Recent Posts
Topic: RE: Hormones and Weight loss success.
Thank you. I am glad to hear it is going well for you. I am praying I will be able to be on the answering side of questions soon.


(deactivated member)
on 11/5/11 10:07 pm - Woodbridge, VA
on 11/5/11 10:07 pm - Woodbridge, VA
Topic: RE: BS 110, should I restart metformin?
No, I would not. That's not enough information. If you don't know what your glucose level was BEFORE the shake, then knowing the post-prandial is almost meaningless. You're also combining that shake with exercise - when I was activemly motnioring my type 2, cardio exercise would cause a temporary INcrease in my glucose levels, followed by a decrease. 110 about an hour after a meal (considering the shake to be a meal) is generally a normal level.
(deactivated member)
on 11/5/11 10:03 pm - Woodbridge, VA
on 11/5/11 10:03 pm - Woodbridge, VA
Topic: RE: Newbie, pre-op with metabolic syndrome
http://www.obesityhelp.com/forums/diabetes/3751535/If-you-ar e-Type-2-and-considering-WLS/
The DS has a statistically higher resolution rate for type 2 diabetes than any other surgery. I have a local friend who had a DS at a BMI of 35, and it resolved her type 2 diabetes, her high cholesterol, and improved her chronic back pain. She's now more than 4 years out and has never lost too much weight (which some people say they are worried about when starting with a lower BMI).
When I went in for my DS, my most recent pre-op A1Cs were 8.1 and 7.9 while maxed out on metformin (2500mg daily) and also taking sitagliptin (Januvia). Free of all medications, I've had A1Cs of less than 5 for at least the last year and a half. I'm now pregnant, and my A1C just tested last month was 4.8. My fasting glucose levels are consistently in the 70s and 80s, only occasionally in the 90s.
The DS has a statistically higher resolution rate for type 2 diabetes than any other surgery. I have a local friend who had a DS at a BMI of 35, and it resolved her type 2 diabetes, her high cholesterol, and improved her chronic back pain. She's now more than 4 years out and has never lost too much weight (which some people say they are worried about when starting with a lower BMI).
When I went in for my DS, my most recent pre-op A1Cs were 8.1 and 7.9 while maxed out on metformin (2500mg daily) and also taking sitagliptin (Januvia). Free of all medications, I've had A1Cs of less than 5 for at least the last year and a half. I'm now pregnant, and my A1C just tested last month was 4.8. My fasting glucose levels are consistently in the 70s and 80s, only occasionally in the 90s.
Topic: RE: BS 110, should I restart metformin?
Totally your doctor's call. One blood sugar reading doesn't really tell anyone anything. I'm sure they will want to know TRENDS on your fasting, pre-meal, 2 hour post prandial - all of those things will say much more about how your body is metabolizing what you eat. My endo looks at patterns on those - not isolated readings - to make a decision.
Good luck!
Good luck!
Topic: BS 110, should I restart metformin?
I know you all are not doctors and I will be tracking and calling the doctor's office Tuesday (don't ever call a doctor's office on Monday unless it's MAJOR, they're digging out from the messages left over the weekend), but as a type II, preop I was taking 500 mg metformin twice a day and lisinopril 20 mg (for kidney protection, my BP was and is fine).
So after surgery on Oct 10, no one told me to restart the meds.
My PCP monitors my diabetes from my A1c's (I know, but he's still a good doctor) and my a1c was 5.4 preop.
So today I dug out my supplies and my BS was110 after an Unjury shake with a cup of 2% milk, half an hour of walking at the gym, and 20 or so minutes raking the yard.
Would you restart metformin based on that? I will get a first thing sugar tomorrow morning.
thanks!
So after surgery on Oct 10, no one told me to restart the meds.
My PCP monitors my diabetes from my A1c's (I know, but he's still a good doctor) and my a1c was 5.4 preop.
So today I dug out my supplies and my BS was110 after an Unjury shake with a cup of 2% milk, half an hour of walking at the gym, and 20 or so minutes raking the yard.
Would you restart metformin based on that? I will get a first thing sugar tomorrow morning.
thanks!
Topic: RE: Hormones and Weight loss success.
This is a great question for both an endocrinologist and a bariatric surgeon. I kept asking similar questions until someone answered them. And, once I found the surgeon that did, I was able to make the decision to have the surgery.
