Rny and diabetes

Nancy Geoghegan
on 2/12/18 11:09 am - Lincoln University, PA
RNY on 01/23/18

Hi All. I had my surgery almost 3 weeks ago. I went off diabetes meds before surgery and I'm still off.

My b.s. is running from 87 to 160. I am wondering if any of you had these kind of numbers at 3 weeks out and then still had remission after more weight was lost.

I have had type 2 for 13 years. I was on metformin and victoza.

Thanks!

Nancy Geoghegan

White Dove
on 2/12/18 11:24 am

If you cant handle the truth stop reading here.

I had diabetes for 20 years before finally having RNY. My numbers after surgery were great. At about three years, the diabetes came out of remission and I had to treat with metformin.

As time went by it got worse. Now I test 4 times a day, take insulin when needed and have A1C in range of 5. The explanation is that the pancreas probably has at most seven years before so damaged that surgery will not put diabetes into permanent remission.

All you can do is hope for the best outcome.

Real life begins where your comfort zone ends

Nancy Geoghegan
on 2/12/18 11:42 am - Lincoln University, PA
RNY on 01/23/18

Thank you. It didn't even matter that you made to your goal weight either.

Bummer. I did the surgery to make my diabetes better.

Nancy Geoghegan

MichelleS61
on 2/12/18 12:46 pm - Lindsay, Canada
RNY on 02/26/18

I've got surgery in 2 weeks and am on a liquid diet, I'm on Insulin and Metformin, I took Victoza for a couple years and then it was no longer effective. I'm hoping to get off Insulin and some of my 14 other meds, but I won't miss injections, especially currently when I've got to check my blood sugar 5 times a day to make sure I'm not going to low when I'm only consuming the Optifast 900 (ugh). I tried to convert to canadian #'s and your ranges seem a bit high, but there is hope, I know a couple of people personally that have still not had to go back on Insulin 5-7 years out.

I think it really will depend on the individual, but even if you had to go back to meds to keep your blood sugar in the normal range, your overall health will be vastly improved by the weight loss.

Good Luck and keep at it.

57 - 6'0" - HW:288 SW:260 CW:197

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 - ?

Grim_Traveller
on 2/12/18 12:59 pm
RNY on 08/21/12

I was Type 2 for 5 or 6 years before surgery. Highest A1C was over 10. I was on metformin, very briefly Beyetta, but never insulin.

My A1Cs now are low to mid 4s. Fasting blood sugars are in the 60s, and if I eat well, still under 100 after meals. This is almost 6 years after surgery.

My doctor explained it with an alalogy. The pancreas is like a battery. The longer you were diabetic before surgery, and the more severe it was, the more likely the battery was dead, and it won't hold a charge now, no matter what. If you were diabetic for a shorter time, and less severely so, the better the chance to keep diabetes in remission.

It's just anecdotal evidence, but what I've seen on OH over the years seems to confirm this.

6'3" tall, male. Maintaining a loss of 280 pounds.

Highest weight was 475. Consult weight 04/12 was 411. RNY on 08/21/12 at 359 lbs. Current weight 195.

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

Theduffman27
on 2/13/18 6:17 am
VSG on 11/19/14

Your numbers back up the benefits to living a high protein, no carb diet. Great Job!

HW - 299 , Consult day weight - 277, Day of surgery - 259, LW - 178, CW - 199.8

Citizen (USA & Brit) Kim
on 2/12/18 6:27 pm, edited 2/12/18 10:28 am - Castle Rock, CO

I was NOT type II before WLS, but did have gestational diabetes while pregnant the year before.

While at a normal BMI, I developed type II, but it is well controlled with Metformin and good diet. My HbA1c is consistently 6.0 - 6.4.

All my immediate family are type II, so I'm guessing mine has a strong genetic component.

I think some people are lucky enough to go into remission, but diabetes is never "cured"

Proud Feminist, Atheist, LGBT friend, and Democratic Socialist

pc123
on 2/12/18 7:36 pm
RNY on 12/19/17

I am Type II since 1998. I am off my meds since 2 weeks prior to surgery ( low carb diet). My blood sugar ran high (120-140) during weeks 2-4 when I was on soft foods. I was eating lots of baby food. The pureed fruits along with carbs was causing it to be higher. ( loved prunes)

Just did blood work last week. Will see Dr soon for results. She wasn't worried based on most recent readings. I can't eat much of any carbs due to trying to get protein in. It tools 4 days to get through a medium peach.

I was on synjardyx (has metformin) along with glimeperide. I had great luck with Victoza a few years back on low dose. But wasn't on insurance formulary.

I hope your numbers stabilize. I have no idea what the future might bring. I just knew I needed to get the weight off to have a chance.

PC. HW: 275 11/08. Pre Op: 212 on 12/17/18 CW 149

1wk: -5, M1-20 M2&M3-15 , M4-M6:-15.8 M7:-8?

selhard
on 2/13/18 2:09 am - MN
RNY on 11/26/12

It was a sad day listening to a support group member speak how his doctor determined he was out of diabetes remission eight years post-op but to remember his body had eight years of relief. I think much needed relief, no matter what the problem, no matter what the outcome, is what we strive for. As I was being wheeled in for my WLS, the surgeon said to me, "this will give you at least fifteen more years you would have never seen otherwise." I try to live happy, live right, and be at peace with every minute of those fifteen extra years.

White Dove
on 2/13/18 4:33 am

My doctor explains it like this:

It is a crap shot.

We see people who are extremely obese with horrible habits, give them RNY, and they go into remission that day and stay there for life.

We see people who just barely qualify for insurance coverage have RNY and never go into remission.

He told me that some of the doctors have a betting pool on whether or not RNY will put a particular patient into remission of diabetes.

Nobody can say for sure. I like the dead battery analogy. Pancreas transplant is available with a kidney transplant but only for Type 1 diabetics.

There is an engineer in Pennsylvania who created an artificial pancreas for his son. He began working on the project when his son was a newborn diabetic baby and his son started wearing it a year ago. His son is 19 now. This is probably the future of Type 2.

Real life begins where your comfort zone ends

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