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Topic: RE: Diabetic No More
I'm having trouble getting my blood sugars UP today. I had the shakes this morning about an hour after breakfast and when I checked my glucose it was 57!!! Hasn't gone above 90 all day and I know I've been eating things I shouldn't have.
(deactivated member)
on 7/5/09 5:30 am - Woodbridge, VA
on 7/5/09 5:30 am - Woodbridge, VA
Topic: RE: type 1 - wls - enough carbs to avoid DKA
Almost all WLS patients enter ketosis after surgery, whether they have diabetes or not. Ketosis and Ketoacidosis are VERY different. Being in ketosis is not typically dangerous, even for a diabetic.
My recommendation: research online in medical journals and clinical studies. Most doctors are NOT very well educated on these specific topics.
DKA: "Diabetic ketoacidosis, aka DKA, is a serious complication of diabetes, which occurs when a very high blood sugar level (above 300 mg/dL) is coupled with a severe shortage of insulin in the body. This is more common in Type I diabetes because the body produces very little or no insulin on it's own. The body starts to break down fat for energy and ketones (toxic acids) develop. People with DKA usually complain of nausea, vomiting, abdominal pain, rapid breathing, and sometimes a fruity odor on their breath. This can lead to coma or death and should be treated by medical personnel immediately."
Ketosis: "Ketosis is a natural process that occurs when fats are converted into energy by the body -- usually when there is not enough glucose (carbohydrates) to provide for the body's energy needs. Instead, the fat is broken down into energy, and "ketone bodies" are the molecular by-products of this metabolic process.
Ketosis may occur during fasting, after an extended period of exercise, or when a high-fat/low carb diet is followed. It can also happen during an illness when nausea and/or vomiting make it difficult to keep food down.
Ketosis in and of itself is not a harmful process and occurs among diabetics and non-diabetics."
My recommendation: research online in medical journals and clinical studies. Most doctors are NOT very well educated on these specific topics.
DKA: "Diabetic ketoacidosis, aka DKA, is a serious complication of diabetes, which occurs when a very high blood sugar level (above 300 mg/dL) is coupled with a severe shortage of insulin in the body. This is more common in Type I diabetes because the body produces very little or no insulin on it's own. The body starts to break down fat for energy and ketones (toxic acids) develop. People with DKA usually complain of nausea, vomiting, abdominal pain, rapid breathing, and sometimes a fruity odor on their breath. This can lead to coma or death and should be treated by medical personnel immediately."
Ketosis: "Ketosis is a natural process that occurs when fats are converted into energy by the body -- usually when there is not enough glucose (carbohydrates) to provide for the body's energy needs. Instead, the fat is broken down into energy, and "ketone bodies" are the molecular by-products of this metabolic process.
Ketosis may occur during fasting, after an extended period of exercise, or when a high-fat/low carb diet is followed. It can also happen during an illness when nausea and/or vomiting make it difficult to keep food down.
Ketosis in and of itself is not a harmful process and occurs among diabetics and non-diabetics."
Topic: RE: type 1 - wls - enough carbs to avoid DKA
Ok, so it is ketosis that I'd have to watch for. But suppose it shouldn't be an issue, just something I'm going to have to work with.
Had a meeting the other night, and my doctor came as guest speaker. Wow, it was nice of him to come. Since no one else was too talkative, I asked all the questions I have had regarding the keytone issue.
I also found out why they were saying no lapband for diabetics. Really its the type twos that do better with the RNY because of the nature of things, it gets routed passed the pancreas and they can take care of their diabetes from that point on. When your type 1 however, insulin is always going to be a factor and the pancreas isn't working for us, so the routing issue won't change. I'm giving you the shortened answer - talk to your doctor for more detailed information. I am nto quite sure about it all, but the jest of it made sense to me.
The lapband - you got to work it. If your not going to work it, then its not for you. HOWEVER the RNY - all folks loose wieght with it. But that is at first - after 2 years if you don't work with it, then the weight will return. Thats according to the doctor - put into my own words.
Hope thats helpful to someone
Had a meeting the other night, and my doctor came as guest speaker. Wow, it was nice of him to come. Since no one else was too talkative, I asked all the questions I have had regarding the keytone issue.
I also found out why they were saying no lapband for diabetics. Really its the type twos that do better with the RNY because of the nature of things, it gets routed passed the pancreas and they can take care of their diabetes from that point on. When your type 1 however, insulin is always going to be a factor and the pancreas isn't working for us, so the routing issue won't change. I'm giving you the shortened answer - talk to your doctor for more detailed information. I am nto quite sure about it all, but the jest of it made sense to me.
