Recent Posts
Hi,
I have not taken Metformin since 3 days before my RNY surgery. Possible remission from diabetic complications was one of the main factors why I chose that type of surgery over any other. My A1c and bs are in a normal range for the first time in 2 years, so I feel good about my decision for WLS.
All the best to you as you seek the answers to help guide your decision!
Believe in yourself and don't ever stop dreaming!
Hi,
I wouldn't stress too much about it. My surgeon had me stop Metformin 3 days before my surgery and I haven't been on it since. More times than not, RNY surgery puts you into remission for diabetes. How long that state will last depends on the individual, but a break for 5 yrs, 10 yrs or life is better for the pancreas.
My a1C post-op has been normal and my bs are in the 80's now, without meds. I was told if I stay symptom-free for 5+ yrs, then I am considered "cured" of diabetes.
Depending on how long you have been diagnosed with DM, you may have the same results as I and many others on this site have experienced - no meds for diabetes post-op!
All the best to you for a successful surgery and recovery!
Believe in yourself and don't ever stop dreaming!
**Update*** I am 4 months out and doing fantastic!! Diabetes is virtually gone, I have lost 83 pounds since surgery and I feel amazing!!
on 12/20/13 2:07 am
The reason that the doctors take people off of diabetes medicines immediately after surgery is to see the medicines are still needed. Whether or not the surgery puts your diabetes into remission is simply a crap shot.
There are people who weigh over 400 pounds, are completely non-compliant with the diabetes medicines, their food and exercise and they end up with diabetes completely in remission.
There are so-called lightweights like me (195 when I had surgery), diabetic for 20 years before surgery, on Lantus for more than five years, on metformin, glyberide, Actos, Byletta, following a strenuous exercise program and completely faithful to my diet who do not go into remission.
I am off of Lantus only because I refuse to take it and experience weight gain from it. Taking medicines may have depleted my pancreas, maybe my pancreas is just not working correctly, maybe genes could not be overcome
Whatever the cause, about 5% of DS, 25% of RNY and 40% of sleeve do not go into remission. It is not something to get depressed about. You will still loose the weight, be much healthier, and that should help with the diabetes.
I am on Metformin, Glyberide, Januvia, and Invokana. My morning sugar is about 100. My weight is under control. I accept that I have to take the oral medications. I test every day, weigh everyday, watch food, exercise, get A1C's every three months and am thankful that I no longer inject.
Just a heads up that there are people who do NOT get off all meds but it reduces them by losing the weight at least. This is why I am not getting the surgery to get "off" all my meds. You go in with that mindset you will become depressed. I am doing this for a better lifestyle so if I do not get off all my meds it isn't the end of the world for me. Would I love to lose them all(29 pills per day plus 250-300 units of Humalog every day)? Hell yeah, of course, but it is not a necessity for me. I NEED to lose weight though. That is the only part I care about.
I have my pre-surgery testing in about a month. I'm afraid my A1C will be too high for them to do the surgery on the scheduled date as the past while I have been a bit lax with my meds.
If i am very strict on my meds from now till the testing date how much will that affect my A1C? I know red blood cells are good for about 3 months. Would something like giving blood change anything as well? I would hate to have my Surgery canceled for another 3 months. I am having R-n-y Jan 27th, 2014
Thank you!
i was just diagnosed with NIPHS and started on acarbose 25 mg 3x per day. I am only 2 days in but it's working so far, I go from 360's to mid to high 40's within 1 hour every day and have not for 2 days (what a relief). I have a MRI to verify no insulinoma on Monday. I had RNY is 2006 and started symptoms in 2007 but I DO NOT REGRET MY BYPASS. I would do it again in a heartbeat. High blood sugar followed by low blood sugars. Dizzy/Stumble. Flushing. Blurred Vision. Can't get the right words out. Fatigue. My Doctors kept telling me I was fine and nothing was wrong, but I know my body. I finally went to my Gastric Bypass Doctor and found my answer.
I am extremely active. I have competed in 7 full Ironmans with my 8th in June. I am in amazing shape and eat close to if not perfect. I am 7.5 years out of RNY as have not had refined sugar, alcohol, or carbonation once. I am tired of dizzy being my normal and am looking forward to a new beginning!!!
Connie
on 12/19/13 12:40 am
When I was researching six years ago, the diabetes remission stats I was quoted were
DS – 95%
RNY – 78%
Lapband – 50%
The sleeve was not an option then. Everyone is different. How long the diabetes has been there, what medications were taken, how long insulin was used. I had taken medicines that depleted my pancreas function and used insulin for about ten years. I had no remission of diabetes with RNY. There are no guarantees.
I am still in the process of getting approved by insurance, but I am getting close to the end. I had pretty much set my mind on getting the sleeve, but when I went to my Dr he informed me that the sleeve only has a 70% chance of resolving diabetes, while gastric bypass has a 98% chance. Controlling my diabetes is a huge reason I am having this surgery, so I am curious about others experiences with surgery.
Hi, I had the sleeve surgery on November 6, 3013 because of being a diabetic and high blood pressure. I take oral medications. I was sent home with no medications until I could see my doctor. My blood sugars were not stable. 129 to 181. 181 at the beginning of the hour and then down to 123. My bariatic doctor explained that unless you had the gastric bypass which sometimes makes your diabetics either go away or lowers it I needed to stay on my meds. My doctor has me on the metformin right now and some blood pressure meds. Because my beginning weight was 195 I am losing slow. As I lose, my doctor will adjust my meds. I hope so. I am down to 171 lbs. after 5 weeks. It can be a slow process so I would like to encourage everyone in words and prayer to stay strong, be patience and stay focus.
