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Insulin pumping and gastric sleeve surgery
mistysj replied to penman53's topic in Gastric Sleeve Surgery Forums
Talk to your endo. You won't be having many carbs but you can still bolus if you need to and dose for your carbs. I bet you won't need much and you may have hypo episodes while you are coming to grips with it. You may end up off insulin over time. Lots of type 2 basically leave the hospital in remission. I'm not on insulin but I'm on metformin and fully expect to be able to get off it. My latest A1C was 5.6. -
Welcome Roxie. All of us have our reasons for being slow losers. If all the medical options are ruled out such as "hypo thyroid" then I suggest you track everything you put in your mouth. For instance, I cook by tasting. Amazing how many calories go down the tube. Also, try not to equate exercise with losing weight. Exercise is great cardio, muscle building etc. but to lose weight you still have to consume less than you take in. Exercise does consume calories and is part of the equation but not the only one. I can't exercise very much, but still have managed to loose one or two pounds a month. The other thing is to assess your "head hunger". Do you have any? Do you give in to it? What are the rewards you give yourself, is it food or do you try a warm bath, etc. Just a few ideas. Certainly not the complete answer but to get you started back on side. Doddie
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i have a lapband, was pregnant almost immediately after surgery, and now can finally get started losing... I am on a natural thyroid for hypo [slow] thyroid. They did have to raise my dosage during pregnancy to 2 grains 60mg i/o 1 grain 30mg. You will lose with the combo of medication, lapband, healthy eating, and exercise~ i walk and weightlift. I say go for it!!!
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What are your differences between Year 1, Year 2, and Year 3?
deedadumble replied to Queen of Crop's topic in WLS Veteran's Forum
I'm 2.5 years out. I find it really helps to reset once a month. For two or three days I drink Protein shakes and green juices and have a really small dinner. I stay at or below my goal of 175 (I'm 5'10") most of the time. If I go above 175, I start watching what I eat more closely. @@CowgirlJane ... really not much more than what I said in my post above at http://www.bariatricpal.com/topic/330902-what-are-your-differences-between-year-1-year-2-and-year-3/?p=3824614 Over at www.gastricsleeve.com there's a woman named "Grace" who really suffers from this problem. To find her posts, use the Advanced Search function and look for Keyword "hypoglycemia" and User Name "Grace." Her posts have generated some good discussions on that board. I'm also having a really hard time with reactive hypoglycemia. I wasn't a low carb fanatic at any time since my surgery. I have episodes around 11:30 if I don't drink a Protein shake for Breakfast or if I have anything with excess sugar in it. I also have episodes in the middle of the night. I thought I was having night sweats, but I have the tremors and ravenous hunger as well. -
Well not really. I drank muscle milk which had either 9 carbs or the 100 calorie version that had 4 carbs. So definitely no spikes from that. I did lower my basel on my insulin pump. It definitely helped taking less insulin, but still had a few hypos. Drank orange juice for that. It was definitely tough, but well worth it.
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Ultimately, it's no one's job but yours to figure out the best stuff to put in your body. People will always eat awful stuff because it's readily available and tastes good. People will equate offering food with offering affection, support, etc. (even though for someone trying to lose weight, this is backwards and crazy...it's just habit and they don't think about it) For some people it's a manners thing...I can't eat in front of someone else without offering to share, regardless of what I'm eating. Doen't matter if I'm eating a protien bar or a donut...if you're hanging out with me and I think you might be hungry...I'll offer you half. You can always say no. Sometimes, I make a mindful decision to eat junk food. I budget for it in my daily calories and I like proving to myself that I control food and food doesn't control me anymore. I like eating junk now, because I don't enjoy it as much as I used to and I don't feel out of control. I know that sounds crazy....but seriously...there is a satisfying victory in consuming 200 calories of something I used to be totally out of control with...and go...you know what? That's good, but I can take it or leave it now. I LOVE that I can take it or leave it now. And I really love that I'm being dead honest about that, because I have spent a lifetime lying to myself about food. I very honestly am not as reactive about food as I used to be...and that's a HUGE victory. Yep, I still like fat, sugar and salt. Most people do. But I can take them or leave them, and I can budget a sensible serving and not have my nutrition day ruined. I credit part of that to revamping my eating habits and microbiota due to the surgery, and part to food addiction work with my bariatric therapist. Both have been incredibly important.
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As long as you have no symptoms of a hypo that is pretty good. Is it stable at that reading? If you are having hypo symptoms you want 15g carbs immediately, eventually the less high sugar or high carb foods you have the more stable your blood sugars will become.
