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Topic: RE: Anyone with Celiac here?
Bariatric surgery’ is a surgery done for weight loss purpose. This term is from a Greek word ‘baros’ meaning ‘weight’. The procedure evolved out of ulcer/cancer operation which involved the removal of part of the stomach or small intestine. Spontaneous weight loss seen in these patients ,gave birth to the idea of similar surgery to treat morbid obesity. Thereafter after certain modifications, this surgical option in treatment of morbid obesity gradually established as a successful one!
Obesity is fast becoming a major cause of premature death in the developed world.Why Choose Laparo-Obeso Centre?
Bariatric surgery has proved to be one of the most effective treatments for achieving significant and sustained long-term weight loss in morbidly obese patients. It causes weight loss through substantial decline of hunger and increased satiety. Recently the understanding of neuroendocrine regulation of food intake and weight gain, especially regarding the role of gut hormones, has significantly increased. The changes in these hormones following bariatric surgery can partly explain the mechanism behind weight loss achieved through these procedures.
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Tapioca Pearls
Obesity is fast becoming a major cause of premature death in the developed world.Why Choose Laparo-Obeso Centre?
Bariatric surgery has proved to be one of the most effective treatments for achieving significant and sustained long-term weight loss in morbidly obese patients. It causes weight loss through substantial decline of hunger and increased satiety. Recently the understanding of neuroendocrine regulation of food intake and weight gain, especially regarding the role of gut hormones, has significantly increased. The changes in these hormones following bariatric surgery can partly explain the mechanism behind weight loss achieved through these procedures.
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Tapioca Pearls
Topic: RE: a1c 12.5 scard
I agree. I was originally planning on getting the VSG, but my surgeon's office explained to me that the RNY has almost a 90% chance of "curing" my diabetes where the VSG was only about 55%. I know there's not real "cure", but that's the word they used. :)
My A1C usually runs around 10-11, so I can somewhat relate, though I was in my late 30's when I started having problems with not being able to control my blood sugar.
A low carb or "smart" carb diet would be a great idea also. I went on South Beach last year and was able to get off my insulin until I started giving in to my cravings again and went off the diet. Sugarbusters is another good one to try. You'll want one that uses the Glycemic Index since that determines how fast or slow your body turns food into sugars.
I definitely think you should consider one of the other WLS, though. RNY is the one I chose (DS sounds great, but just not for me) but it sounds like DS has a good chance of fixing the diabetes as well.
Good luck!
Jen
My A1C usually runs around 10-11, so I can somewhat relate, though I was in my late 30's when I started having problems with not being able to control my blood sugar.
A low carb or "smart" carb diet would be a great idea also. I went on South Beach last year and was able to get off my insulin until I started giving in to my cravings again and went off the diet. Sugarbusters is another good one to try. You'll want one that uses the Glycemic Index since that determines how fast or slow your body turns food into sugars.
I definitely think you should consider one of the other WLS, though. RNY is the one I chose (DS sounds great, but just not for me) but it sounds like DS has a good chance of fixing the diabetes as well.
Good luck!
Jen
HW: 330 SW 314 CW 262 GW 130
Topic: RE: a1c 12.5 scard
Get WLS. DS would have better long term control, but even RNY would immediately improve your levels.
Another band would slip too, since the last 2 did. Don't be afraid, jump in there and make a decision to live longer and healthier.
As for your levels now, I always cut out all carbs except in a low carb salad dressing and eat salads twice a day, and for breakfast eggbeaters with cheese. After about the third day, my fasting glucose level would be below 150, sometimes as low as 110. Then I would add low carb vaggies back in with any meat, chicken or fish. All carbs are the devil for diabetics.
My A1c was around 11 before weight loss surgery. I did the salad and eggbeater thing to get below 10 for surgery.
Best wishes.
ETA: before surgery I took 90 units of Lantus once a day, 45 reg for breakfast, 35 for lunch and 45 for dinner. Didn't help much without letting go of the carbs.
Another band would slip too, since the last 2 did. Don't be afraid, jump in there and make a decision to live longer and healthier.
As for your levels now, I always cut out all carbs except in a low carb salad dressing and eat salads twice a day, and for breakfast eggbeaters with cheese. After about the third day, my fasting glucose level would be below 150, sometimes as low as 110. Then I would add low carb vaggies back in with any meat, chicken or fish. All carbs are the devil for diabetics.
My A1c was around 11 before weight loss surgery. I did the salad and eggbeater thing to get below 10 for surgery.
Best wishes.
ETA: before surgery I took 90 units of Lantus once a day, 45 reg for breakfast, 35 for lunch and 45 for dinner. Didn't help much without letting go of the carbs.
(deactivated member)
on 11/24/11 9:28 pm - Woodbridge, VA
on 11/24/11 9:28 pm - Woodbridge, VA
Topic: RE: a1c 12.5 scard
How's your diet? I'm assuming based on your age at diagnosis that you're a type 1 (possibly with also some insulin resistance now, so possibly essentially both type 1 and type 2). Most diabetics, even many type 1s I know, find a diet low in carbs to be VERY helpful in controlling glucose levels.
Topic: RE: a1c 12.5 scard
I'm very sorry to hear this and I know you feel stuck in a loop that you can't get out of right now! It's awful when you don't feel well and then feel so out of control.
The first priority, in my opinion, is to try and get better control of your blood sugars. Most surgeons won't do surgery on you, I would thin****il that is better under control. Do you have an endocrinologist that you work with on a regular basis or is most of your care coming from the ER when in crisis? If it's the ER, you are only going to get emergency, not long-term, care. And that is going to keep you stuck in this cycle you are in.
