Recent Posts
Topic: Studies on WLS and T2DM resolution
I used to have a boatload of medical journal/studies bookmarked that showed all of the benefits of WLS, or comparisons of different WLS, specifically as it relates to resolution of Type 2 DM.
Can members please share links to resources or studies?
Can members please share links to resources or studies?
Topic: Diabetes Related Kidney Failure and Kidney Transplant?
My nephrologist and my transplant surgeon have both told me they had several pts who have had successful kidney transplants....Two ppl on dialysis who had RNY surgeries....O, the txp pts had RNY.
I had a pancreas and kidney txp 9 yrs ago and am in good health. However, I do need to lose lots of weight (43.0 BMI)...
I am considering the sleeve due to the absorption issue of the anti-rejection meds and the RNY and the sleeve.....
Anyone on this site who have had a txp and WLS? Please let me know how you are doing.
alese
I had a pancreas and kidney txp 9 yrs ago and am in good health. However, I do need to lose lots of weight (43.0 BMI)...
I am considering the sleeve due to the absorption issue of the anti-rejection meds and the RNY and the sleeve.....
Anyone on this site who have had a txp and WLS? Please let me know how you are doing.
alese
Topic: RE: type 2 diabetes and sleeve surgery
I resonate greatly with your frustration - I truly do. I don't think the endocrinology world knew squat about 1.5 when we were diagnosed. Basically, I knew I never really "fit" the Type 2 diagnosis - every doctor said that - but I certainly didn't fit Type 1 with a diagnosis at age 29 either.
I stumbled into it when I was starting down the surgery path for the first time about 3 years ago. I saw an endocrinologist at the medical center where I was planning to have surgery and he suggested that I could have some blood tests to confirm. So, I did. The results contradicted one another, and then I had a c-peptide that showed very limited insulin production, so the official diagnosis was made.
At the time, my regular endo (who I like very much and still see) said, "well does the type really matter, since your treatment really isn't any different?" At that point, I sort of exploded and said, "well, if I am considering bariatric surgery to cure type 2, and I don't HAVE type 2, it sure as hell DOES matter." He got it - and still gets it. I stepped away from the whole surgery thing for about a year after that until I wrapped my brain about what I could expect. And, then I proceeded and did the RNY. I don't regret it at all.
Here's one big thing that HAS changed for me - my doc thinks my insulin resistance is gone now after the surgery. I am taking a lot less insulin and getting better results from it. My ratio of total units of insulin/body weight is MUCH improved. But, I will say that I was absolutely never able to lose any weight on my own. In fact, those attempts usually resulted in gains. At one point, I was eating very low calorie and doing 2 hour spin classes and I actually gained 30 pounds in about 7 weeks - and could not stop it. It felt like banging my head into a wall....
I am thrilled to hear that you are losing weight on your own without the surgery. If I had been able to do that, I would not have gone with surgery either. I do not regret my decision at all, but it was impossible for me to lose (I also had PCOS).
I am 55 - and am 5'4" and about 172 pounds. I may lose a little more, but my weight loss has only been about 20 pounds in the past 6 months. I lost about 55 in the first 6 months after surgery. I'm still have a BMI that puts me at the bottom of obesity and I'd like to get out of that range, but if my body is done with weight loss, then it is done. I am letting it lead the way and focusing on the improved labs, etc. I am glad I did it.
Keep in touch - and let me/us know how you are progressing. I'd really like to know whether they decide you are 1.5 or not after your November appointments!
All the best!
I stumbled into it when I was starting down the surgery path for the first time about 3 years ago. I saw an endocrinologist at the medical center where I was planning to have surgery and he suggested that I could have some blood tests to confirm. So, I did. The results contradicted one another, and then I had a c-peptide that showed very limited insulin production, so the official diagnosis was made.
At the time, my regular endo (who I like very much and still see) said, "well does the type really matter, since your treatment really isn't any different?" At that point, I sort of exploded and said, "well, if I am considering bariatric surgery to cure type 2, and I don't HAVE type 2, it sure as hell DOES matter." He got it - and still gets it. I stepped away from the whole surgery thing for about a year after that until I wrapped my brain about what I could expect. And, then I proceeded and did the RNY. I don't regret it at all.
