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on 8/24/09 4:50 am - Woodbridge, VA
I have recently been wondering if I might have diabetes, because I can't go more then 3 hours with out eating before I get light headed, a headache, shakey, and weak also I can't function. After I eat I am still weak for a while and when I do this I always crave something sweet, I don't know what is going on but it has been going on for a while and I get headaches more then 4 times a week. I have had lap band surgery and am starting to gain some weight back because of the sweet stuff. Also my mom has diabetes. Please help I go to the doctor next thursday.
HI DAISY TO ANSWER YOUR QUESTIONS DO YOU MEAN THE A1C IS ABOUT 9 RIGHT NOW AND YES WHEN I EXERCISE MY BLOOD SUGAR GOES DOWN.
If you're talking about doing shakes post-op, the same rules apply.
Are you on a pump, or do you do injections? If you do injections, you may be able to get away with taking a reduced level of Lantus and injecting Humalog PRN, but you would need to talk to your endo. If you happen to be in the Washington, DC area or in the Nashville area, I can suggest some great endos.
My insurance (Aetna) did cover the DS.
Here's my thought process to the DS: I went into my surgeon's seminar thinking I wanted a lapband. But as Dr. S went through the excess weight loss stats, I thought, crud, I could lose only 50% of my EW with the lapband, and I would still be morbidly obese! Plus, lapbands are not risk free. Some of the complications include erosion of the stomach by the band, band slippage, port turning, and the fact that you will have to eventually get a new band, because they last about 10 years, tops.
The RNY scared me because of dumping, what with having to treat low blood sugars as a Type 1. When taking insulin, you will have lows at some point or another, and that means treating with sugar, juice, or other sugar-containing carbs--exactly the things you need to avoid to prevent dumping. While somewhere between 30 and 40% of RNY patients dump, there's no way to tell if you're going to dum*****t before you get the surgery. Also, the 10-year weight stats for the RNY are not as good as for the DS--something like 65% EWL on average. That was still not enough weight loss for me, with a pre-op BMI of 55.
The DS has the highest cure rate (98%) for Type 2 diabetes. No, we're not Type 2, but our excess weight is a related to, essentially, having Type 2 on top of Type 1. So the insulin resistance part of your diabetes will get resolved by the DS. In Europe, some Type 2s are having the intestinal switch part of the DS to cure their diabetes. (In case you don't know, the DS involves having part of the stomach removed, but leaves the pyloric valve intact. The intestinal part re-routes your small intestines so that you have less available space, if you will, to absorb nutrients. There are some great explanations of it on www.dsfacts.com)
I have been stunned by how much better my control has been, once I got to about 5 weeks post-op. My blood sugars used to be all over the map, even with an insulin pump and testing 6 to 8 times daily. Now, I test about 4 times and nearly always am under 150. I see something over 240 maybe once a month, where I used to see that at least 3 times a week.
You can learn all about the DS on the DS forum here on OH, plus also check out dsfacts.com--there are lots of peer-reviewed articles there. The folks on the DS forum are a pretty happy lot, because their surgery allows them a good quality of life post-op. You get the most "normal" eating and lifestyle with a DS, of all the WLS.
Please let me know if you have more specific questions!
on 8/20/09 1:46 am - Woodbridge, VA
Many insurance companies do now cover the DS, including Medicare. I had mine covered by Aetna and was about to have it covered by BCBS of NJ until my company switched insurers on me!
The easiest way to lose weight as a diabetic is to eat tons of sweets! It wrecks your body but you will be thin. Daisy