funkkyphillygirl, sorry, but I did not see your reply until now . . .
but your reply to me indicates your questions were good ones. When I saw my surgeon again, she said I had to see an endrocrinologist. I had to wait a while to see my primary care doc, so the primary care doc could refer me to an endocrinologist and then it took a couple months to get a new patient appointment with the endocrinologist and I won't see the endocrinologist again until after Thanksgiving and in the meantime, the clock is ticking on all my tests to be screened for surgery. The tests are good for one year: so I have until February or I have to start all the tests, like a sleep study, and all the others all over again!!!
The endo ordered testing to decide if I am 1.5. It had never come to my attention before that I might not be Type II. Since you are 1.5 and you had bariataric surgery, I bet you know that many 1.5's are diagnosed Type II because many docs assume fat diabetics are Type II.
I suspect I have 1.5. I won't find out until Nov. 28th. The lag between appointments is so hard!!!
have now lost a total of 120 pounds, over the past 8 years, since I was diagnosed as Type II. I am already injecting a lot of insulin and I think I am 1.5. If I definitely am, I will not do the surgery for I see that I can lose weight w/o it. I was only interested in healing my diabetes, not weight loss. I am leary of permanently altering my digestive tract. If the surgery had the potential to heal my diabetes, I would do it. Without that possibility -- and it is not possible for my 1.5 autoimmune disease to go into remission -- if my pancreas has stopped making insulin, it aint gonna start again
but thanks to you for responding. I wish I had read your response back in July. I might have sped up the endocrinology process instead of passively accepting such delayed scheduling.
I weigh 210 right now. I would like to weight 150, and I think that would be very healthy and reasonable for a 59 years old woman who is five feet six. I don't need to be skinny, just healthy. But it is clear to me I can go on achieving my health goals, and weight loss is part of my health, without the surgery. It is hard, but I can do it.
I have not completely decided. I want to ask my endocrinologist if she thinks the surgery would help. I bet she will say no, since she knows my all time high weight wsa 330.
Ironically, it is possible I have lost some, even most, of the weight because of my 1.5 diabetes and not from my efforts. What happens is I lose a lot of weight fast and then I stop losing for long periods. During my last plateau, I started insuliln and expeirenced a weight gain, which is common when folks do insulin, but now I am down another huge chunk but plateau'd. For four months I have continued to eat a very low calorie, very low carb diet -- 600 calores a day? -- and have not peeled off a pound. This time, however, I know that if I persevere and do not give into discouragement, I will lose more when my body is ready.
So it looks like I have decided, doesn't it? But we'll see. If my endocrinologist is enthuasiastic about me having surgery, I will do it. But she has seen my history and I have shown I can lose without the surgery.
Man, if I had known I had 1.5 long ago, I would have made so many different choices. I have seen several docs who missed the 1.5, including a gal I saw at Stanford who used to actually say, all the time, "I am a faculty member at Stanford medical school, so I am speaking to you as a Stanford authority, so you should listen to me" and that arrogant gal never suggesed I had 1.5 diabetes even as she was ordering more and more insulin.
this is fat bigotry. Ever since I got fat, in my early thirties, from another misdiagnosis -- I got fat taking tons of psychotropics for a mental illness I do not have -- I have been aware that most docs ignore all my health concerns. :They seem to think, and have often said, "if you lost weight you'd feel better". Docs just look at fat women and ignore many of their symptoms.
Keep in mind: 3 years after being diagnosed diabetic and after losing about 70 pounds at the time, my Stanford doc started me on insulin, and then I needed more and more, and she never suggested I was 1.5.
Our medical system and our food systems are so damaged. It's not just my body that has an autoimmune disorder. This culture has multiple autoimmune disorders.
On the 'positive' side, if I have 1.5, it was going to happen no matter what docs got wrong.