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Nausea attacks when I sleep
FrankyG replied to LA_lady's topic in POST-Operation Weight Loss Surgery Q&A
It may be that you just got sick - either a virus or food poisoning. If it's a virus, you'll just have to wait it out and see if you feel better in a few days, but you also might want to change out the food/broth/whatever you're eating for a different batch (not from whatever you are currently eating/drinking - go to a different store and buy a different brand of everything) and seeing if you still get the same symptoms. If it's not food poisoning it might be a sensitivity to a specific brand of something you're eating before you get sick. It sort of sounds like some of the symptoms of reactive hyperglycemia: https://en.wikipedia.org/wiki/Reactive_hypoglycemia I'd also caution you to not lay down within 30 minutes of eating or drinking anyway as it can cause you to get reflux in the early days. It wouldn't likely be what is making you sick tho. It honestly sounds more like you caught a flu bug or something like that more than anything related to your surgery. -
Anyone with hyper/hypothyroidism?
OzRoo replied to RellaBelle's topic in POST-Operation Weight Loss Surgery Q&A
@@MissB1982 Glad you are seeing your Endo. I have Graves Disease (Hyper thyroid). It is genetic, but I was diagnosed with it pre Sleeve, as part of the tests pre op. I've walked around with it for decades ..... This put my surgery back for 9 months to get my thyroid stabilised. I tried anti-thyroid drugs but this was taking too long, so I was on Beta Blockers and had RAI done last year (radioactive iodine) to destroy my thyroid. 4 months later I went hypo, and was put on Thyroxine (Synthroid) 100mcg. After my sleeve early March 2016 I started noticing that I wasn't sleeping well again, and my bad headaches came back. In May my Thyroxine dose was reduced. I was OK for a while, but with continuous weight loss, the Hyper thyroid symptoms came back: bad insomnia, awful headaches, high blood pressure and racing pulse, sweats. My TSH was back to less than 0.01 again! I saw my Endo last week, and she reduced my Thyroxine to 50 mcg (half dose). She told me to have a week off Thyroxine, to stop it completely, and re-start it at 50 mcg this coming Friday. I also had to go back on Beta Blockers to lower down heart rate and blood pressure. She confirmed that with weight-loss, this affects the med dose. It is very weight sensitive. So far I am starting to sleep better, and my vitals have improved, rare headaches now and still bit hot at times. @@MissB1982 I hope you get your answers from your Endo. You sound quite Hyper thyroid to me. It can put a strain on the heart, and the whole condition is very unpleasant. There are anti-thyroid meds, such as Carbimazole, plus Beta Blockers to slower the heart rate, and there is RAI: Radioactive Iodine Tx. Good luck, and let us know how you went. -
Here are a couple sites so you can look at it yourself..K http://www.healthlinkbc.ca/healthyeating/reactive-hypoglycemia.html http://chealth.canoe.ca/condition_info_details.asp?disease_id=73
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I'm 3 mos post op and lost 33 lbs including preop diet! So yeah jump for joy. I'm a slow loser & have hypo thyroid but I'm have way to goal. Woohoo!
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4 years post op and can’t lose a pound
Born in Missouri replied to BriWLS's topic in General Weight Loss Surgery Discussions
My mother, grandmother, and great-grandmother had Hashimoto's. I have it. Surprisingly, it skipped my daughter. You might have Hashimoto's thyroiditis. It tends to pass to females. You need a simple antibody test to confirm the diagnosis. Depending on your age, you might still be flip-flopping from hyper to hypo. You're probably in a hypo state now. -
Feeling Weak past 2 Months
catwoman7 replied to theshop62's topic in POST-Operation Weight Loss Surgery Q&A
I got that way when I was about three years out. I had a complete workup - nothing. Everything normal. Then I noticed once that I got a bad case of it about an hour after I ate a piece of cake at a retirement party. I asked my PCP if it could be RH (reactive hypoglycemia). She said it was definitely possible - it could be that my blood sugar was normal the day/time they tested it, so that wouldn't have jumped out at them. She said I could get a glucose monitor to verify - OR just try to eat something every 3-4 hours. Either a protein or, if a carb, then pair it with a protein. That seems to have done the trick - at least for me. The dehydration theory could also be what's up, though. (btw - during the workup they also checked my inner ear and checked me for orthostatic hypotension. They also did a urinalysis - not sure what they were looking for there - and did a complete blood panel. -
Reactive Hypoglycemia After Bariatric Surgery
musiclover replied to RJ'S/beginning's topic in Post-op Diets and Questions
