Weight Loss and Type 2 Diabetes

By Carol2x Latest Reply 2012-07-09 01:45:05 -0500
Started 2012-04-06 01:45:09 -0500

Well my doctor finally changed my diabetic meds from Actos and Glipizide ER to Januvia. Ever since I started taking them I have had a problem with my feet swelling and my joints hurting alot. (which are symptoms/side effects of those meds). He changed it to just Januvia tablets. I just had blood work done to get the baseline before I start the new med tomorrow.

I will be going to the consultation/Education to look into the Lap Band program. they do have a good program and it would be good for me. However the question is-after my medical insurance pays their end of it-can I afford my part of it???
The program here at the hospital I work at is one of the best in the country and works with the before, during and after the surgery with the follow-ups and support groups all along the way. Well, my husband is my biggest cheerleader.

There have been alot of people that have gone through the program, got it done and their diabetes is gone. You have to continue with the healthy lifestyle and eat healthy-which I am very much familiar with already. And will be taking Vitamins and Supplements the rest of my life.
I will see when I attend the consultation on April 23rd.
All in all they are all tools along with Exercise that will help me lose my weight.

12 replies

Controlled 2012-07-08 21:06:26 -0500 Report

I really wish you luck with it. I am only responding for a couple of reasons. First of all, I just had a friend who had the procedure. She did lose weight, but had problems of and on (that's normal). One year later she had big problems, they went in and adjusted it. Within a few days she had a huge infection, sespis, hospitalization and additional surgery to remove it. She is healing now and ambulating. She still has the drains in her post-surgery until next week.

It's a big decision. We've all read about success stories too. Lots of research suggests the "cure" for diabetes is a misnomer and not long-lived either. So, it's a personal choice and do what you believe to be is best for you.

Having said that, it's very, very hard to lose weight. But nutritional coaches, behavioral changes and a number of things do work; they're just hard. I'm sure you've tried them all and that is what is prompting your considering the procedure. Hopefully you will improve your health with whatever choice you make.

Let us know.

Carol2x 2012-07-09 01:45:05 -0500 Report

My husband and I want to move back to Florida in spring of next year and so I am going to hang back on the surgery. I am exercising daily and practicing portion control. I have been doing alot of research into the surgery and found pros and cons. Due to us wanting to move I will hang on for now while we are up here.

Carol2x 2012-04-11 18:31:31 -0500 Report

Not on any Statins-the only medication I take is Januvia and I am already on the Healthy Lifestyle with Portion control and I exercise 6 days per week Cardio and strength.

maclover1524 2012-04-11 17:09:45 -0500 Report

I am so sorry to hear that you are struggling with your diabetes and your weight. These are difficult issues to deal with. But, wait, stop and think about this surgery just a little more. I know you have tried everything and that you are frustrated and not feeling well and lap band surgery seems like the only answer. Can we help you take a deep breath, step back and look at some alternatives?
One of the first things that comes to my mind is your medications. Are you on a statin? Statin medications are typically prescribed across the board for people with diabetes. Recently, you may have heard that statins can greatly increase your chances of getting diabetes and if you have diabetes and are taking statins, your blood sugars can be raised significantly by the statins. My husband has been a type 2 diabetic for over 30 years. His doctor switched him from Lipitor to Crestor. We were amazed at how his blood sugars increased.

If you are taking a statin drug, check with your doctor and also check with your pharmacist. Ask questions and find out what these drugs can do to you. You could have a lower cholesterol but a higher blood sugar which is even worse than cholesterol.

The second thing that comes to my mind is have you ever read the book, "Diabetes Solutions" by Richard Bernstein, M.D. The information in this book saved my husband's life. I have no connection whatsoever with Dr. Bernstein other than my high praise for his book.

In 2002, my husband was morbidly obese at 280 pounds 5'10", he was on 43 units of insulin, had severe painful neuropathy in both his feet. The neuropathy pain was so bad that he could not walk over 75 feet without sitting down to rest. He went to bed at 7:30 p.m. just so he could fall asleep as a way to escape the pain. He was on Neurontin for the pain. There is more but I won't go into here. Suffice to say he was miserable, frustrated and in despair. Despair because nothing he tried worked. He could not lose weight, he could not exercise, he could not get into life.
We changed our lifestyle. We went on low carb diets. He lost 80 pounds within 9 months, he totally came off of insulin within 3 months. His neuropathy disappeared within a year. He walked in 2 5K races, he walks 2 miles a day at our gym 3 times a week.

