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they lower my lantus from 42 to 20 units before surgery, when i was on the liquid diet. then after surgery during the first month i went down to 10 units, ( A1C 7.9) and off it when my fasting sugars where under 100 every morning. at my 3 month follow-up my A1C was 5.7, so i'm very happy about that, & i'm hoping when i see my PCP that she will be lowering the metformin. right now i'm still taking 2000 mg day.
but really i'm afraid to stop taking the metformin all together. it has been like a life saver for me..... it was the only thing that worked to bring my blood sugar under controll, when i was having a hard time trying to loss weight & eat right.............
under 300 lbs on 1/22/09
highest weight 430 (100 lbs lost on low carbs & diabetic food plan)
surgery weight 341 (12/15/08)
7/28/09
current weight 240, my goal is 199
i started physical therapy in july 6, 09
my goal is get out and walk every day .........
join the 10,000 steps a day challenge
IT'S NEVER TO LATE TO JOIN, EVERY STEP COUNTS
http://www.obesityhelp.com/forums/vsg/3923216/10-000-steps-walking-challenge-Setup-Requirements/
i need a new pedometer
Have you ever been tested for Celiac Disease? I urge you to get tested ASAP, as many seemingly unrelated health conditions (PCOS, Lupus, Fibromyalgia, Diabetes, acne, depression, arthritis, osteoporosis, asthma, just to name a few) can be caused by undiagnosed/untreated CD (researchers have found a compelling link between Diabetes I and CD). CD is a malabsorptive condition, and up to 40% of people who are diagnosed with CD are overweight, with 30% of that number being morbidly obese (this goes against what the medical community has been taught).
If you have CD (or Non-Celiac Gluten Sensitivity) and you go on a Gluten-Free (GF) diet, you will more than likely find that the pounds start to fall off without you doing anything other than eliminating gluten from your diet. Incidentally, a GF diet is MUCH easier to follow than Atkins, as it is much less restrictive on carbs - the gluten-containing carbs seem to be the ones that give people the most trouble.
I know about CD because our youngest daughter was diagnosed with it last April (she had NO symptoms, it was picked up on a routine blood screening for kids with Down syndrome). Since then, I have been on a GF diet and have dropped from 275 lbs. to 237 lbs. while eating all of the foods that I love. It is, without a doubt, the EASIEST "diet" that I have ever been on! The other benefit that I have found - quite unexpectedly - is that ALL of my bloodwork numbers have improved, the arthritis in my knee disappeared within 24 hours of going GF, and I have more energy than I did when I was a teenager. The reason that all of this wonderful stuff happened is that for the first time in a long time my body was absorbing ALL of the nutrients that I ingested - it's that simple.
You may want to try a gluten-free diet for a while and see what happens. I have been amazed at our family's results over the past 10 months. Best of all, it doesn't "feel" like a diet at all! Some people who have excess weight have Celiac Disease and don't know it. There is a blood test that can be run, but if you don't have any other health issues, it is possible that you are just gluten sensitive.
The reality is that SO many more people are Gluten-Sensitive than have actual CD, but a person has to have a CD screen run first to determine if they do, indeed, have it. Only 3% of people who have CD actually know that they have it, yet almost 1% of the general population is believed to have it. That's a
If you go to www.celiac.com , there is a link there which lists all of the health conditions which are known and suspected to be associated with untreated Celiac Disease. If you have 2 or more of those conditions, you are more likely to have CD. Many people have their blood tests come back negative for CD, yet they still have problems, so they try a Gluten-Free diet. If their symptoms clear up, they can safely assume that they are gluten sensitive.
The best thing about the GF diet is that we have been able to eat ALL of the foods that we love - REAL ranch dressing, baked potatoes with butter, sour cream, and cheese, Snickers bars, ice cream, chicken-fried steak with gravy, etc. - the only difference is that the flours that we use when cooking are gluten free (you can find these in many different stores or online). We have been eating "full" fat foods (real butter, sour cream, cheese, etc.) and have actually lost weight and seen our bloodwork numbers come down significantly. My doctor (PCP) was skeptical, but the results don't lie, and now she is looking into the GF lifestyle as "the way to go" for all of her patients!
