Blood sugar after surgery

JumboCap
on 8/28/18 7:20 am
RNY on 08/22/18

Hi guys, my blood sugar has come down post surgery but I am still too high. I am following the liquid diet and having no sugar but my fasting numbers are still around 170. Anyone else have a similar experience? Both my aunt and uncle left surgery basically diabetes free. Now granted I am only 6 days post op but I guess I was expecting more. Thanks

Grim_Traveller
on 8/28/18 7:36 am
RNY on 08/21/12

Not everyone has diabetes go into remission, unfortunately. Some take a while for it to come down.

It really depends on how long and how severe your diabetes was preop. If you were on insulin for over 7 years, odds of blood sugars being mormal are much less than if you only needed oral meds for just a couple of years.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

MichelleS61
on 8/28/18 8:26 am - Lindsay, Canada
RNY on 02/26/18

I'm 6 months post op and I was still taking all my diabetes meds after surgery, just lower doses of insulin and max dose of Metformin, at 3 months when my A1C was down to 5.8 by Endocrinologist had me discontinue meal time insulin, but I still take Basal Insulin at bed time and Metformin at Breakfast and Dinner. I've been diabetic for 17 years I too thought it would go into remission after surgery, but after reading for discovered it didn't always depending on how long you'd been on Insulin.

Somewhat disappointing but I'm way healthier now and that was the goal.

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;

Writergurl08
on 8/28/18 9:28 am
RNY on 02/15/18

I was still elevated for a few weeks after surgery, though my doc kept me off the medication. They eventually came down for me. A lot of factors will likely play into whether or not you go into remission or need to keep up meds, but it almost certainly will be easier to manage with weight loss if you don't go into remission.

HW: 340 SW: 329 Goal: 170

CW: 243

Surgeon: Dr. Kalyana Nandipati (Omaha, NE)

JumboCap
on 8/28/18 9:42 am
RNY on 08/22/18

Thanks guys, I was on Metformin and Invokana before surgery and nothing now. I was diagnosed type 2 in 2014 and only used insulin in the first few months until my blood sugar stabilized. I only did this surgery due to my type 2 and I told the surgeon that pre-op. He told me that I have nothing to worry about and my diabetes will be gone immediately after the surgery. When I was still in the hospital I told him I was alarmed about how high my numbers were and he said that's something I have to talk to my PCP about and then walked away... Needless to say I was more than a little irritated. I am starting to feel like I got sold a lemon. I know there are other benefits of the surgery but I will be very disappointed if I have to continue using medication. I am definitely keeping my fingers crossed the numbers continue to decrease.

NYMom222
on 8/28/18 1:36 pm
RNY on 07/23/14

Just because you haven't come off meds doesn't mean you won't. Some people in my support have come off at 3 months or 6 months.

Whether you are totally cured or not you will live a longer healthier life if your weight is reduced and your blood sugar is more controlled.

I can't account for your Doctor's attitude but it's your PCP or whomever prescribes your diabetes meds that will have to take you off when the time comes. Doctors don't discontinue medication prescribed by another Doctor (in general)

Give it time.

Cynthia 5'11" RNY 7/23/2014

Goal reached 17 months. 220lb Weight Loss
Plastic Surgery Dr. Joseph Michaels - LBL and Hernia Repair 2/29/16, Arm Lift, BL, 5/2/16, Leg Lift 7/25/16

#lifeisanadventure #fightthegoodfight #noregrets

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hollykim
on 8/28/18 12:46 pm - Nashville, TN
Revision on 03/18/15
On August 28, 2018 at 2:20 PM Pacific Time, JumboCap wrote:

Hi guys, my blood sugar has come down post surgery but I am still too high. I am following the liquid diet and having no sugar but my fasting numbers are still around 170. Anyone else have a similar experience? Both my aunt and uncle left surgery basically diabetes free. Now granted I am only 6 days post op but I guess I was expecting more. Thanks

if you have having lost of carbs in your liquid diet ,that could cause it. Carbs in the form of cream soups,oatmeal,applesauce,cream of wheat will also make your blood sugar high.

These carbs items are just another form of sugar.,as are all carbohydrates.

 


          

 

animallover1247
on 8/31/18 11:44 am

I had to be weaned off my insulin. I was on 5 shots a day and two different insulins. I havent taken insulin on quite some time but I am on 2 oral pills per day. I was on insuin for about 7 years before surgery. My revision was in June and my vsg was 2/16 . My endo said some people are able to go off of meds and some aren't. There's no way to predict with certainty which category you will fall into. I am not happy about still being on meds but it's better than sticking myself with a needle multiple times a day.

Grim_Traveller
on 8/31/18 1:28 pm
RNY on 08/21/12

The rate of remission for VSG is less than for RNY, and much less than for a DS.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

M1 -24; M2 -21; M3 -19; M4 -21; M5 -13; M6 -21; M7 -10; M8 -16; M9 -10; M10 -8; M11 -6; M12 -5.

animallover1247
on 8/31/18 1:52 pm, edited 8/31/18 6:52 am

Yes Grim you are correct (as usual). :) My revision was in June and I'm still on the same meds as I was before revision. So far bypass hasn't hepled me yet (and it may never) but my sugars are under control.

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