Here's one big thing that HAS changed for me - my doc thinks my insulin resistance is gone now after the surgery. I am taking a lot less insulin and getting better results from it. My ratio of total units of insulin/body weight is MUCH improved. But, I will say that I was absolutely never able to lose any weight on my own. In fact, those attempts usually resulted in gains. At one point, I was eating very low calorie and doing 2 hour spin classes and I actually gained 30 pounds in about 7 weeks - and could not stop it. It felt like banging my head into a wall....
I am thrilled to hear that you are losing weight on your own without the surgery. If I had been able to do that, I would not have gone with surgery either. I do not regret my decision at all, but it was impossible for me to lose (I also had PCOS).
I am 55 - and am 5'4" and about 172 pounds. I may lose a little more, but my weight loss has only been about 20 pounds in the past 6 months. I lost about 55 in the first 6 months after surgery. I'm still have a BMI that puts me at the bottom of obesity and I'd like to get out of that range, but if my body is done with weight loss, then it is done. I am letting it lead the way and focusing on the improved labs, etc. I am glad I did it.
Keep in touch - and let me/us know how you are progressing. I'd really like to know whether they decide you are 1.5 or not after your November appointments!
All the best!
Topic: RE: NIPHS - Noninsulinoma Pancreatogenous hypoglycemia syndrome
Mention this to your Dr. and do some research about it online. I am taking a medication to help with the spiking/dropping. So far it is helping, though not all the time. I have changed my eating habits even more, which has helped too. Best thing to do is talk to your Dr. Good Luck and I hope you figure out what is going on! Please keep me posted on what you learn.
Topic: RE: sideline on diabetes - - copied from another forum
I think that is very positive news. Watching carbs is a great idea for ANYONE who is post WLS, and especially for diabetics. Good luck!
Topic: RE: type 2 diabetes and sleeve surgery
funkkyphillygirl, sorry, but I did not see your reply until now . . .
but your reply to me indicates your questions were good ones. When I saw my surgeon again, she said I had to see an endrocrinologist. I had to wait a while to see my primary care doc, so the primary care doc could refer me to an endocrinologist and then it took a couple months to get a new patient appointment with the endocrinologist and I won't see the endocrinologist again until after Thanksgiving and in the meantime, the clock is ticking on all my tests to be screened for surgery. The tests are good for one year: so I have until February or I have to start all the tests, like a sleep study, and all the others all over again!!!
The endo ordered testing to decide if I am 1.5. It had never come to my attention before that I might not be Type II. Since you are 1.5 and you had bariataric surgery, I bet you know that many 1.5's are diagnosed Type II because many docs assume fat diabetics are Type II.
I suspect I have 1.5. I won't find out until Nov. 28th. The lag between appointments is so hard!!!
have now lost a total of 120 pounds, over the past 8 years, since I was diagnosed as Type II. I am already injecting a lot of insulin and I think I am 1.5. If I definitely am, I will not do the surgery for I see that I can lose weight w/o it. I was only interested in healing my diabetes, not weight loss. I am leary of permanently altering my digestive tract. If the surgery had the potential to heal my diabetes, I would do it. Without that possibility -- and it is not possible for my 1.5 autoimmune disease to go into remission -- if my pancreas has stopped making insulin, it aint gonna start again
but thanks to you for responding. I wish I had read your response back in July. I might have sped up the endocrinology process instead of passively accepting such delayed scheduling.
I weigh 210 right now. I would like to weight 150, and I think that would be very healthy and reasonable for a 59 years old woman who is five feet six. I don't need to be skinny, just healthy. But it is clear to me I can go on achieving my health goals, and weight loss is part of my health, without the surgery. It is hard, but I can do it.
I have not completely decided. I want to ask my endocrinologist if she thinks the surgery would help. I bet she will say no, since she knows my all time high weight wsa 330.