You need a good endocrinologist to start working on this issue with you right away, and you need to commit yourself to working at this in a very focused and deliberate way. It's probably going to take a while to bring everything down and under control and you might need to try a number of different medicines and methodologies (perhaps the pump) to get you there. You will likely remain frustrated for a while, but your efforts will pay off if you and your doctor can work together. Small steps matter and can lead to big things, but you need to sustain the effort, be honest with yourself and your doctor, and listen to direction and feedback from your healthcare team.
Yes, your weight will continue to go up with lots of insulin. Believe me, I know that cycle well myself. But, right now, you need to improve your control first. Once that happens, then you can begin thinking about WLS surgery. Perhaps you need to consider something more than the band? I think it's probably too early to even go there.
Please find an endocrinologist. And keep us posted.
The first priority, in my opinion, is to try and get better control of your blood sugars. Most surgeons won't do surgery on you, I would thin****il that is better under control. Do you have an endocrinologist that you work with on a regular basis or is most of your care coming from the ER when in crisis? If it's the ER, you are only going to get emergency, not long-term, care. And that is going to keep you stuck in this cycle you are in.
You need a good endocrinologist to start working on this issue with you right away, and you need to commit yourself to working at this in a very focused and deliberate way. It's probably going to take a while to bring everything down and under control and you might need to try a number of different medicines and methodologies (perhaps the pump) to get you there. You will likely remain frustrated for a while, but your efforts will pay off if you and your doctor can work together. Small steps matter and can lead to big things, but you need to sustain the effort, be honest with yourself and your doctor, and listen to direction and feedback from your healthcare team.
Yes, your weight will continue to go up with lots of insulin. Believe me, I know that cycle well myself. But, right now, you need to improve your control first. Once that happens, then you can begin thinking about WLS surgery. Perhaps you need to consider something more than the band? I think it's probably too early to even go there.
Please find an endocrinologist. And keep us posted.
Topic: a1c 12.5 scard
i was Dx with diabetes at age 9, im now 24 i wiegh 256lbs im 5'6'' i have out of control diabete, i take 70 units of one insulin twice a day and 50 of anouther twice a day. my sugars are staying at 500+ my legs hurt and im depressed. i had been banded 2 time i lost 100lbs the 1st time. it had slipped and it was removed. few months later i was rebanded and that one slipped a month later, i cant lose the wieght by myself and i dont know what to do now. i suffer every day with sleep apeana, high blood pressure, neuropathy, chronich back pain and leg pain, i was in the hospital this past week with pancrititis and no i dont drink, and the endocrin in the hospital told me either i need wieght lose surg or a insulin pump, and that because im taking so much insulin im going to gain wieght, i feel like im stuck in a hole and cant get out. if you have diabetes and had a high blood sugar then you know how i am feelling, 569 is my sugar right now, i go to the hospital to get help getting it down and they are like you agian and i feel horrible i feel ashamed some time i wish that the sugar gose up so high i die... well i feel like am die slowly..... i woulod try the band one last time but i dont know if i can get it agian so so so so sad
o yah metformin makes me real sick
o yah metformin makes me real sick
Topic: RE: Type 2 diebeties
My thoughts exactly, nice to see the weight slowly falling off. Every week just a little lighter.
My surgery was on the 18th of August, so, now three full months and a couple of days.
Just over 80 off so far, with loads of suits, and clothes going to good will.
I have no doubt you'll be "clean" in a matter of time.
Ken
My surgery was on the 18th of August, so, now three full months and a couple of days.
Just over 80 off so far, with loads of suits, and clothes going to good will.
I have no doubt you'll be "clean" in a matter of time.
Ken
Topic: RE: Type 2 diebeties
Congrats Ken! These are all the reasons the surgery is worth it, don't you think?
I've been very successful in getting off of the cholesterol and blood pressure meds, as well as most of my oral diabetic meds. I'm really a Type 1 diabetic (technically a Type 1.5), so the Novolog and Lantus have stayed in the picture for me, and likely will always be a part of my life. That's all OK. I was able to ditch Byetta though, so that's 2 less injections per day. And, like you, I cut the metformin from 2000 mg. to 1000 mg - also a nice reward.
That's totally why I did this - so that I could decrease my meds and improve my control. Weight loss is a secondary bonus.
How long ago did you have surgery?
I've been very successful in getting off of the cholesterol and blood pressure meds, as well as most of my oral diabetic meds. I'm really a Type 1 diabetic (technically a Type 1.5), so the Novolog and Lantus have stayed in the picture for me, and likely will always be a part of my life. That's all OK. I was able to ditch Byetta though, so that's 2 less injections per day. And, like you, I cut the metformin from 2000 mg. to 1000 mg - also a nice reward.
That's totally why I did this - so that I could decrease my meds and improve my control. Weight loss is a secondary bonus.
How long ago did you have surgery?
Topic: RE: BS 110, should I restart metformin?
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
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
Topic: RE: Type 2 diebeties
I can only speak for myself on this matter, but, after a few days I began to get off insulin.
Now three months post-op I'm no longer taking 7 injections of Novolog, and Lantis. I'm no longer on 4 metform per day, nor three blood pressure pills. I've been given another 3 months to stay off the lipitor if my numbers come down a little. I'm trying those so called cholesterol reducing foods to maintain this path.
Time and weight loss, better eating, exercise the stuff we all know.
I've a long way to go yet.
Have patience, keep the faith, and good luck with your journey.
Ken
Now three months post-op I'm no longer taking 7 injections of Novolog, and Lantis. I'm no longer on 4 metform per day, nor three blood pressure pills. I've been given another 3 months to stay off the lipitor if my numbers come down a little. I'm trying those so called cholesterol reducing foods to maintain this path.
Time and weight loss, better eating, exercise the stuff we all know.
I've a long way to go yet.
Have patience, keep the faith, and good luck with your journey.
Ken
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