I am Type 1.5 x 25 years with PCOS. The doctors told me that i had "bad biology" with regard to my hormones as well.
I had laparoscopic RNY on 9/12 and am doing very well. I've lose somewhere between 25-30 pounds of the 80 expected pounds. (I am 54 years old). I'm doing much better with my blood sugars - off 2 out of 3 orals and using less insulin. I'm off blood pressure and cholesterol meds - feeling good.
Good luck to you!
I am Type 1.5 x 25 years with PCOS. The doctors told me that i had "bad biology" with regard to my hormones as well.
I had laparoscopic RNY on 9/12 and am doing very well. I've lose somewhere between 25-30 pounds of the 80 expected pounds. (I am 54 years old). I'm doing much better with my blood sugars - off 2 out of 3 orals and using less insulin. I'm off blood pressure and cholesterol meds - feeling good.
Good luck to you!
Topic: RE: Newbie, pre-op with metabolic syndrome
Welcome and good luck with your decision. It's a big one and it took me 9 years to decide to do it. I had laparoscopic RNY on 9/12/11, so am about 7-8 weeks out from surgery.
I am diabetic x 25 years and that was my sole motivation to have surgery. I am 2 years younger than you are and also have metabolic syndrome. One big difference - I have LADA - Type 1.5 diabetes. So, I expected to need insulin after the surgery and I still do use it, but hoped that some of my oral meds to treat the insulin resistance would be gone, or at least reduced. I've gained about 90 pounds since my diagnosis and going on insulin, so BMI was around 42.
OK, the good news now - I am off of blood pressure and cholesterol meds completely and my labs and tests are still very good. I probably won't need to return to them.
I had used 3 oral meds and 3 injectable ones for my diabetes. I am off of 2 orals and 1 injectable (byetta) since the surgery. I am back on metformin, but only half of what I took previously. I take about half of the lantus I took previously, and smaller amounts of novolog with better results all the way around. So, in my mind, I am in the process of achieving my goal of better control, better health and longer life.
I've lost about 25-30 pounds of the expected 80 in these initial weeks. I lose about 4-5 pounds a week at this point. I haven't been able to lose weight at all in the past 25 years, despite my efforts. The doctors told me I have 'bad biology" in that regard. So, the ability to lose weight seems miraculous to me - almost surreal.
Also, I breezed through the surgery - I was and am amazed at that part. I was scared out of my mind, but trusted my surgeon. (I saw 3 before I found the one that I knew would be best for me.) I did very well - I have had no nausea, no vomiting and no problems. None. (Thank God.) I followed directions and have found it very doable.
I'm still working at the glucose control, but knew that was going to be a lifelong issue for me. It's a bit of a moving target as my weight decreases, my activity level increases and my diet changes. I'm on a full diet now with no restrictions and it's going well.
If you are a Type 2 diabetic, you may very well reduce or eliminate your medication. If you are Type 1 or Type 1.5, you may still need medication, like me. But, it should also work more effectively on less.
If I can answer any questions for you based on my experience, fire away! And good luck - it's important to gather info, ask questions and evaluate what is best for you!
I am diabetic x 25 years and that was my sole motivation to have surgery. I am 2 years younger than you are and also have metabolic syndrome. One big difference - I have LADA - Type 1.5 diabetes. So, I expected to need insulin after the surgery and I still do use it, but hoped that some of my oral meds to treat the insulin resistance would be gone, or at least reduced. I've gained about 90 pounds since my diagnosis and going on insulin, so BMI was around 42.
OK, the good news now - I am off of blood pressure and cholesterol meds completely and my labs and tests are still very good. I probably won't need to return to them.
I had used 3 oral meds and 3 injectable ones for my diabetes. I am off of 2 orals and 1 injectable (byetta) since the surgery. I am back on metformin, but only half of what I took previously. I take about half of the lantus I took previously, and smaller amounts of novolog with better results all the way around. So, in my mind, I am in the process of achieving my goal of better control, better health and longer life.
I've lost about 25-30 pounds of the expected 80 in these initial weeks. I lose about 4-5 pounds a week at this point. I haven't been able to lose weight at all in the past 25 years, despite my efforts. The doctors told me I have 'bad biology" in that regard. So, the ability to lose weight seems miraculous to me - almost surreal.
