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Topic: RE: Type
Hi there. I had it laproscopically- I am to chicken to do it otherwise. I wasn't convinced which option was best f or me until I spoke with my endochronologist and my surgeon. They both agreed the rny bypass was the way to go. Please speak with both parties and do further research as well. There is all kinds of data out there, both good and bad. I can only tell you that the surgeon I had, his staff and the hospital at Citizen's in Victoria was fabulous.
I just had my surgery on 5/4. The first few hours were rough, but after that, the staff took great care of me. I was up walking within a few hours making the rounds and did so regularly after that as well. My recovery has been such a blessing in that it has been very easy. The first night home, I think I was more anxious than anything. But, no pain killers, no special bed- nothing. I had pretty bad gas pains. The Dr. said that for some reason folks with diabetes tend to get them a little worse. I took gas x and walked- no more pain..
I did a lot of research to make the decision regarding WLS. I spoke with a number of his patients, got the scoop and put it all together with my endochronologist. While, there is still the grand debate about impact to Type 1, I couldn't see the down side of taking this step to better my health. I have some news to share... Since the morning of 5/4, I have been completely OFF my insulin pump. I was doing about 160 units a day. I currently take about 35 a day! :-) Though I may not be cured of diabetes long term, this surgery has provided me the tool to make the changes in my life that will improve my quality of life and length of life.
I wish you well!
Katie
I just had my surgery on 5/4. The first few hours were rough, but after that, the staff took great care of me. I was up walking within a few hours making the rounds and did so regularly after that as well. My recovery has been such a blessing in that it has been very easy. The first night home, I think I was more anxious than anything. But, no pain killers, no special bed- nothing. I had pretty bad gas pains. The Dr. said that for some reason folks with diabetes tend to get them a little worse. I took gas x and walked- no more pain..
I did a lot of research to make the decision regarding WLS. I spoke with a number of his patients, got the scoop and put it all together with my endochronologist. While, there is still the grand debate about impact to Type 1, I couldn't see the down side of taking this step to better my health. I have some news to share... Since the morning of 5/4, I have been completely OFF my insulin pump. I was doing about 160 units a day. I currently take about 35 a day! :-) Though I may not be cured of diabetes long term, this surgery has provided me the tool to make the changes in my life that will improve my quality of life and length of life.
I wish you well!
Katie
Katie Lou
Topic: RE: protein elevated
Protein in urine? Means ketoacidosis; high blood sugars (over 250) cause protein spilling over into the urine. Dangerous for kidneys. How are his blood sugars? What's his A1C?
Topic: RE: Blood Sugar Dropped, Now Eyesight is Haywire!
You should be fine by then. I remember coming home from the hospital scared out of my wits then because I had just come out of a coma, got on insulin and heard all of the scarey information about diabetes(only upside was I dropped 87 lbs!). I got home and started to read something my brother gave me. I couldn't see! Dear Lord! I am already going blind! It was so scary!. I was able to read just fine within a week. Don't force it though and you may have eye strain or headaches if you do- so prevent the pain!
Katie
Katie
Katie Lou
(deactivated member)
on 5/14/09 11:59 pm - Woodbridge, VA
on 5/14/09 11:59 pm - Woodbridge, VA
Topic: RE: Type
There is a woman on the DS board who is a type 1 and just had her DS. I mean JUST had her DS, so I'm not sure she is back to posting quite yet.
While the RNY has ben proven to resolve type 2 diabetes in up to 84% of cases, the DS resolves up to 98.9% of cases. Also, a more recent long-term study shows that the number of RNYers in remission decreases in future years (their diabetes returns), whereas the number of DSers in remission actually INcreases in future years. My common sense tells me this may be due, at least in part, to the fact that the RNY has a higher rate of weight regain in future years than the DS.
Also, sugar is absorbed long before it hits the duodenum. There is NO bariatric surgery currently performed that actually reduces the amount of sugar absorbed by the body - it is always 100%. This is because the breakdown and absorption of sugar begins as soon as it hits your mouth (imagine holding a sugar cube in your mouth - it will eventually dissolve and get absorbed, whereas this would not happen with a chunk or steak or lard, as protein and fat require additional elements from further down the digestive tract to be broken down and absorbed).
All of that said, I'm not sure there is a "best" WLS procedure for Type 1. Personal common sense tells me that a malabsorptive procedure (DS or RNY) would be better in the long run to avoid insulin resistance, if you don't already have it, which would help minimize the amount of insulin you would need to inject.