I have never had Hypoglycemia before nor have I ever been Diabetic. I have previously been diagnosed as insulin resistant but since my sleeve surgery a year ago I have recently developed the symptoms and have had a number of scary 'hypo' episodes when commencing exercise especially in the morning. This is causing me great concern, I didn't sign up for this surgery to become sicker than I was before it. I hope I can get some help on how to manage the symptoms as from what I've read up about, many bariatric patients end up developing reactive hypoglycaemia which I had no idea about until I started getting the symptoms. Does anyone know how best to deal with this? I want to be able to exercise but for the last few weeks I've been unable to manage much before the sweats, the shakes, and feeling like I'm going to pass out, and worse I want to eat!! My weightloss is at a stall, nearly 2 months and no change. Would appreciate any guidance. Please also be aware that this problem occurs to many many Bariatric patients quite often some time after their surgery and from what I've read there is no cure, just guidelines to manage it. Essentially though our Pancreas are delivering too much insulin into our bodies which is what causes the hypo. I'm seeing my surgeon next week for my 1 year review and my GP next week for bloods to see if there is any help I can get for this condition. -
Reactive Hypoglycemia After Bariatric Surgery
moonlitestarbrite replied to RJ'S/beginning's topic in Post-op Diets and Questions
you have to ask your doctor to write a script for a monitor so you can start checking your BGL. usually the pharmacy has coupons that make the monitor free and insurance covers the strips. if you start checking your BGL several times a day (first thing in the morning, 1 hour, 2 hours, 3 hours after a meal and before bed) you will get an idea of how food affects you and if eating before bed helps how you feel in the morning. i had this issue when pregnant, my GBL was really low in the morning and i would fall over while doing yoga... i learned i needed to eat more carbs than i thought in order to get my level up to normal. this is not reactive hypoglycemia, its different. the only way for you to know what is actually happening with you is to check with a monitor for a few weeks. good luck! -
Diabetic Burnout
ummyasmin replied to Queen Grandma's topic in PRE-Operation Weight Loss Surgery Q&A
I'm a Type2 and had a lapband back in 2009, starting at 153.5 kilos. I lost 20 kgs. However I had a lot of problems (sprung a leak in the tubing in the beginning and it never really worked for me) so I'm having a revision to mini gastric bypass. The thing with my diabetes is I get hypos if I eat high carbs (sugar) and then nothing else for ages. So eg. a croissant for breakfast and then by 1pm I'm having a hypo. My theory is that the body overshoots the insulin for the croissant so I have too much floating around that has nothing to do but send my blood sugar crashing. When I go keto, eg keep carbs to between 20 and 50 grams a day, I simply don't get hypos. So you may find the problem for you is too many high sugary carbs and surgery and limiting your carbs will really help re: hypos. My doc says they perform this surgery specifically to send diabetes into to remission, so it's definitely something to consider. Many blessings Sent from my SM-G930F using BariatricPal mobile app -
I have been doing my nightly researching and came across something that woudl really address only long-term band users (probably those that got banded at least 5 years ago) but am sounding if off you guys. Some sites say that because of the silicone in the band, autoimmune problems could THEORETICALLY result. THe full quote is here: Silastic reaction- it is possible that the material of the Band could create some type of body immune reaction that stimulates a separate disease process such as arthritis or Systemic Lupus Erythematosis (SLE). However the Band is made of a silicone elastomer which is completely non-reactive to the body tissues, as far as it has been possible to determine. The same type of material has been in use in a number of implanted medical devices over time, and no problems with tissue reaction have been demonstrated. Here again, the early data is reassuring but no true long-term information exist There was another quote I believe right on Inamed's site, but I can't seem to locate this. Has anyone heard of someone's body actually rejecting the band? And causing autoimmune problems to boot? I am going to post this on an Australian band mailing list, since I believe they have had the band alot logner than the States has. Sonia
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Absolutely. When I had my VSG ten years ago, most bariatric surgeons were just learning how to do them - while they are in concept simple and straightforward to perform, like anything else technical, there are subtleties and techniques in doing them correctly - "twenty years of doing bypasses and they think they know how to do a sleeve..." was the refrain from one prominent surgeon at the time. While the sleeve does have some predisposition toward GERD (much like the RNY is predisposed toward dumping, reactive hypoglycemia and marginal ulcers,) this was compounded in the early days by surgeons who hadn't yet figured out the technique to consistently get them right to minimize that predisposition, and to some extent continues today in areas that were slower to adopt the sleeve and are behind the learning curve. This is a good part of the reason that I travelled 400 miles to a practice that had been doing them for twenty years (at that time) rather than a local practice that had been doing something else for twenty years. Talk to your doctor on interpreting this. Hiatal hernias are common with morbidly obese people, and a common cause of heartburn. They can easily be fixed during the WLS procedure, so if that is the cause of your heartburn, things look better for you. A hiatal hernia can be described as a diaphragmatic hernia, but not all diaphragmatic hernias are necessarily a hiatal hernia - so get some clarification on that.
