options for diabetes control

used to be
By used to be Latest Reply 2011-03-11 14:40:45 -0600
Started 2011-03-09 18:53:03 -0600

Some 20 years ago, I was diagnosed as diabetic. It had started with frequent urination and just before my doctors appt, my vision went blank. From that day on, i was put on different medications, switching types to progressing to "cocktails" to injectables. All the while I WAS TRYING MY BEST AT EXCERCISE AND DIET! I tried Atkins, South Beach, Dr. Shintani's Hawaiian diet, just about all except for packaged meals. In the end, I was injecting 5 times a day and taking 7 orals including cinnamon and chromium. Then I heard about the "side efects" of gastric bypass roux en y surgery. However it was/is only availiable to morbidly obese people, of which I was not. My BMI was like 29 below the cut off. After much letter writing by my primary phycian, my cadiologist and my opthamologist, emphasizing long term costs and negatiive health conditions with diabetes, my insurance finally approved the procedure. On May 12th, 2010 I had the procedure done. By 2pm same day I was up and walking and was off all diabetic medications except for the 1000 units metformin twice a day. By day three I was down to 1000 units metformin daily. I have been tapering off metformin and Feb 2011, I ended metformin. My glucose runs about 125/130 which is where my medical team wants it for now. I have lost weight down to 184 and am 72 1/2 inches tall. The side effects of the surgery has been totally rewarding. Yes, rewarding. Ino longer have arthritic pain and no longer have gouty attacks, and I have been over indulging in shell fish, organ meats and all the uric acid stuff. I guess I am making up for the 25 years of abstainence. My "numbers" are all good, energy is like sky high, all perfectly timed as I also just retired. I wish I had done this 20 years ago, have no regrets and did not have any 'suffering' kind of side effects. I was walking in excess of 10,000 continuos steps a day, but cut back as my medical team advised me to plateau my weight for at least 6 months. And I do eat carbs, albeit small amounts which is all my tiny stomach will allow. I will always be a diabetic, but in excellent control.

I understand that the govt is considering lowering the requirements for this surgery as the benefits blow away the negatives.


6 replies

realsis77
realsis77 2011-03-10 09:24:20 -0600 Report

Hi. I'm very happy for you that your surgery was a sucess! Also I'm very happy your diabetes is under control! For me I'm five foot and weigh 110 pounds and am a size four but yet I'm a diabetic that requires insulin shots daily ! I take my first shot in the morning and I require shots after meals. Before insulin I was running in the 300 to 400 range. I guess my point here is not all diabetics can loose weight and cure there diabetes. Unfortunatly. My doctor doesn't want me to loose any weight. I'm not sure what caused my diabetes but weight wasn't an issue. You are certainly blessed to be able to loose weight and have your diabetes under control. We are not all that lucky! I wish you the very best and God bless you!

used to be
used to be 2011-03-11 14:25:00 -0600 Report

The doctors are pretty certain it is not so much the weight loss as it is a harmonal change that occurs only with the roux en y bypass. People who have gone thru with the band or the sleeve prcess and lost weight don't experince the same control over diabetes. I believe that is the reason the govt has started following the few of us (several hundred) who have had the surgery and were not obese and were able to make major headway in the control of diabetes. 3 days after surgery, I still had my weight, but the effects of the surgery were already taking effect.

realsis77
realsis77 2011-03-11 14:40:45 -0600 Report

That's amazing! Very interesting too! Thanks for sharing that! Also thank you for clearing that up, I was confused!

jayabee52
jayabee52 2011-03-09 20:50:00 -0600 Report

Now that you've had that done, I would recommend that you adhere strictly to the guidelines set up for you by your medical care team.

I have a friend who had that done and she did lose a lot of weight. (I met her when I was working in a hospital as a CNA, she had just gotten a knee replaced) She did fine and looked good for a while, and then she started putting on more weight. She is now back to three-quarters the size she was when I first met her in the hospital.

I really don't think such a surgery is for me, personally. If I felt the need to do something, I think I would prefer having the lap band done, as it is reversable and they're not cutting out a part of the digestive tract, which as I understand, may make one prone to malnutrition.

Harlen
Harlen 2011-03-09 19:54:50 -0600 Report

I am so happy for you and glad it worked for you
My wife is a RN in the ICU so I hear all the things that go rong I just cant risk it .
best wishes
Harlen

used to be
used to be 2011-03-11 14:34:42 -0600 Report

If you are wanting to make major headway for diabetes, the cases so far indicate lapband and the sleeve doesn't have the same effect. The way the procedure is done now, nothing is removed. All parts of your digestive tract remain. The stomach is portioned off into a smaller pouch. The rest remains. The intestines are shortened and connected to the new smaller pouch and the upper part of the intestines is connected back into the lower portion. No food passes into the larger stomach, but the necessary enzymes and harmones still pass into lower intestines. But as in all things, including the typical treatment for diabetes, things can go wrong and do go wrong. For me the reduction of risks, such as kidney failure, stroke, heart and eye problems that can all lead to death makes the procedure a lesser risk.

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