diabetes meds post op
Hi All. My A1c is 6.1 after surgery in January and no meds. My surgeon wants me on diabetes meds to be in the non diabetic range. Did any of you have to do this and what were the medications your doctor chose? Thanks.
Nancy Geoghegan
I had to be on Metformin for about 5 months after surgery. The dosage kept decreasing and finally it was discontinued. For me, regular vigorous exercise helped to lower my blood sugars as much or more than weight loss. You are doing well and it may take a little more time to be in the ideal range. Hang in there!
HW: 248+, SW (RNY: 2/28/17): 244, GW (10/17): 125; LW: 115; 45# regain (19-20); CW: 135.6; new goal: 135; Plastics: Ext mastopexy, Ext abdominoplasty-5/18/2018; diagnosed w/ gastroparesis 11/20.
I'm in the same boat with the exact same a1c as of my last checkup. I discontinued all diabetes meds at the time of surgery and never got back on them, but she did put me back on a low dose of metformin just to pu**** down a bit more. I'll see her again in August to see where I'm sitting but the hope is that the metformin will just be temporary
HW: 340 SW: 329 Goal: 170
CW: 243
Surgeon: Dr. Kalyana Nandipati (Omaha, NE)
When doctors discontinue diabetes meds. do they usually continue to require daily testing?
Jim Age 58 Height 6 Feet Consult Weight 344 SW 289 Pre-Surgery -55, M1 -25, M2 -16, M3 -21, M4 -10, M5 -5, M6 -1, M7 -4, M8 0, M9 +4, M10 -4
Yes, and track my readings and let her know if the numbers were showing signs of rising, which would trigger her to add meds back in if necessary.
Even if she hadn't asked me to track, I would have, though. How else are you going to advocate for your health if you don't know what your body is doing? And testing is such a simple thing.
HW: 340 SW: 329 Goal: 170
CW: 243
Surgeon: Dr. Kalyana Nandipati (Omaha, NE)
My doctor didn't stop my diabetes meds I've decreased my Insulin amounts to really low, and sort of go up and down by counting carbs, at 3 months out my A1C is down to 5.8 and I've started to experience some lows so will probably cut the Insulin even further, I'm being tested again at the end of July and will see my Endo in August and we'll see what she wants to do then, I expect we will discontinue meal time Insulin if I haven't done so already by then. I continue to test as I've always had morning highs and those readings are still above normal, although they're getting to be in a more reasonable level too.
57 - 6'0" - HW:288 SW:260 CW:185
TWH: Referral Aug. '16, Orientation - Nov. 30 '16, Surgeon Oct. 6 '17, Start Optifast Feb. 5'18 - Surgery Feb. 26'18
Opti -25; M1 -23; M2 -17; M3 -7; M4 -5; M5 -5; M6 -6; M7 -0; M8 -2; M9 -0; M10 -2; M11-0; M12-4;
I've been on Metformin for about 10 years. With good diet and exercise it works great for me.
I am also attached to it because it has proved to have very positive long term neurological advantages, so you would have to prise it out of my cold, dead hands (my father has Alzheimers)
Proud Feminist, Atheist, LGBT friend, and Democratic Socialist
I stopped taking all diabetes medicines the day of surgery, and haven't needed them since. I was on two meds and we were having a hard time controlling it. Meds had changed several times trying to keep my blood sugar in the close to normal range, and weren't having great success. This was one of the primary reasons for me opting to get surgery. My last A1C in October 2017 was 5.6. It has pretty much stayed right there since my 6 month post surgery check up.
At the time of surgery, my A1C was 11...and I was on insulin, Victoza, and Metformin. Post surgery, Victoza was the 1st thing that was removed. My doctor then had me slowly reduce the units of insulin, and by month 3 I was totally off insulin. Now, 4-1/2 months post op, my A1C is 5.2 and am off all diabetes meds! I do still check my blood sugars daily (3 times), and report them to my doctor.
Surgery Date: 1/31/2018
Height: 6 feet 1 inch
Highest Weight: 325
Surgery Weight: 288
Current Weight: 179