6 months out - not losing and blood sugar is rising

drmroth
on 1/1/15 12:39 pm

Happy New Years! My weight loss has been slow over the past 6 months. I was losing about 1-2 pounds a week totaling 50lbs over the last 6 months but haven't lost anything in over a month. In addition I'm having problems with my blood sugar - it's going up! My A1c is fine at 5.4 but my actual blood glucose has been high (107 after eating) and I was told that it should never be above 100 even after eating. I do not have diabetes but I was pre-diabetic prior to my RNY with a fasting blood sugar of 110 and an A1c of 5.8. Let me say that I am on steroids and growth hormone daily which both raise blood sugar levels. Anyone else with blood sugar issues?

    

    

Grim_Traveller
on 1/1/15 1:06 pm
RNY on 08/21/12

You should check with an endocrinologist, but I wouldn't consider a blood sugar of 107 after eating to be  high. 

What are your meals like? Protein shouldn't raise your BS much, but simple carbs and sugar will. We don't have much information to go on.

If you haven't lost in over a month, you are eating too much. Try weighing your portions and logging for a while. A strict food log will give you information on what could be affecting blood sugars as well.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

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

LosingSally
on 1/1/15 2:50 pm

70 to 100 is normal but 107 isn't a death sentence. Doctors say 107 isn't diabetes, and may not be because every human is different. lower your carbs, raise your protein, and eat all the veggies (low carb) that you can fit in after the protein. You will stall and lose for the next years or so.

Don't worry too much, and remember what foods got you fat to begin with, and the eating habits. Don't try to fit on one more bite when you think  you hit your limit. Just stop there and you will do better and keep your stomach small.

SkinnyScientist
on 1/1/15 9:14 pm

I feel that I can speak to this,  in part, because I was also pre-diabetic prior to surgery.

First, I second Grim's endocrinologist idea. 

With regard to blood sugar, you may be carb sensitive. Are you eating carbs with a low glycemic index and in recipes with a low glycemic load?  If you need to get the load/index of food..charts can be found in medical journals (see your local librarian), books purchased at Barnes and Noble and here

http://www.health.harvard.edu/newsweek/Glycemic_index_and_glycemic_load_for_100_foods.htm

I am very carb sensitive and have had to cut out all refined carbs to see results due to PCOS.  For example, I dont eat noodles..not even whole wheat ones. I substitute spaghetti squash, mushrooms, eggplant, zucchini and broccoli for noodles in recipes.

 

I dnt knw if this is true...but a diabetic told me that the liver has the capacity to manufacture glycogen and store it as a reserve to maintain blood sugar. This diabetic runs her blood sugar low low low.  She also noted that sometimes diabetics die in the night because their blood sugar is too for the liver reserves to raise sufficiently.

My A1C through processed carb avoidance, post op, was 4.7.

 

Good luck

RNY Surgery: 12/31/2013; 

Current weight (2/27/2015) 139lbs, ~14% body fat

Three pounds below Goal!!! Yay !  

White Dove
on 1/1/15 9:59 pm - Warren, OH

What is the missing word in that sentence about dying in the night?  Too high or too low?  If it is too low, is that really true?

Real life begins where your comfort zone ends

SkinnyScientist
on 1/1/15 10:40 pm

too low.  The person goes to sleep with too low of b.s. and it drops further in the night, and there isnt enough glycogen to "rescue" the person s they die in their sleep.

 

This has not been researched by me. It is all word of mouth from this diabetic colleague.  

RNY Surgery: 12/31/2013; 

Current weight (2/27/2015) 139lbs, ~14% body fat

Three pounds below Goal!!! Yay !  

Grim_Traveller
on 1/1/15 10:36 pm
RNY on 08/21/12

The liver does manufacture glycogen. Before surgery, I could go to bed with a blood sugar of 90, and wake up in the morning at 130, without having eaten anything. It's referred to as the dawn phenomenon, and is the body's way of dealing with an overnight fast. It's very common for type 2 diabetics to have really high fasting blood sugars because of the dawn phenomenon.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

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

CerealKiller Kat71
on 1/1/15 10:46 pm
RNY on 12/31/13

Yes, I had this, too.  I always woke with a higher fasting blood sugar reading than when I went to bed -- even with an evening bollus of insulin.  

Going by the original poster's pre-op fasting and a1c numbers, if say they were diabetic (pre-diabetic is a misnomer imho) -- and I'd definitely be proactive about the post-prandial readings now. It can definitely be the steroids -- they reek havoc on blood sugar -- and I'd severely limit my carb intake, too. While 107 isn't terrible 2 hours from the start of a meal, being over 100 after RNY is something to address sooner than later -- preferably with an endroconologist who specializes in diabetes. 

"What you eat in private, you wear in public." --- Kat

Grim_Traveller
on 1/1/15 10:53 pm
RNY on 08/21/12

I always thought pre-diabetic was like being a little bit pregnant. And I think it allows people to rationalize and think they are still ok, since they aren't diabetic yet.

6'3" tall, male.

Highest weight was 475. RNY on 08/21/12. Current weight: 198.

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

chulbert
on 1/2/15 3:39 am - Rochester, NY
RNY on 01/21/13

I have never heard of, nor can I find any sources that indicate that, a post-prandial blood glucose of 107 is "high".  Even the American Diabetes Association considers a result of less than 180 to be normal for the period 1-2 hours after the start of a meal.  You are well below that.

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