I too am Type II. I still am on meds 6 months out now. Well controlled now but still on meds none the same. Would love to be off them for good. My weight loss is slow also. I am however on oral meds.  We both need to keep prospective. I know its hard to do at time when there are folks *****ach goal in 6 months. But we need to keep reminding ourselves that slow and steady wins the race. Wink!

I'm insulin dependent type I AND type II before surgery.  Very insulin resistant.  So, the type II is gone:  I've gone from about 150 - 200 units a day, down to 50-60.  I still take symlin too.  And
my weight loss is rediculously slow.  My surgeon won't consider that it is because of the insulin.  But I think so.  It drives my appetite too.  I'm impressed at your weight loss, way ahead of me.

Hiya!

First, I think your sugars are not as bad as you think they are, so don't feel so bad. =) Yes, they are a bit high, but things will get better, as long as you are following your guidelines properly and checking your sugars--I hate doing it, but since we are changing everyday now, we need to check diligently. =)

So, I had my RNY on Dec 1st, 2008, so April 1st will be 4 months for me. Before surgery, my sugars were terrible, despite being on Metformin, Amaryl and 200 units of Lantus! My sugars were in the 200's and 300's all the time, even first thing in the am. Like yourself, I hoped the diabetes would resolve itself in the hospital or right after I got home from surgery. The sugars were better and I was able to begin lowering my meds. Then, a few weeks out, the sugars started creeping back up and I was devastated! But, now...I am down 77 lbs since surgery and 92 all together and my sugars are finally getting much better. I have even been able to decrease my insulin amounts--quickly this week. My endo gave me a scale to follow in decreasing the amounts on my own. This week, I decreased in total 30 units--which thrilled me! Sometimes my sugars are up to about 150 at night, so the endo added metformin with dinner--but it seems to help at nighttime.

Anyway...to answer your question...
It took my diabetes a little bit to get with the program--but it seems to be doing just that! I didn't want to be patient--especially when some people leave the hospital with it all resolved already, but now...it just feels great to be getting healthier!

So, stick with it--make sure you see an endocrinologist--one you trust--and TRY to be patient--it will happen for you! Oh, and make sure you test--I know its frustrating--but it really pays to be able to see trends...and those trends change as you lose..

Keep up the great work!
Best of luck to you!
Hugs, Heather =)

I'm a type I on an insulin pump.  I am about 3 months out.  I was also having type II insulin resistance.  My insulin needs went from about 90 units/day to about 25 units/day almost immediately after surgery.  I have had very few lows, and have been able to treat with Milk or glucose tabs (but mostly milk).   So far I have lost almost 60 lbs and am feeling better than ever.  Good luck!

p.s. it's not what you're supposed to do, but I am now changing my site once a week and it's working beautifully!  Still do lots of finger sticks though.

It's available online -- you can read it yourself: http://www.amjmed.com/article/PIIS0002934308010644/fulltext

Pre-ops, look closely at the differences in long-term results between the various surgeries.  And keep in mind that because of (now changing, unfounded and illogical) insurance restrictions and limitations on access to the DS, DS patients on average tend to be heavier and sicker before surgery.  The results are striking.

See in particular Table 8:

Table 8. Overview of Weight Loss, Surgical Procedure, and Diabetes Resolution

		Total	Gastric Banding	Gastroplasty	Gastric Bypass	BPD/DS
	% EBWL	55.9	46.2	55.5	59.7	63.6
	% Resolved overall	78.1	56.7	79.7	80.3	95.1
	% Resolved<2 y	80.3	55.0	81.4	81.6	94.0
	% Resolved≥2 y	74.6	58.3	77.5	70.9	95.9

%EBWL = percent excess body weight loss; BPD/DS=biliopancreatic diversion/duodenal switch.

Diabetes Resolution for Pure Diabetic Populations 

Overall, there were 12 treatment groups reporting categoric outcomes for diabetes with 79.3% of diabetic patients having resolution of their clinical and laboratory manifestations of diabetes and 98.9% having resolution or improvement (Table 9, online). Again, the observation of greater resolution for biliopancreatic diversion/duodenal switch procedures followed by bypass and then banding held true. Results were fairly homogeneous with I2 values of 0%, 49%, and 21% for the biliopancreatic diversion/duodenal switch, gastric bypass, and banding groups, respectively. Meta-regression revealed evidence of an impact of mean change in BMI on diabetes resolution (P<.01). Substantively, the same association held true at the time points of less than 2 years and 2 years or more. The laboratory parameters of diabetes declined significantly (P<.001): insulin levels 97.9 mU/L, HbA1c 2.1%, and fasting glucose 44.4 mmol/L.