Diabetes CAN BE BEAT! You CAN do this. You CAN DO THIS without surgery. Surgery is never simple and it is possible that you can eat your way out of the lap band. I know people who have had this type of surgery and within a year, gained back the weight they lost. The person was able to eat an entire bag of Oreo cookies, one at a time, all day long.

If after careful more deliberation you decide to proceed with the surgery may I wish you all the very best. God bless you.

robertoj 2012-04-07 01:56:30 -0500 Report

Can Weight-loss Surgery Cure Type 2 Diabetes?
Many people who are overweight have type 2 diabetes, which is often treated with diabetes medicines. Two new studies published in the New England Journal of Medicine on March 26, 2012 found that weight loss surgery was better than medicine in improving blood glucose (sugar) levels in people with type 2 diabetes. For most people in the studies, blood glucose levels improved within days of the surgery, and for many, diabetes disappeared altogether. That doesn’t mean that weight-loss surgery is a cure for diabetes and there are still many unknowns about this approach. Experts at The Endocrine Society looked carefully at the two studies and had some concerns: The number of people who participated in the studies was small, so it’s hard to know if the results would apply to everyone. The studies only followed people for two years. Researchers don’t know if the improved blood glucose control that resulted from the surgery will last over many years. The longer someone has had diabetes, the less likely that it is that their diabetes will go away after surgery. Different types of weight-loss surgery have different results in terms of improved blood glucose levels. Like any type of surgery, weight-loss surgery has risks. The surgery itself can cause problems like infections. After weight-loss surgery, people can develop nutritional deficiencies and, over time, bone loss. After surgery, people have to maintain healthy eating habits to keep the weight off and keep their blood glucose under control. Experts recommend that your doctor look at several factors before deciding if weight-loss surgery might be right for you:
How heavy you
How old you are
How long you’ve had diabetes
How likely is it that you will be able to maintain healthy eating and exercise plans over the long term
If you have diabetes and are considering weight-loss surgery, talk with your doctor. Your doctor can help you consider all your options for diabetes management and make a decision about surgery

robertoj 2012-04-07 01:05:33 -0500 Report

Good luck Carol. Whatever decision you make is the right one if you are well informed and weigh all your options. I'm glad that your husband is supportive. It is really important.

jayabee52 2012-04-06 10:42:48 -0500 Report

Howdy Carol.

It is my bias that anytime one can avoid surgery it is better. I am guessing that weight is a problem for you and lowering your body mass would be of benefit to you.

Rather than surgery, it may be time for radical changes in your meal planning. I had been on insulin since Nov 2006 but in Feb 2011 I did a meal plan that worked for me when nothing else had worked before. And I got off of my diabetes meds to boot! I had written about it in a discussion here ~ http://www.diabeticconnect.com/discussions/14... Check it out. It may not be for you, but you won't know until you try.

If you discover the meal plan doesn't work for you the only thing you have lost is some time, and you can use the time to save up for your surgery as well, should that happen. But I pray that this works for you and you will have saved the surgery money and be able to use it for some other things.

Blessings to you and yours

James Baker

Carol2x 2012-04-06 16:01:10 -0500 Report

I have been on the Healthy Lifestyle diet for quite a while and am good with portion control.
I like the diet you have there-I am already on one. Not a diet-but a Lifestyle.
Exercise plays an important part as well and I regularly do that daily.
I just started my new med Januvia today and will see how that does.

jayabee52 2012-04-06 16:45:41 -0500 Report

I am not aware of the "Healthy lifestyle diet" so I tried to google it. No luck. So many competing plans are in the results.

Does this Healthy lifestyle plan cut out ALL grain based carbohydrates? For me that was necessary to eat healthier and manage my Blood Glucose (BG) levels. It may work for you too. I do eat carbohydrates, just now I eat the nutritionally more important carbs, like Veggies and fruits (mainly berries) than those based on grains.

I pray that your Januvia works well for you!

Caroltoo 2012-04-06 11:47:22 -0500 Report

I would surely echo this suggestion! So much can be done with diet, exercise, and stress reduction.