Accountability..just venting

Chris.. they  may call it a "cure".. but there is no cure for diabetes... there is only "control".

A cure to me is when medication and diet is no longer needed to maintain healthy levels.  The DS does not cure 100% of diabetes, no. However, it does cure 92%.  I've pasted some excerpts from peer reviews on the DS and some personal experiences from it. (There are MANY more than what I have posted.) I assure you it can and does cure diabetes. It's not just because of the high protein diet because if you think all DSers eat nothing but meat then you're incorrect. Some DSers "don't get it" and they don't eat high protein/low-carb diets. Yet their diabetes ceases to exist.  Does it find the exact cause of diabetes and cure that specific problem.. perhaps not. I don't know but  it definitely provides a work around that does fix the symptoms.  That's a cure in my book. From a friend, BuckeyeSilvia: http://www.obesityhelp.com/member/buckeyesylvia/ "All in all I would call my surgery and recovery a miracle.  I was diabetes free 14 hours after surgery and have yet to need my BP meds.  It has been life altering to say the least. " 14 hours after surgery and no longer needs meds????? -------------------------------- http://duodenalswitch.com/procedure/1998bpd/1998bpd.html "In fact, out of the 1773 (total series) AHS BPD patients with a minimum follow-up of one year, not only the 248 (14%) with preoperative simple hyperglycemia, nor only the 108 (6.1%) with type II diabetes mellitus manageable with oral hypoglycemics, but also the 32 (1.8%) patients with preoperative type II diabetes mellitus requiring insulin therapy, one year after BPD and permanently thereafter had normal serum glucose level without any medication and on totally free diet. Comprehensibly, this is accompanied by serum insulin levels normalization, as demonstrated by us in cross-sectional (22) and longitudinal (serum insulin in 53 AHS BPD subjects: preop. 18±10 mcU/ml; at 1 year 5.2±2.3; at 2 years 4.6±2.0; at 3 years 6.0±3.1; controls 6.9±2.6; ANOVA: each group vs. preop. <.0001) studies, as well as normalization of insulin-sensitivity (Table 6). Considering that about 20 percent of type II diabetes mellitus patients are not obese, and about 20 percent of formerly obese patients with type II diabetes mellitus still require insulin therapy after weight normalization by dieting, it must be concluded that simple weight loss or intraabdominal fat reduction cannot account for the observed 100 percent recovery from type II diabetes mellitus after BPD. Actually, our preoperatively diabetic patients had on the average normal serum glucose concentration already one month after operation, when the excess weight was still over 80%, this also indicating a specific action of BPD on glucose metabolism. The latter could be identified with the virtual annulment of the entero-insular axis. Indeed, serum GIP concentration shows after BPD a substantially flat curve in response to the test meal, along with normalization of basal and meal-stimulated serum insulin levels (10)."

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And this is from a DSers profile but you can easily find the peer reviews on the web.

http://www.obesityhelp.com/member/dreamchasser/

Duodenal Switch: long-Term Results

Picard Marceau, MD, PhD1;Simon Biron, MD, MSc1; Frederic-Simon Hould, MD1; Stefane. Lebel, MD1; Simon Marceau, MD1; Odette Lescelleur, MD1; Laurent Biertho, MD1; Serge Simard, MSc2

'Department ofSurgery, Laval University, Laval Hospital, Quebec, Canada; 2Biostatistician Laval Hospital Research Center

Results: Survival rate was 92% after DS. The risk of death (Excess Hazard Ratio (EHR) was 1.2, almost that of the general population. After a mean of 7.3 years (range 2-15), 92% of patients with an initial BMI > 50 kg/m2 obtained a BMI <35 and 83% of those with an initial BMI >50 obtained a BMI <40.  Diabetes was cured (i.e. medication was discontinued) in 92% and medication decreased in the others. The use of the CPAP apparatus was discontinued in 90%, medication for asthma was decreased in 88%, and the prevalence of a cardiac risk index >5 was decreased by 86%.  Patients' satisfaction in regard to weight loss was graded 3.6 on a basis of 5, and 95% of patients were satisfied with the overall results. Operative mortality was 1% which is comparable with gastric bypass surgery. The need for  revision for malnutrition was rare (0.7%) and total reversal was exceptional (0.2%).  Failure to lose >25% of initial excess weight was 1.3%.  Revision for failure to lose sufficient weight was needed in only 1.5%.  Severe anemia, deficiency in vitamins or bone damage were exceptional, easily treatable, preventable and no permanent damage was documented.

Conclusion: In the long term, DS was very efficient in terms of cure rate for morbid obesity and its comorbidities.  In terms of risk/benefit, DS was very sucessful with an appropriate system of follow-up.

DS also targeted co-morbidities. It "cured" most diabetic and dyslipidemic patients. For other associated morbidities, results were related to the extent of weight loss, where DS was as efficient as any other procedure.