I don't know where you live, but chances are that you have a Gluten Intolerance Group (GIG) chapter nearby. They can be a wonderful source of information, and most GIG's offer a Restaurant Guide that tells you what is "safe" at various restaurants. Now, be aware that if you want to have the same results as we have, you CANNOT eat any gluten whatsoever - there is no such thing as "gluten lite"......
My suggestion would be to request your doctor to run a Celiac Screen Panel and/or an HLA Typing for Celiac Disease test for you, and then do a "trial" GF diet. You will want to do it for at least a couple of weeks, preferably for a month. Don't be discouraged if your weight "yo-yos", because what will be happening is that your body will be converting fat cells into muscle, and muscle mass weighs more. The weight loss will be slow, but it will be steady over time. I have "lost" 5 pounds, then "regained" a couple of pounds back over and over due to this process, but the net result has been a 37 pound loss over a period of 10 months. I would probably have lost more, but I like to drink Cokes, and I don't like to exercise.......
My husband told me that if I DID quit the Cokes and started exercising, I could probably lose weight faster, but I told him that I am "conducting a scientific experiment", and I can only have one variable. Nobody believes me when I tell them that I am losing weight simply by eliminating gluten, so I am going to see how far this takes me. So far, so good! I am confident that I will be able to lose most, if not all, of my excess weight - it may take 3 or 4 years (maybe 5 or 6), but I figure it took me a while to put it on, so I can be patient.
Also, my skin isn't sagging like you see in so many people who lose weight so quickly on WLS. Since I am eating so much dietary fat, my skin is actually kind of glowing now, and my face is nice and soft. Plus, some of the complications that I have read about several years after surgery sound EXACTLY like the conditions that are seen in people with untreated CD - it can't be a coincidence that both situations involve malabsorption. The main difference is that one of them (CD) is very treatable. Even with a reversal, someone who has had WLS will NEVER get all of their intestinal tract back, so there will always be some form of malabsorption - not something I want to do at all......
One other website that you may want to check out is www.junkfoodscience.blogspot.com - a whole lot of food myths are debunked there, including the one about dietary fat causing heart disease. There are LOTS of interesting articles on that site that you may find very interesting; I know I did!
CD is a genetically linked condition, and first-degree relatives are at a significantly higher risk of developing CD. If you do, indeed, have CD, the LAST thing that you want to do is have Weight Loss Surgery! You would be piling a treatable form of malabsorption (CD) on top of a surgically-induced form of malabsorption (WLS). Good luck, and please keep me updated! I am always available to answer questions. PM me, and I will send you my contact information –
Links to Obesity/CD Related Articles:
Obesity, Overweight & Celiac Disease
Link to Essay about Gluten Sensitivity: (This is EXTREMELY informative!)
http://www.baumancollege.org/pdfs/articles/Gluten_Sensitivit y.pdf
Link to Celiac Disease / Gluten Sensitivity Symptoms:
http://www.celiac.com/articles/1106/1/Celiac-Disease-Symptom s/Page1.html
Teresa Koch
Jackie
Carrollton, GA
on 4/1/09 10:08 am
I got Gestational Diabetes last year and was on alot of insulin by 13 weeks and it never went away after pregnancy. It turned into regular diabetes (type 2 I think) and I was put on a pill once a day. When I started the 2 week liquid pre-op diet, I quit the pills knowing that it would drop my sugar too low and I maintained around 120 without pills on the liquid diet. I am pretty sure that my diabetes is somewhat cured and will be completely cured in the future.
My question is...if I get pregnant again next year ...I know my odds are very high for gestional diabetes again...but what about type 2 after pregnancy since I will be 140 lbs lighter? Has anyone every dealt with this situation? Thanks!
*19.6 of the pounds were lost during the 2 week pre-op diet.
I have not had any lows that are low enough to worry about. I'm sorry I can't help you with that.
I am on about 100 units of insulin a day so I am hoping that will go down as my weight does. I have a concern about what to do with a low blood sugar?
However I was taking a Diabetic Dialy Vitimin pack from Walmart daily for 2 years and it helped me with my neurapathy and the Charcots foot. They have the suppliment called Alpha Lipoc Acid. in it that I just swear by. I have already discussed it with my surgeoen and once I am able to tolerate solid food again he see no reason not to go back on it.
I can feel the pain and sensations coming back at night which is a sign of the neuropathy