Recent Posts
(deactivated member)
on 1/4/12 1:07 am - Woodbridge, VA
on 1/4/12 1:07 am - Woodbridge, VA
Topic: RE: If you are Type 2 and considering WLS...
Bumping because some people obviously aren't reading past the first page of the diabetes forum... :)
VSG on 10/09/12
Topic: RE: double diabetic
http://www.lenoxhillhospital.org/press_releases.aspx?id=2106
Interesting data from Dr Roslin which favours DS and VSG fir blood sugar regulation due to the preservation of the pyloric valve. There are lots of other studies also pointing in the same direction.
Interesting data from Dr Roslin which favours DS and VSG fir blood sugar regulation due to the preservation of the pyloric valve. There are lots of other studies also pointing in the same direction.
VSG on 10/09/12
Topic: RE: double diabetic
Lacey, I am a recently diagnosed type II, and am also going the surgery route to impact on the diabetes. From my reasearch it seems that theduodenal switch is the surgery that resolves 98% of all type 2... I am getting a VSG because my surgeon thinks it is a better ratio of risk vs benefit in my case, but overall the best success is with the DS.
VSG on 10/09/12
Topic: RE: Blood sugar too high?
Read on blood sugar 101.com and on diabetesforums.com for a wealth of info. I am atype two diabetic recently diagnosed and have higher fasting blood glucose readings in the morning because of what is commonly known as the dawn phenomenon. Diabetes and insulin resistance is just about the most complex and individual disease in how our bodies react than anything I have ever come accross before. Talk to your doctor and get a referral to an endo specializing in diabetes. That is still not enough as you must do a lot of your own research and testing and experimenting with what works for you. Have you had an HbA1c test done? It shows average blood glucose over 3 months by testing glycated hemoglobin. Again, it is very individual and does not identify how high you may spike post prandially as its an average. I hit the books hard after my diagnosis and really learned a lot on the above sites.
Topic: RE: double diabetic
Lacey - you are on the right path. Best of luck to you.
I had a million questions prior to the surgery about how to treat my lows. I sometimes drop down in the middle of the night and just felt that I needed to be comfortable with how I was going to help myself.
First, I have found that I need MUCH less to treat lows that I did previously. I think it must be because everything goes straight into your blood stream. But, I used to need a solid 6-8 ounces of juice to get back up. Now, I need about 1-2 ounces and I'm fine. And I don't have the rebound blood sugars that I used to have either. The lows are so much easier to treat now - that was a big surprise to me and alleviated a big concern.
I have not experienced dumping at all - another worry that I had. And, even if you do have some, you'll likely need a lot less carbs to get your blood sugar back up. I had these exact kinds of questions prior to surgery, but I couldn't find answers to them. I am glad that you made it here.
I applaud you for wanting to understand what you are getting into. I was very scared too, and did a lot of years of research. I saw three surgeons before I decided on the person to do mine. Unfortunately, 2 out of the 3 were just all focused on the weight loss and didn't really engage with my concerns/issues about diabetic management. The surgeon that I chose in the end was the only one that did - he got that I was more concerned about a positive impact on diabetes and helped me with my questions and concerns. I was actually referred to him by an endocrinologist, and so I felt very good about his level of engagement on this. That was critical to me, and continues to be.
I had a million questions prior to the surgery about how to treat my lows. I sometimes drop down in the middle of the night and just felt that I needed to be comfortable with how I was going to help myself.
First, I have found that I need MUCH less to treat lows that I did previously. I think it must be because everything goes straight into your blood stream. But, I used to need a solid 6-8 ounces of juice to get back up. Now, I need about 1-2 ounces and I'm fine. And I don't have the rebound blood sugars that I used to have either. The lows are so much easier to treat now - that was a big surprise to me and alleviated a big concern.
I have not experienced dumping at all - another worry that I had. And, even if you do have some, you'll likely need a lot less carbs to get your blood sugar back up. I had these exact kinds of questions prior to surgery, but I couldn't find answers to them. I am glad that you made it here.
I applaud you for wanting to understand what you are getting into. I was very scared too, and did a lot of years of research. I saw three surgeons before I decided on the person to do mine. Unfortunately, 2 out of the 3 were just all focused on the weight loss and didn't really engage with my concerns/issues about diabetic management. The surgeon that I chose in the end was the only one that did - he got that I was more concerned about a positive impact on diabetes and helped me with my questions and concerns. I was actually referred to him by an endocrinologist, and so I felt very good about his level of engagement on this. That was critical to me, and continues to be.