Ironically, it is possible I have lost some, even most, of the weight because of my 1.5 diabetes and not from my efforts. What happens is I lose a lot of weight fast and then I stop losing for long periods. During my last plateau, I started insuliln and expeirenced a weight gain, which is common when folks do insulin, but now I am down another huge chunk but plateau'd. For four months I have continued to eat a very low calorie, very low carb diet -- 600 calores a day? -- and have not peeled off a pound. This time, however, I know that if I persevere and do not give into discouragement, I will lose more when my body is ready.
So it looks like I have decided, doesn't it? But we'll see. If my endocrinologist is enthuasiastic about me having surgery, I will do it. But she has seen my history and I have shown I can lose without the surgery.
Man, if I had known I had 1.5 long ago, I would have made so many different choices. I have seen several docs who missed the 1.5, including a gal I saw at Stanford who used to actually say, all the time, "I am a faculty member at Stanford medical school, so I am speaking to you as a Stanford authority, so you should listen to me" and that arrogant gal never suggesed I had 1.5 diabetes even as she was ordering more and more insulin.
this is fat bigotry. Ever since I got fat, in my early thirties, from another misdiagnosis -- I got fat taking tons of psychotropics for a mental illness I do not have -- I have been aware that most docs ignore all my health concerns. :They seem to think, and have often said, "if you lost weight you'd feel better". Docs just look at fat women and ignore many of their symptoms.
Keep in mind: 3 years after being diagnosed diabetic and after losing about 70 pounds at the time, my Stanford doc started me on insulin, and then I needed more and more, and she never suggested I was 1.5.
Our medical system and our food systems are so damaged. It's not just my body that has an autoimmune disorder. This culture has multiple autoimmune disorders.
On the 'positive' side, if I have 1.5, it was going to happen no matter what docs got wrong.
but your reply to me indicates your questions were good ones. When I saw my surgeon again, she said I had to see an endrocrinologist. I had to wait a while to see my primary care doc, so the primary care doc could refer me to an endocrinologist and then it took a couple months to get a new patient appointment with the endocrinologist and I won't see the endocrinologist again until after Thanksgiving and in the meantime, the clock is ticking on all my tests to be screened for surgery. The tests are good for one year: so I have until February or I have to start all the tests, like a sleep study, and all the others all over again!!!
The endo ordered testing to decide if I am 1.5. It had never come to my attention before that I might not be Type II. Since you are 1.5 and you had bariataric surgery, I bet you know that many 1.5's are diagnosed Type II because many docs assume fat diabetics are Type II.
I suspect I have 1.5. I won't find out until Nov. 28th. The lag between appointments is so hard!!!
have now lost a total of 120 pounds, over the past 8 years, since I was diagnosed as Type II. I am already injecting a lot of insulin and I think I am 1.5. If I definitely am, I will not do the surgery for I see that I can lose weight w/o it. I was only interested in healing my diabetes, not weight loss. I am leary of permanently altering my digestive tract. If the surgery had the potential to heal my diabetes, I would do it. Without that possibility -- and it is not possible for my 1.5 autoimmune disease to go into remission -- if my pancreas has stopped making insulin, it aint gonna start again
but thanks to you for responding. I wish I had read your response back in July. I might have sped up the endocrinology process instead of passively accepting such delayed scheduling.
I weigh 210 right now. I would like to weight 150, and I think that would be very healthy and reasonable for a 59 years old woman who is five feet six. I don't need to be skinny, just healthy. But it is clear to me I can go on achieving my health goals, and weight loss is part of my health, without the surgery. It is hard, but I can do it.
I have not completely decided. I want to ask my endocrinologist if she thinks the surgery would help. I bet she will say no, since she knows my all time high weight wsa 330.
Ironically, it is possible I have lost some, even most, of the weight because of my 1.5 diabetes and not from my efforts. What happens is I lose a lot of weight fast and then I stop losing for long periods. During my last plateau, I started insuliln and expeirenced a weight gain, which is common when folks do insulin, but now I am down another huge chunk but plateau'd. For four months I have continued to eat a very low calorie, very low carb diet -- 600 calores a day? -- and have not peeled off a pound. This time, however, I know that if I persevere and do not give into discouragement, I will lose more when my body is ready.
