each test is pretty much right above the high level of the healthy range or points beyond.
on 1/25/10 4:51 am - Woodbridge, VA
Anyway, great news on the A1C! Careful abuot lows, though, as RNY is known to sometimes cause reactive hypoglycemia even in those who were never diabetic pre-op.