Topic: RE: Blood sugar too high?
High blood sugar (Hyperglycemia) is a major cause of complications with diabetes. It happens from time to time to all people who have diabetes. You should check blood glucose levels to determine when your level is high. When level of blood sugar become high, lower your blood glucose level by exercising, unless ketones are present in your urine.
Topic: RE: double diabetic
I have not had too many problems with it. For 2 weeks prior to surgery I was on protien shakes only and I had to adjust my settings in the pump. after the first 2 days, I dropped my basal rates by 50% then after a week, I dropped them another 25% (if I did need to correct a low I took poweraid). Even on surgery day and the week after I dropped them another 10% just in case and I ran at 180-200 bg.
Now that I'm on food, my BG's are increasing so I will have to readjust again. As for dumping, being a type 1 diabetic you may not get dumping with sugar since your body does not produce insulin...
I did go low the first week out and I put a small piece of fudge under my tongue and it worked.. frosting under the tongue can work too so then the sugar will be absorbed directly into the blood stream. Now that I'm on food, I just have a greek yogurt and that raises my sugars back up
Now that I'm on food, my BG's are increasing so I will have to readjust again. As for dumping, being a type 1 diabetic you may not get dumping with sugar since your body does not produce insulin...
I did go low the first week out and I put a small piece of fudge under my tongue and it worked.. frosting under the tongue can work too so then the sugar will be absorbed directly into the blood stream. Now that I'm on food, I just have a greek yogurt and that raises my sugars back up
Topic: RE: double diabetic
Thanks for you input. I used the term "double diabetes" because most people are still unfamiliar with type 1.5. It seems to clarify the fact I have characteristics of both.
I have been a type 1 since age 3 and became resistant around age 30 (almost 5 years ago). I have been considering surgery for the same reason as you. I was told by my doctor that I take too much insulin to lose any weight. Now I feel like I'm being bombarded with complications much faster than I can lose the weight to reverse the type 2 on my own.
Unfortunately, I come from a tamily of type 2's, but my mother, brother, and I were the only type 1's. I have lost all except one member of my family due to some complication of diabetes (they didn't take care of themselves well). I've seen the amputations, the kidney dialysis and transplants, blindness...you name it. I am scared to death to have the same fate. I am hoping that doing WLS, while I am still somewhat young, will lessen my chances of surgery complications. At the same time it will be my first surgery EVER so I want to make sure I know what I am getting myself into.
I have been a type 1 since age 3 and became resistant around age 30 (almost 5 years ago). I have been considering surgery for the same reason as you. I was told by my doctor that I take too much insulin to lose any weight. Now I feel like I'm being bombarded with complications much faster than I can lose the weight to reverse the type 2 on my own.
Unfortunately, I come from a tamily of type 2's, but my mother, brother, and I were the only type 1's. I have lost all except one member of my family due to some complication of diabetes (they didn't take care of themselves well). I've seen the amputations, the kidney dialysis and transplants, blindness...you name it. I am scared to death to have the same fate. I am hoping that doing WLS, while I am still somewhat young, will lessen my chances of surgery complications. At the same time it will be my first surgery EVER so I want to make sure I know what I am getting myself into.
Topic: RE: double diabetic
Thank you. Have either of you had many problems with your blood sugar dropping too low? I was concerned because there is so much talk about staying away from carbs altogether because they will make you sick. Others have said type 1's can have severe problems with dropping too low...I just don't want ot replace one problem with another is that is the case.
I was on a pump 5 years ago but currently I am not and take around 300 units by injection...no wonder I can't lose any weight. Anyway, I'm sure the nutriionists will help me with it, but it is still scary to think about taking that much insulin awhile losing weight rapidly.
I was on a pump 5 years ago but currently I am not and take around 300 units by injection...no wonder I can't lose any weight. Anyway, I'm sure the nutriionists will help me with it, but it is still scary to think about taking that much insulin awhile losing weight rapidly.
pedirn06
on 1/2/12 11:05 am
on 1/2/12 11:05 am
VSG on 01/26/12
Topic: insulin resistance
Wondering if anyone knows if insurances (specifically UHC) considers insulin resistance as co-morbid condition for WLS.....?