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Since you're considering revision, I'd urge you to look at the duodenal switch as well as the RNY. For me, one of the big selling features, as it were, of the DS was that there is no dumping. You can down glucose tabs or drink juice or whatever you need to treat with, and it's not a big deal. Well, treating lows does impact your carb count for the day, but nothing more serious than that. With an RNY, there's a 30 to 40% chance you could dump on the sugar necessary to treat. From what I hear, dumping is very unpleasant, and similar in feeling to a really, really bad low blood sugar. That fact really turned me off the RNY, since as a Type 1 I'm always going to be at risk of low blood sugar.
I also wear an insulin pump. I have been able to lower my basal rate to about a third of what it was before surgery. My bolus ratios have also improved quite a bit. I used to use a 5:1 carb to insulin ratio, now I'm at 15:1 or even less.
Please feel free to PM me if you have questions about Type 1 and the DS. For more general research about the DS, check out www.dsfacts.com or www.duodenalswitch.com.
Jenn
Type 1 diabetic, 26 years
With great power (the DS!) comes great responsibility.
on 2/14/10 8:34 am - Woodbridge, VA
I am tyring to find out about RNY with an Insulin Pump (type 1 diabetic) and how low blood sugars are handled. Currently have a leaking Lap Band and need a Revision. Any info would be appreciated. Thanks in advance!
Banded August 1, 2006, Revision to Sleeve July 11, 2011
There are good treatments, but no cure.
Type 1 diabetic for 25 years - pumping for 12 years.
Keep plucking along, A change will really show up when you have at least a 5% to 10% weight drop. Often that is all that is needed to have medication changes when type 2.
Type 1 diabetic for 25 years - pumping for 12 years.
Type 1 diabetic for 25 years - pumping for 12 years.
Just my experience with it. I had been taking Metformin for 5 years prior. And as previous poster stated, there are gastro-intestinal issues when you take metformin.
Hope this helps.
PAULA
FIRST OF ALL I WANT TO CONGRATULATE YOU ON YOUR SURGERY DATE FOR APRIL 26th...
I AM AN INSULIN DEPENDENT PERSON.. I TOOK ALOT OF INSULIN BEFORE MY SURGERY--BUT AGTER 3 YRS AND 215
LBS LOST -- I UNFORTUNATELY AM THAT RARE PERSON WHO HAS TO STILL TAKE SOMETHING FOR MY TYPE 2 DIABETES.
MOST PEOPLE I KNOW AND I KNOW ALOT OF PEOPLE WHO HAD WEIGHT LOSS SURGERY AND MOST OF THEM ARE OFF ALL INSULIN OR DIABETES MEDS RIGHT AWAY..
MY ADVICE IS TO JUST STICK WITH THE MEDS U ARE TAKING--CAUSE THERE IS A 99% CHANGE THAT U WILL BE OFF ALL MEDS FOR DIABETES..
GLUCOPAGE CAUSE DIARHEA AND I WAS ONCE ON THAT.
SO IT WILL INCREASE ANY DIARHEA THAT U MAY GET WITH THE WEIGHT LOSS SURGERY--ALSO METFORMIN (GLUCOPHAGE) WILL INCREASE GAS--SO U DO NOT NEED THAT--SO IF U HAVE NOT ALREADY SWITCHED OVER --I RECOMMEND NOT TO TAKE GLUCOPHAGE.. I HAD TO BE TAKEN OFF OF IT CAUSE OF THE GAS AND DIARHEA--BUT THAT WAS BEFORE MY WEIGHT LOSS SURGERY--NOW I ONLY USE INSULIN AND ONLY LIKE 18 UNITES PER DAY IN MY INSULIN PUMP--BEFORE MY SURGERY I TOOK 250 UNITS OF INSULIN--I HAVE A BAD FAMILY HISTORY OF DIABETES AND A BIG TOE MISSING AND MOST OF THE DIABETIC COMPLICATIONS--THE WEIGHT LOSS RNY SAVED MY LIFE.
I WISH YOU THE BEST AND I PRAY FOR A VERY SUCCESSFUL SURGERY AND WEIGHT LOSS.
GOD BLESS
SUSIE SMITH FORM PA
SUSIE SMITH FROM NE PA
Susie Smith from PA 
on 2/13/10 12:40 am - Woodbridge, VA
Dennis C. Smith, Jr., MD, FACS *
Email: [email protected]
Advanced Obesity Surgery Center
780 Canton Road, Suite 320
Marietta, GA 30060
Phone: 770-919-7050 or 1-866-535-0966 toll free
Fax: 770-919-7051
Email: [email protected]
on 2/13/10 12:37 am - Woodbridge, VA