What I think you want to do is something more carb strict like Atkins but your addiction to the carbs is telling you to do South Beach.  I could be wrong but that's just what I see going on. I recommend you buy a copy of the Atkins book and read it.  It doesn't just tell you how to do Atkins it gives you some answers to why you feel like you feel and why you do what you do. The things you are feeling are completely natural.  And yes, it is that you're not ready. But that's okay , you are getting there! In fact you're almost there!  You are contemplating making a change and weighing the odds. You're analyzing what things you must sacrifice and trying to decide if you can live with that or live with being fat.  The next steps are making little changes and testing the water and then eventually diving right in.  It's really a simple decision but such a hard one to come to.  Do you want to be fat and eat your carbs or do you want to lose weight and change the way you eat?  You have to remember that with most all low carb diets you heavily restrict carbs early on but you do later introduce them back into your system.  Granted the point is to break yourself away from the crappy carbs.  I imagine if you went through with it you wouldn't crave the simple carbs after a while.  I think you can do it!  I also think I need to do it too because I experience some of the same things as you.

I've noticed we have the same symptoms in a few posts as well.  Aww we're bonding..lmao  But seriously this...

Do you want to be fat and eat your carbs or do you want to lose weight and change the way you eat?

Can't I have both?? Lol sorry its four in the morning, I woke up at two and can't sleep.argghh!  But seriously, you are right, I am addicted to carbs and it's telling me South Beach.  I know I'll eventually be eating carbs.  I really believe in a balanced diet, one that has grains in it.  That is why I think this diet would be more beneficial to me.  Atkins doesn't ever eat grains right?? And they don't care about what kinds of fats??   I might not be able to eat grains for a long time, but I want to be able to say "hey, one day I will be able to eat these again".  It just really ****** me off that I can't seem to lose on WW.  Like you, I really don't want too count anything, but then I realize I might not have a choice in the matter.

My doctor gave me a link to a book online that he used, he lost a LOT of weight on it.  He is a regular doctor, so he believes in a healthy diet.  I have noticed there isn't any meats in it tho, I guess that is the twenty percent?!?!  Maybe it will help someone here so I'll post it on a new thread.  I've also been debating giving this one a shot. He also tho is not the one that told  me I'm  insulin resistance.

You are contemplating making a change and weighing the odds. You're analyzing what things you must sacrifice and trying to decide if you can live with that or live with being fat.

Yes, yes you hit that right on.  I've just came to the conclusion I can't do WW.  Now it's time for the next way of living.  I have gained a few pounds just within the past few days.  Think I'll reread that diet the doctor gave me and go read up on South Beach some more since I have the book. 

Decisions!  Why does it have to be so difficult!

THink I'm wakin' up hubby so better get off this thing.....ooooops!  Hmm, I need to get him on this with me.  I think he might!  Especially if it involves meat! ha 

"Atkins doesn't ever eat grains right??" I'm still reading the book but I do believe you can eventually eat grains again.  What they say though, is that after doing atkins for so long you don't crave the grains...at least not in the form that we see them today.  You replace the carbs you get from the grains with carbs from good veggies and leafy greens. Also, once you reach goal having some carbs every now and again isn't going to make you gain weight. Now if you get back into the old cycle and get addicted to them again then, yes, of course.  With our insulin issues you honestly have no other choice (other than remaining the way you are.) but to do this. " Like you, I really don't want too count anything, but then I realize I might not have a choice in the matter." Once you learn what foods have carbs and which ones are safe you no longer have to count carbs. You just avoid those foods. A lot of people who count calories eventually find safe foods and they no longer have to count calories. I've been counting calories long enough to have a good guess at what my intake is. I guess around 1500-1800 and after logging it on dailyplate I'm pretty accurate. Once I do decide to go low carb I'm sure it will be the same. "My doctor gave me a link to a book online that he used, he lost a LOT of weight on it.  He is a regular doctor, so he believes in a healthy diet.  I have noticed there isn't any meats in it tho, I guess that is the twenty percent?!?! " Does your doctor have insulin resistance??  Sounds to me like a low-fat diet..which you've already tried and it doesn't work for you.  "Yes, yes you hit that right on.  I've just came to the conclusion I can't do WW.  Now it's time for the next way of living.  I have gained a few pounds just within the past few days.  Think I'll reread that diet the doctor gave me and go read up on South Beach some more since I have the book. " Go buy the Atkins book too. You can get it for about 4 bucks used and shipped to your door on amazon.com.  If you prefer to get it faster then buy the new copy and it'll come in less than a week. I waited 2 weeks on mine. I'm on chapter 5 now. The books is a VERY easy read and makes great sense. Dr. Atkins really has a way with making things easy to understand and at the same time making you feel good about yourself.  You begin to realize it's not that you're lazy and have no will power. In fact, it's quite the opposite.  The problem is what you're eating and what society tells you is right for you.  Get the book.. I'm telling you it'll blow your mind. You know what I'm craving now with this balanced meal plan I have from the nut??  I'm craving marbled steaks, buffalo wings, cheese and pork chops. What do I stuff my face with instead?? Healthy stuff that doesn't satisfy me and sends me into the kitchen looking for more.  But I'm gonna stick to this because I'm giving the nut a chance.  Once I have my next session with her things may change though.