So it looks like I have decided, doesn't it? But we'll see. If my endocrinologist is enthuasiastic about me having surgery, I will do it. But she has seen my history and I have shown I can lose without the surgery.
Man, if I had known I had 1.5 long ago, I would have made so many different choices. I have seen several docs who missed the 1.5, including a gal I saw at Stanford who used to actually say, all the time, "I am a faculty member at Stanford medical school, so I am speaking to you as a Stanford authority, so you should listen to me" and that arrogant gal never suggesed I had 1.5 diabetes even as she was ordering more and more insulin.
this is fat bigotry. Ever since I got fat, in my early thirties, from another misdiagnosis -- I got fat taking tons of psychotropics for a mental illness I do not have -- I have been aware that most docs ignore all my health concerns. :They seem to think, and have often said, "if you lost weight you'd feel better". Docs just look at fat women and ignore many of their symptoms.
Keep in mind: 3 years after being diagnosed diabetic and after losing about 70 pounds at the time, my Stanford doc started me on insulin, and then I needed more and more, and she never suggested I was 1.5.
Our medical system and our food systems are so damaged. It's not just my body that has an autoimmune disorder. This culture has multiple autoimmune disorders.
On the 'positive' side, if I have 1.5, it was going to happen no matter what docs got wrong.
Topic: RE: sideline on diabetes - - copied from another forum
That is wonderful if I it does. I had WLS for my diabetes and it is better but. Sill take oral meds, which is good cause it makes me watch my carbs, it doesn't work for everyone it's a chance but anyway I m so glad I did it
Susan
Susan
Topic: RE: sideline on diabetes - - copied from another forum
Best of luck - reduction of medicine and normalization of blood sugars is definitely possible for Type 2 diabetics (not for Type 1's). Health is the most important reason to have WLS, in my opinion.
Topic: RE: My mom needs your help...
Yes, I am a Type 1 diabetic (really a combo of Type 1 and 2, but classified as Type 1) and had surgery in September 2011. It is DEFINITELY POSSIBLE and can improve health dramatically. I would be happy to answer any of her questions directly. 
I do still use insulin, but my amounts are much smaller than they were a year ago and I get more out of it. I'm off a number of oral meds as well with great lab results.
Does your mom have an endocrinologist? If so, she should discuss this with him/her. If not, she needs to find someone with whom she can discuss this.
Management through the post-surgery phase is a little bit tricky, but not at all impossble. It requires frequent testing and likely a new regime for her insulin doses, but that's where it's important to have an endocrinologist to work with. Also, when you are diabetic and in the hospital, you will be assigned an endocrinolgist who works closely with you on your management.
Once you get through the first few weeks after surgery, you are back to eating real food, albeit in small portions. At a year out, I now eat about a cup of food per meal and it's easy to count carbs and dose accordingly It's very, very doable.
Please do not be discouraged. There are not a lot of type 1's who have had the surgery, but there really is no reason not to have it. I am 55 years old, been diabetic for 26 years, am down about 75 pounds and thrilled that I did so.
Please let me know how I can support you or your mom. I am happy to answer questions based on my research and experience.
I do still use insulin, but my amounts are much smaller than they were a year ago and I get more out of it. I'm off a number of oral meds as well with great lab results.
Does your mom have an endocrinologist? If so, she should discuss this with him/her. If not, she needs to find someone with whom she can discuss this.
Management through the post-surgery phase is a little bit tricky, but not at all impossble. It requires frequent testing and likely a new regime for her insulin doses, but that's where it's important to have an endocrinologist to work with. Also, when you are diabetic and in the hospital, you will be assigned an endocrinolgist who works closely with you on your management.
Once you get through the first few weeks after surgery, you are back to eating real food, albeit in small portions. At a year out, I now eat about a cup of food per meal and it's easy to count carbs and dose accordingly It's very, very doable.
Please do not be discouraged. There are not a lot of type 1's who have had the surgery, but there really is no reason not to have it. I am 55 years old, been diabetic for 26 years, am down about 75 pounds and thrilled that I did so.
Please let me know how I can support you or your mom. I am happy to answer questions based on my research and experience.
Most Active
Recent Topics