Also, I breezed through the surgery - I was and am amazed at that part. I was scared out of my mind, but trusted my surgeon. (I saw 3 before I found the one that I knew would be best for me.) I did very well - I have had no nausea, no vomiting and no problems. None. (Thank God.) I followed directions and have found it very doable.
I'm still working at the glucose control, but knew that was going to be a lifelong issue for me. It's a bit of a moving target as my weight decreases, my activity level increases and my diet changes. I'm on a full diet now with no restrictions and it's going well.
If you are a Type 2 diabetic, you may very well reduce or eliminate your medication. If you are Type 1 or Type 1.5, you may still need medication, like me. But, it should also work more effectively on less.
If I can answer any questions for you based on my experience, fire away! And good luck - it's important to gather info, ask questions and evaluate what is best for you!
JOdogface
on 11/3/11 11:29 am
on 11/3/11 11:29 am
Topic: Newbie, pre-op with metabolic syndrome
Greetings, everyone. This is my first post. I'm considering gastric bypass for the purpose of getting diabetes/high blood pressure/cholesterol under control. I'm not TOO too overweight (BMI 37), but I hate the side effects from the drugs and the diabetes is only going to get worse as I get older. I want it gone!!
Am I correct in thinking that the gastric bypass (RNY) is the most effective for this purpose?
Have you found it successful in achieving remission of diabetes?
Have any of you had a bad experience with the surgery and its aftermath?
If you could go back, would you do it again?
I'm in the investigating stage and trying to learn from folks who have done this before me. Any advice or opinions will be gratefully considered!
I'm 56 and, except for metabolic syndrome, I'm in very good health. Been a yo-yo dieter all my life, I'm the same size as my mother, grandmother, and great-grandmother were.
Am I correct in thinking that the gastric bypass (RNY) is the most effective for this purpose?
Have you found it successful in achieving remission of diabetes?
Have any of you had a bad experience with the surgery and its aftermath?
If you could go back, would you do it again?
I'm in the investigating stage and trying to learn from folks who have done this before me. Any advice or opinions will be gratefully considered!
I'm 56 and, except for metabolic syndrome, I'm in very good health. Been a yo-yo dieter all my life, I'm the same size as my mother, grandmother, and great-grandmother were.
Topic: Hormones and Weight loss success.
I am very new to all this, my surgery hasn't even been approved, but I keep finding myself with questins. I have type 1 diabetes and have for 34 years. I also have had a radical hysterectomy and I have had a lot of stress in my life over the past few years. Now my question is will all of these hormonal factors play a negative part on my weight loss success?
VSG on 10/09/12
Topic: RE: Blood sugar reaction to fruit post surgery
I am at step one.. which is the hardest I guess. I had a consult five years ago and ran away scared out of my mind.. tried for the five years to talk myself out of it. Had some very short term success with weight loss and then decided to go for another consult with a different surgeon. Liked the surgeon better but he has no experience (I think!) with the VSG which is what I am tending towards (I think!) so I contacted Michel Gagner and we are in a long distance phone/email consultation type of situation now and he (Dr Gagner) may come here to do some research project and may do my surgery while he is here.. I don't know. There are no confirmations yet. If that doesn't work then I'll probably go to Montreal to have him operate on me there. IF I decide to go through with it and not chicken out like last time. The difference now is that I've just a month ago received the big Diabetes diagnosis - not an official one but my doctor put me on metformin and said pretty much that we need to protect my organs so I know what this means. I have been trying a low carb diet for the last couple of weeks and I have lost a couple of pounds.. nothing dramatic. I need to exercise which I don't do enough of. I monitor and eat to my meter or trying to. I feel that I am so early on in the journey with diabetes that a weight loss surgery could improve things for me at least in the short and medium term. I don't want to mess with my digestion in terms of doing anything malabsorptive but again, I am open to be convinced otherwise. I know I need to do SOMETHING and sooner rather than later. So this is where I am at. I have another consult on 7 November and we'll see from there. Honestly, I wish that I could do it on my own and not tinker with my body surgically but...pretty sure I can't. I don't even know if I can do it with the surgery and not regain after a few years. I have 3 friends who have had RNY and two of them have regained pretty much all the weight they initially dropped. One is soldiering on but I saw her eating lunch the other day and well.. not exactly a post op maintenance diet! Maybe it was her 'free day'.. I just find everyone here so incredibly brave. I just think of the five little incisions for the surgery and I go completely cold.