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missjenny

Gastric Sleeve Patients
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Posts posted by missjenny


  1. Im so lucky that i found this thread... Iv been researching all over the internet but at no avail... Im 26 type1 diabetic for the past 19 yrs on insulin pump, with different basal rates going up to 3.5/hr. my max usage per day is 175 units a day (bad days) a typical day would have a consumption of around 140 units. I have had insulin resistance. I have decided to go for the sleeve. As many lf u,i think, most of the drs encourage type 2 but not type 1, so I he wanted to contact my dr (diabetologist) who does not know a lot about me as i have been doctoring myself since i was around 13. Anyway i visited him and informed him about my decision and he approved. Now my sleeve dr said he will do the sleeve for me for obesity reasons not to fix my diabetes (knowing that i am doing it for obesity not diabetes), i am concerned about few things.

    Can u please answer me the following questions

    1- where u on or off the pump during surgery?

    2- any complications with the wound?

    3- any leaks?

    4- any infection?

    5- how many hypoglycemias were encountered during the day?

    6- after how many days did u go back to ur normal life? Work?

    7- how many days were u hospitalized?

    8- immediately after the surgery, did the insulin consumption decrease by half?

    9- how slow is the weight loss process?

    I am sorry to ask these questions but i need to know a bit of those mechanics as i kind of want to know how to manage myself and inform the dr.

    Thanks a lot

    Im so happy i found u :)

    I am 10.5 months out, have rheumatoid arthritis, have been type 1 diabetic since age 9 (22.5 years), and a pump user for 12 years. I was always very brittle and very insulin resistant. The month prior to surgery I was on a pre-op diet, and my insulin needs dropped quite a bit during that time. I was glad I had to do that diet, as I was making adjustments to my basal rates every 3 days. By doing this prior to surgery, if I was low, I didn't have any issue eating anything to bring it up. We monitored my changing blood sugars closely during this month and after surgery, and have worked it out just fine.

    I had my pump on during surgery; it was necessary, as I cannot go too long without insulin without heading into dka. It was put at a very reduced rate though - just enough to have a small amount coming in. My blood sugars were also monitored closely to assure no issues with highs or lows and my medical team was prepared to take care of them if they arose. I had absolutely no wound complications, leaks, or infection, and all my wounds healed beautifully. My insulin requirement dropped dramatically immediately after surgery - about 85% or more decreased and that continues. I have become very carb sensitive and the littlest bit can shoot my BS through the roof.

    As always, being type 1 and on the pump, you have to test frequenly and be very knowledgable about how and when to make adjustments. I did do a lot of this on my own; however, it is key to have your health care team closely involved with every aspect of this.

    I had surgery on a Monday morning and left the hospital Wed. afternoon, even though one of my lungs collapsed during surgery. I hit my goal at around 6 months out, and am trying to maintain. I am currently about 20 lbs under goal, but still falling within an acceptable BMI range. (Total weight loss of 113 lbs) My biggest struggle throughout this is consuming enough fluids to keep from dehydration. I am a bit unusual with my specific problems, but then again, I always have been.

    Having surgery is a very personal decision, and each person must weigh the pros and cons. As for me, It was a great decision, in spite of a bumpy road.

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