Yes I have experienced weirdness when I am at normal BSL but ths was really scary and as soon as I ate I felt better.   I.m having RNY, too i week tomorrow when's your date?
Off to work so I can read these posts but can't reply.
Karen, Port Perry

Hi my name is Asia.  I had the RNY done 13 months ago.  I never had diabetes so I really don't know nothing about it.  Recently I just got involved with the man that is so sweet.  He is 400+ lbs and has diabetes for the last 20 years.  He is 37.  WLS is not in his cards because he depends on his weight for work.  I know it is so bad but he is an actor and that is just the way it is.  He said that he can lose at least 100 lbs or maybe more and it won't affect his work.  He is starting to hit the gym.  My question is as for food is it just the same as ours dietary needs.  You know protein first, low carbs, plenty vegstables.  You know just eating that way or is there something else that I need to know.  Its funny I was big and married a skinny guy and now that I am tiny I want the big guy.  Ok friends please let me know. 

Hi Maggie

You are lucky- 3 days optifast. My surgeon wants 3 weeks but I have not been sticking to it so probably why I have not bottomed out. Did have (body)shakes and felt like I was going low sugar a few days ago- I was out and no glucometer with me- I ate and was myself again shortly after so I assume my sugar had dropped too low. With my surgery coming up next Friday I want to stick to Optifast for next week. I put a call in to the internist that the bariatric surgeon sent me to. At my PATTS this is the Dr that the nurse said should have gone over this with me, but didn't. I am waiting to hear from him.  I may try a call to a diabetic centre and see what they say.  good luck with your surgery on Nov 2- not far from my date :)


Karen, Port Perry

Hoping someone has been thru this and can advise me. I am type 2 and take max amount of metformin and diamicron daily plus 15 units of slow acting insulin 2x day.

I am on optifast for 3 weeks and it is dropping my BSL to normal and my gp said to cut down on meds BUT no guideline as to how much and when - he did say that the diamicron had biggest impact. Any advice?  Being from Canada I am not familiar with your count- here 5 to 7 is norm and I usually run in mid to high teens.

Karen, Ontario Canada

Your basals should maintain you without food. You can test this by not eating and testing your blood sugar every hour to see what it is. It will give you an idea of which basal rates are off. You should not go low during this time either. If you do, make a note of the time. You may need to change the basal rate that is right before that time period or add another basal rate to get you over that hump. The same goes for a high reading.

In general, I have found in the last two weeks, that two of my basal rates are ever so slightly off. I am bringing the readings to my nutritionist next week because she makes all my pump changes with me. In addition, my sensitivity has not changed at this point, but I have lost less than 20 pounds, so I wouldn't expect much change yet. However if you are using the same settings as before your surgery, then I would expect them to change.  The peak time really depends on the type of insulin you are using in your pump.

It sounds like you need to keep some records, do some testing....every hour at minimum and then take those records to someone who is a specialist, working with pump patients. Also discuss your activity level, etc. When I am working out or walking, I have to set a temp basal rate at approximately 80 percent of the normal rate if my blood sugar is high going in to the activity. If its on the low side, I sometimes stop the pump during the exercise and then for an hour after.