For overall weight loss in general (based on averages - there are always some who do better and some worse), the band is the least effective, followed by the RNY and sleeve (about even, though there is currently not much in the way of long-term results for the sleeve alone since it is a newer procedure as a stand-alone option), and the DS is most effective. The DS also has the best long-term stats for keeping the weight off.
Oh, and if your surgeon doesn't do the sleeve, and you decide that's what you want, find a new surgeon. And good for you for doing your own research instead of just buying what your surgeon sells you! I have multiple bariatric surgeons near my home - I could have had a band or RNY or sleeve within 15 minutes of my front dor. Instead, I first chose my desired procedure, then found the best surgeon to perform it. I traveled about 2 hours from my home (and that was forutnate - many have to fly or go out of country to get the best procedure for them).
While the RNY has ben proven to resolve type 2 diabetes in up to 84% of cases, the DS resolves up to 98.9% of cases. Also, a more recent long-term study shows that the number of RNYers in remission decreases in future years (their diabetes returns), whereas the number of DSers in remission actually INcreases in future years. My common sense tells me this may be due, at least in part, to the fact that the RNY has a higher rate of weight regain in future years than the DS.
Also, sugar is absorbed long before it hits the duodenum. There is NO bariatric surgery currently performed that actually reduces the amount of sugar absorbed by the body - it is always 100%. This is because the breakdown and absorption of sugar begins as soon as it hits your mouth (imagine holding a sugar cube in your mouth - it will eventually dissolve and get absorbed, whereas this would not happen with a chunk or steak or lard, as protein and fat require additional elements from further down the digestive tract to be broken down and absorbed).
All of that said, I'm not sure there is a "best" WLS procedure for Type 1. Personal common sense tells me that a malabsorptive procedure (DS or RNY) would be better in the long run to avoid insulin resistance, if you don't already have it, which would help minimize the amount of insulin you would need to inject.
For overall weight loss in general (based on averages - there are always some who do better and some worse), the band is the least effective, followed by the RNY and sleeve (about even, though there is currently not much in the way of long-term results for the sleeve alone since it is a newer procedure as a stand-alone option), and the DS is most effective. The DS also has the best long-term stats for keeping the weight off.
Oh, and if your surgeon doesn't do the sleeve, and you decide that's what you want, find a new surgeon. And good for you for doing your own research instead of just buying what your surgeon sells you! I have multiple bariatric surgeons near my home - I could have had a band or RNY or sleeve within 15 minutes of my front dor. Instead, I first chose my desired procedure, then found the best surgeon to perform it. I traveled about 2 hours from my home (and that was forutnate - many have to fly or go out of country to get the best procedure for them).
Topic: RE: Blood Sugar Dropped, Now Eyesight is Haywire!
Thank you for the reassurance, Katie. I go back to school on June 1st and need my eyes...
Topic: RE: Feeling awful--Dr. just doubled my insulin--
Oh my dear... I am so sorry. What type of insulin are you on currently? I was up to 7 shots a day in 2007. I made the decision to get on an insulin pump that injects novelog every hour. I had a an aic of7 within 50 days.
They are normally covered by insurance and make life a lot more comfortable.
Hope this helps.
Feel better.
Katie
They are normally covered by insurance and make life a lot more comfortable.
Hope this helps.
Feel better.
Katie
Katie Lou
Topic: RE: Blood Sugar Dropped, Now Eyesight is Haywire!
Hi April.
I have had that very thing happen to me. It passes in a few weeks. Just rest and relax. You will be better than new shortly.
I had the exact same episode happen in 2005. I went into the hospital with extroidinary high blood sugar and walked out at 120.... and vision that caused me to think I was going blind.
I hope this helps!
Katie
I have had that very thing happen to me. It passes in a few weeks. Just rest and relax. You will be better than new shortly.
I had the exact same episode happen in 2005. I went into the hospital with extroidinary high blood sugar and walked out at 120.... and vision that caused me to think I was going blind.
I hope this helps!
Katie
Katie Lou
Topic: RE: protein elevated
Hi there.
Hi protein levels in a a diabetic may sometime indicate the kidneys are not functioning as they should or that the liver is not filtering as they should.
Hi protein levels in a a diabetic may sometime indicate the kidneys are not functioning as they should or that the liver is not filtering as they should.
Katie Lou
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