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    BethR311
    Fort Wayne, IN
    VSG (10/10/11)
    Member Since: 06/30/01
    [Latest Posts]
    Post Date: 11/5/11 10:49 am
    I know you all are not doctors and I will be tracking and calling the doctor's office Tuesday (don't ever call a doctor's office on Monday unless it's MAJOR, they're digging out from the messages left over the weekend), but as a type II, preop I was taking 500 mg metformin twice a day and lisinopril 20 mg (for kidney protection, my BP was and is fine). 

    So after surgery on Oct 10, no one told me to restart the meds.

    My PCP monitors my diabetes from my A1c's (I know, but he's still a good doctor) and my a1c was 5.4 preop.

    So today I dug out my supplies and my BS was110 after an Unjury shake with a cup of 2% milk, half an hour of walking at the gym, and 20 or so minutes raking the yard.

    Would you restart metformin based on that?  I will get a first thing sugar tomorrow morning.

    thanks!
            



        
    Surgery weight 298
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    funkyphillygirl
    Member Since: 09/06/10
    [Latest Posts]
    Post Date: 11/5/11 12:24 pm
    Totally your doctor's call.  One blood sugar reading doesn't really tell anyone anything.  I'm sure they will want to know TRENDS on your fasting, pre-meal, 2 hour post prandial - all of those things will say much more about how your body is metabolizing what you eat.  My endo looks at patterns on those - not isolated readings - to make a decision.

    Good luck!
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    jillybean720
    Woodbridge, VA
    Other (03/27/09)
    Member Since: 07/08/08
    [Latest Posts]
    Post Date: 11/6/11 5:07 am
    No, I would not. That's not enough information. If you don't know what your glucose level was BEFORE the shake, then knowing the post-prandial is almost meaningless. You're also combining that shake with exercise - when I was activemly motnioring my type 2, cardio exercise would cause a temporary INcrease in my glucose levels, followed by a decrease. 110 about an hour after a meal (considering the shake to be a meal) is generally a normal level.
    *Jill*...not quite a DS, not just a VSG - stuck somewhere in my own little hybrid world... 
    www.dsfacts.com
    Check out my profile for info on WLS for Type 2 Diabetes.
    Highest Known Weight: 324  -  Weight on Morning of Surgery: 308.5
    Lowest Post-op Weight: 180 (weight loss currently on hiatus due to pregnancy)

    Post-WLS baby "Jiffy" currently baking!
     Lilypie Maternity tickers
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    ktbaker77
    Gainesville, FL
    VSG (08/30/11)
    Member Since: 09/03/11
    [Latest Posts]
    Post Date: 11/7/11 7:11 am
    You do know that 110 after a meal is NORMAL right?
    A1c of 5.5 is NORMAL not Diabetic.
            
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    LosingSally
    Member Since: 11/25/07
    [Latest Posts]
    Post Date: 11/18/11 9:34 pm
    ok, a little late but maybe I cn be helpful. Once a diabetic, always one. Sometimes DS, and RNY overcome the problem, and you find your A1c is below 6, even below 5 sometimes. This is a better indicator than a single BG level.
    110 around 1 1/2 to 2 hours after a carby drink ( Unjury isn't high in carbs) but even after a snack of any carb with protein, 110 is acceptable.
    Even 150 + can be ok if the level drops quickly. Most Internists determine how you're doing by tracking A1c.
    I have been on this site have seen many people with both surgery types mention having a BG level of 200 after having a drink along the lines of a Pina Colada. The key is, does the BG drop within a couple of hours or so. Because no matter how much one insists he is cured,  BG of 200 is indicative of Diabetes. Just keep things between 70 and 110, and follow all other protocal and I think you will do well. By all means ask your PC, but I wouldn't feel it's urgent.
    If your BG is 150+, say even 200, I would feel ok about taking 500mg of Metformin since it is one of the meds that do not cause weight gain, and may actually assist slightly in weight loss. Just follow things along and make sure you need the Metformin.
    ONe thing to think about is Victoza. My daughter has Type 2, and uses Victoza and has lost 35 pounds at this point without trying.  The Victoza slows the transit of food through the system, and keeps you fuller longer. She has increased the fat in her diet and fiber to keep thing flowing, so overall Victoza has been a miracle drug for her. She no longer takes insulin or Metformin or any other Diabetic meds.
    This may not be for you, but if your BG does seems out of control ( NOT 110!) you could ask about it.
    Best wishes
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