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funkyphillygirl
on 7/8/12 11:31 am
Topic: RE: type 2 diabetes and sleeve surgery
I guess my first question for you is - what type diabetic are you?  Type 1, 1.5 or 2?  And, for how long?  Those seem to be the key issues about whether someone will achieve some measure of cure.  What does the surgeon/endocrinologist say your chances are?

I am a Type 1.5 diabetic x 25 years (insulin dependent for 24 of them), so I knew that I would not and could not get off of insulin.  But, things have improved - with work, of course - as a result of surgery.

Good luck to you.  I hope you can get more comfortable and settled with a decision this time!
funkyphillygirl
on 7/8/12 11:26 am
Topic: RE: Low Blood Sugar Level
Great advice....

You mention that you have not decided quite yet about surgery?  What are your hesitations?  I gave myself the chance to bail right on up to my arrival at the hospital.....  :-)

wannabehealthytoo
on 7/8/12 2:50 am
Topic: RE: Did having the RNY surgery help with Diabetes?
 Just want to give you a quick update. 
I had a phone appointment with the dietitian and it went well.  She said my she can see my commitment to the plan and she sees all the positive notes from all the dr.'s I've seen.  She also said that she can see me being successful with the surgery.  I am even more excited now.  


How is everyone doing?


Tizzielish
on 7/7/12 5:56 pm
Topic: RE: A little panicky...a question please...
oops, I wrote my reply without reading the whole thread -- I see that things have resolved for you.

Blessings on you as you approach surgery.
Tizzielish
on 7/7/12 5:54 pm
Tizzielish
on 7/7/12 5:49 pm
Topic: RE: type 2 diabetes and sleeve surgery
I am also new to this website, have diabetes and have a surgery date. I had a date in May but postponed. At the time I was only covered for RNY and I had a deep visceral resistance to that procedure.  I have lost 49 pounds since I first met with my surgeon and started the pre-op diet.

Since May, my insurance has approved the sleeve. The sleeve feels better to me. I don't question the RNY as a good choice for some. I get to be me, right?  I find out on Tuesday if my surgeon will approve the sleeve.

But even if/when she does, I will have the same question you have:  does anyone know someone who had the sleeve who was on insulin and got off insulin?

I know the sleeve will improve my glucose readings and diabetes issues . . . . I have already seen much improvement by eating the pre-op (which is the same as the post-op) diet. . . but my body will be different. Not too many folks, based on my research who have been on insulin several years see a complete remission of diabetes but most see big improvement and some get off insulin.

Keep this in mind too: there are foods you can eat to stimulate the pancreas to generate insulin again. With insulin, your pancreas might have given up. Or maybe the diabetes has damaged your pancreas for good:  if so, no procedure will change that reality. But maybe, with prayer, careful nutrition and commitment, you can bring some pancreas production back.  Anything is possible with the right mindset, faith, love.

The stats are against me. I have read many reports that say folks that have been on insulin for several years don't see complete remission of diabetes after bariatric surgery -- and the remission rate seems to be slightly less for the sleeve than the RNY. .  but if my surgeon lets me, I'm going with the sleeve . .  and trust that I live in a loving universe. I think. I won't know until she approves the sleeve and I meditate on it some more.
Tizzielish
on 7/7/12 5:40 pm
Topic: RE: Low Blood Sugar Level
I have had diabetes since 2002. I am scheduled for bariatric surgery on August 9th, not 100% decided.

I have never had a fast drop in BG in the 8 years since I became diabetic but I do get some very low morning fast readings on the pre-op very-low-carb diet I am on.  If my BG reads 70 in the morning, I add some frozen berries to my breakfast protein -- the carbs in the berries bring me back up fast.

Of course talk to a doc, see the endocrinologist but I think you can help yourself avoid the way you feel with the very low BG.  Be very careful. Test your BG a lot. I am surprised your doc did not give you some advice in the meantime, or refer you to a staff person with diabetes expertise. Most clinics these days have diabetes experts. My clinic has a nurse practitioner that is easy to get in to see and he helps me when I can't get an appointment with my doc -- appointments with my doc are hard to get.

Don't wait until August to make some changes.

With a glucometer and lots of testing while you wait to see the specialist, you should be able to adjust your carb intake. Maybe chillax about the weight gain. Redouble your commitment to eat healthfully to maintain your weight loss. I am learning that the more data I have, which means the more closely I pay attention to what my body is doing with lots of sugar testing -- before and after adding some carbs -- this close attention has many positive effects. I become much more conscious of what I am eating, which, in turn, influences me to make wiser choices. I also become much more aware of how I feel and feeling good feels good so it is natural incentive to avoid poor choices.

Take very good care of yourself.

It must be a little scary to have the low blood sugar drops.


wannabehealthytoo
on 7/4/12 2:54 pm
Topic: RE: Did having the RNY surgery help with Diabetes?
On July 4, 2012 at 1:06 PM Pacific Time, C65JWH wrote:
Thanks so much for the encouragement!
 I agree everyone on here is so encouraging it's amazing.  Thank you all.  
Hope you all had a great  4th of July.
JOY H.
on 7/4/12 6:06 am - Jackson, NC
RNY on 06/27/12
Topic: RE: Did having the RNY surgery help with Diabetes?
Thanks so much for the encouragement!
funkyphillygirl
on 7/3/12 9:05 am
Topic: RE: Did having the RNY surgery help with Diabetes?
Yes, absolutely - give it time though.  My insulin needs have changed continually over the last 9 months.  I was on 39 Lantus just before surgery, then 25 after (with not great sugars).  I'm now on 14 units per day and that is a very recent change.  I've upped my meal time insulin more, but that gives me tighter control over mealtimes, especially now that my basal (lantus) insulin is correct. 

The issue of stress is very real and it will take a bit before you level out again.  But, try to be patient.  It's hard, because there is so much energy and thought that goes into the surgery, and then we all want immediate results.  (I came home from the hospital 10 pounds more than I went in and I thought I was going to freak out!!)  When my mom passed away at the end of 2009, I couldn't get my sugars down no matter how little I ate and how much insulin I took.  Stress, stress, stress - a few weeks later, it DID settle down. 

Just take this a bit at a time.  In a few months, everything will have changed a LOT!! 

Keep posting, good luck and congrats on being through the surgery!
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