The lapband - you got to work it. If your not going to work it, then its not for you. HOWEVER the RNY - all folks loose wieght with it. But that is at first - after 2 years if you don't work with it, then the weight will return. Thats according to the doctor - put into my own words.
Hope thats helpful to someone
Topic: RE: Hypoglycemia & pancreas tumor
OH MY GOSH!! I CANNOT BELIEVE SO MANY OF US ARE HAVING THIS PROBLEM. I NEVER KNEW WHAT IT WAS UNTIL ABOUT 3 DAYS AGO. I AM 3 YEARS OUT AND HAVE HAVE A FEW EPISODES AND DID NOT KNOW WHAT WAS CAUSING IT. THESE EPISODES ARE HORRIBLE AND SCARY!! I HAVE NEVER PASSED OUT BUT HAVE CAME CLOSE. I THOUGHT AT FIRST IT MUST BE LOW BLOOD PRESSURE SO I ALWAYS ATE PRETZELS OR SOMETHING LIKE THAT. WELL NOW I FIND OUT IT IS HYPOGLYCEMIA.
THE DIETICIAN AT MY SURGEONS OFFICE PUT ME ON A DIABETIC DIET YESTERDAY SO WE WILL SEE WHAT HAPPENS.
WHAT KIND OF FOODS DO YOU GUYS EAT WHEN THIS HAPPENS?
DARLENE
THE DIETICIAN AT MY SURGEONS OFFICE PUT ME ON A DIABETIC DIET YESTERDAY SO WE WILL SEE WHAT HAPPENS.
WHAT KIND OF FOODS DO YOU GUYS EAT WHEN THIS HAPPENS?
DARLENE
Topic: RE: type 1 - wls - enough carbs to avoid DKA
Yup, talking about DKA. If a diabetic is spilling keytones, they run the chance of getting acidic blood. You can go into DKA with high sugars, not having enough insulin to deal with the sugar load, so the body burns fat. But you can also have keytones when your not eating enough, say when a diabetic has the stomach flu. Yup, can go into dka.
So having WLS and being diabetic, I was concerned.
Now as for type 1s not being able to have lapband? I don't know about that. My doctor knows i'm type 1 and knows that i want the lapband.
I would rather go that route for a couple of reasons. 1 - don't want my plumbing re-routed. and 2 - fear that the high levels of weight loss causing issues with over loading the kidneys when loosing weight so rapidly especially if kidneys are compromised such as having diabetes for 24 years.
Thats my own personal reasons.
Guess i still need to find out how much carb a person needs to have to avoid dka.
So having WLS and being diabetic, I was concerned.
Now as for type 1s not being able to have lapband? I don't know about that. My doctor knows i'm type 1 and knows that i want the lapband.
I would rather go that route for a couple of reasons. 1 - don't want my plumbing re-routed. and 2 - fear that the high levels of weight loss causing issues with over loading the kidneys when loosing weight so rapidly especially if kidneys are compromised such as having diabetes for 24 years.
Thats my own personal reasons.
Guess i still need to find out how much carb a person needs to have to avoid dka.
Topic: RE: Treating Lows Post Op
As I am losing the weight my need for insulin is dropping so I have hit a few lows along the way. It took a few tried to find what worked for me because a lot of the things I used to treat my lows before, I cant tolerate them now. I found that apple juice works best for me, 4 oz usually does it and it agrees with the pouch. Everyone is different just keep trying till you find the thing that works for you.
Kellie
Kellie
Topic: RE: type 1 - wls - enough carbs to avoid DKA
Hi to everyone who is diabetic. I am waiting for a respond from my insurance. My primary doctor said to me that if you are type one diabetic you cannot have the lapbend done. Only type 2 can have it. Is that true anyone with type one diabetes dealing with this issue.
(deactivated member)
on 6/30/09 5:45 am - Woodbridge, VA
on 6/30/09 5:45 am - Woodbridge, VA
Topic: RE: type 1 - wls - enough carbs to avoid DKA
I'm confused - I assume by DKA, you mean diabetic ketoacidosis. This is caused by HIGH blood sugars, not low. Limiting your carb intake should help to keep your sugars lower. What am I missing?
Topic: RE: Hypoglycemia & pancreas tumor
Tammy,
Thanks for the reply. One thing I have learned that I will pass on. Heat can exasperate the problem. Dehydration changes the blood chemistry. I try to stay hydrated, but this Georgia heat/humidity can reek havoc.
I will be out of town for a week, but please let me know if you find out more about the pancreas tumor issue.
Thanks!
Thanks for the reply. One thing I have learned that I will pass on. Heat can exasperate the problem. Dehydration changes the blood chemistry. I try to stay hydrated, but this Georgia heat/humidity can reek havoc.
I will be out of town for a week, but please let me know if you find out more about the pancreas tumor issue.
Thanks!
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