Yeah, Holly, be gentle with yourself. I think you already know what to do here. Grains, especially processed ones, are going to roadblock you every bit of the way. You might be able to eat like one serving each day and still lose - of the good ones:  barley, whole grain bread, etc.  Also, when you say you got shaky not eating carbs...as I recall, you were on a very low cal diet - that will do it. Remember:  fruits, veggies ARE carbs. Eat as much of those as you like (easier on the fruit - up to 2 small pieces at first anyway). Atkins is hard to over eat - it really is. The beauty is that you don't have to count calories; the chances are that you will feel satisfied with much less than you currently eat.  The challenge is that you cannot eat pasta - but try spaghetti squash in its place.  Have you looked at that other diabetis drug - byetta? I have read on these boards great things about it? Is Metaformin the same thing?  No, Alli is not the solution - it is truly for people who have very little left to lose. Just try Atkins for a while. South Beach is a kissing cousin...it allows more better grains in small portions.  Very do-able.

I already eat all whole wheat everything, and only good grains.  Yes, and that diet was low carb/low cal.  I was also limited on the veggies and no fruit.

Omg spaghetti squash will save my butt, I love that stuff!!   

I've never heard of byetta before.  Not sure if it's the same or not.  I think I'm leading more towards SB.  I'm gonna do a little reading today to make sure its doable for me and get on something! :)  Just talking to Chris and Mary has made me realize it will probably have to be one or the other.   

Atkins just scares me though, I guess it's the rep it got right afterward.  Eating bad fats, and no grains ever. (if I remember correctly)  It might be for some people, it's just one I don't think I can live with. 

Obviously, Atkins is not a miracle way either...or would there be an increasing number of fat peeps???? If you work at as we said before, not making your snacks pork rinds and cheese dip with celery, more like string cheese and celery, this can be done with little risk. Remember, being 100+ pounds overweight is ALSO very hard on a body. Once you get near goal, you may be able to incorporate more of the things you really miss once in a while! I thought Dr. Oz put it best when he said:  all weight loss methods do the same thing:  control caloric intake. Our decision to make is what can we each, alone, live with!  And I SO feel ya on having a family and simply not able to buy the best foods. These years will be very challenging.  If you can be even at a moderate rate of loss, that will be soemthing to crow about!

Myths: http://lowcarbdiets.about.com/od/lowcarb101/a/lowcarbmyths.h tm?nl=1 Theories:

http://lowcarbdiets.about.com/od/science/The_Science_of_Low_ Carb_Diets.htm Re: bad fat--fat helps weight loss.  The theory that fat makes you fat is IMO bunk.  Think of it this way, eating low fat last 30 years has resulted in even higher levels of obesity.  People only looked to cut fat as it was excess calories that they thought could be expendable.  Proved otherwise. You need fat for fullness, satiety, health, and weight loss. When I get my labs done again in a few months, I'll show you how Atkins helped me (if it does).  Most find it brings their cholesterol and glucose in line.

I don't want to burst any bubbles but you might have to avoid spaghetti squash for a little while if you're doing Atkins.  Like I said I haven't finished reading the book but I know you probably can't have it during the induction phase.  It has 10 grams of carbs per serving and while that is still quite low it would probably put you out of ketosis early on. I think you have to maintain less than 25 grams of carbs for a good while.. (need to finish the book!)  Perhaps someone who is more well versed on atkins can better answer this.  Nutrition Facts about Spaghetti Squash:

Serving Size 1 cup (155g)
Amount per serving
Calories 42	Calories from Fat 4

Hide Daily Values

% Daily Value*

Total Fat 0g		0%
	Saturated Fat 0g	0%
Cholesterol 0mg		0%
Sodium 28mg		1%
Total Carbohydrates 10g		3%
	Dietary Fiber 2g
	Sugars 4g
Protein 1g

Vitamin A	3%	Vitamin C	9%
Calcium	3%	Iron	3%
Thiamin	4%	Riboflavin	2%
Niacin	6%	Pantothenic Acid	6%
Vitamin B6	8%	Potassium	5%
Phosphorus	2%	Magnesium	4%
Zinc	2%	Copper	3%
* Percent Daily Values are based on a 2,000 calorie diet.