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question about calorie restrictive only methods like lap band
cduval04 replied to cduval04's topic in LAP-BAND Surgery Forums
Betsy its really interesting that you pointed that out I actually copied and pasted that from the hospital web site, lahey clinic but I am sure it was just mis-wording on the part of whoever typed it, I know lahey is very well respected world-wide and they were willing to do brain surgery on me that had never been done before and they have given be a second chance at living a normal life, so I would put my life, stomach, or whatever it may be in their hands any day. You are correct about that statement though, I do beleive it is worded wrong, but I also don't beleive the surgeon himself is sitting at the computer typing that lol. Cocoabean, ditto on that, same goes with rare side effects. But my pounding headaches/migranes have been almost absent after 2 weeks on it. Good to hear about the diabetes thing, since I am not diabetic either. I think I might be in that small population too, although I dont know what the heck is going on with my thryoid, my TSH and T4 levels have been wacko all over the place the past 2 years even though I am on synthroid. I seem to have hyper-hypo phases......I swear to god I have hashimotos but I have had my antibodies tested twice and they were neg....I also likely have a pituitary tumor that is causing some hormone dysfunction....but I just cant wait for them to come up with a diagnosis and just watch myself BLOW up to over 400lbs....that is why I really want the band....b/c I do believe they will eventually find something....and if they do...all of us will be happy that I chose the band....its a really tough descision...and I guess I hadnt mentioned it on here before b/c you guys might think it is a weird reason for seeking a band....but if they are willing to band me (which costs a lot more than running tests to dx me) I have to go along with it...... I dont know, what would you do...just sit and wait for an abnormal test while you battle with hungry every day and watch the scale continue to go up....or do something if you were offered it...??? -
For me, sugar is sugar, my body doesn't care if it's from fruit or a packet. (I had VSG). Protein and fiber help slow down digestive emptying, so yes they might help. But higher protein/fiber shouldnt be justification to eat higher sugar. I have found the low glycemic foods to be "better". Once it starts, you just have to let it pass. For me, it's not consistent. It seems to happen with more liquid type foods and isnt always tied to grams of sugar. High carbs in general can do it, but high sugar always does. It sometimes seems random and I havent figured it all out yet. I can eat kit kats, but not drink a premier protein shake. I can't eat mashed potatoes or soup. Oatmeal is fine. I can eat dry cereal fine, but I cant eat it with milk. I also get late dumping/reactive hypoglycemia. Between 2 and 3 hours, my glucose crashes. It sucks. Sent from my SM-G965U using BariatricPal mobile app
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New here... young male and my story.
Kat817 replied to Exude's topic in Tell Your Weight Loss Surgery Story
Being even an older bandster than ReneBean (!)...I whole heartedly support your decision to do this as a preventative measure to the health problems facing you in the future. Being proactive beats being reactive! Personally I did not have any serious weight issues until my 30's...but how I wish I could have done this then, and had back the years I spent inactive and privately ashamed of how I had let myself go...but I am doing it now, and loving it! I am back to actually wanting to DO things. Exercise is something I enjoy, as opposed to avoid. It sounds like you are doing all the proper research, and have a good handle on the work you will be required to do with the band! If you have any questions we will be happy to help. You have come across a site, full of helpful people, with lots of band knowledge---welcome! Kat -
Type 1 Diabetic- What are your most noticeable changes?
minimamaz00m replied to RLalone's topic in Gastric Bypass Surgery Forums
I am a type 1.5. Can any type 1’s comment on what WLS you are getting? I’m afraid if I get the bypass that I’ll get dumping syndrome if I go hypo and need to ingest sugar to get my bg back to normal again. I’m using the tandem x2 / dexcom g6 / controlIQ closed loop system and it is da bomb! But I do still have occasional very low lows. -
I do believe if we don't do our best to eat a healthy diet---that this could without a doubt do damage to our bodies in the usual ways---clogged arteries for instance. I have done my best to live by the motto "all things in moderation". I try to eat a balanced diet, including, meats, veggies, fruit, fats, grains---all of it. I do take a multi vitamin, since I eat much less than I used to. In my case, I do not want to diet, I want to find a way to eat, be healthy, and lose, then maintain a weight loss for the remainder of my life. I am looking for a lifestyle change. In an effort to accomplish that, I have taken a good look at my food choices, and adjusted them accordingly, but not eliminated anything. If I feel deprived---I know myself well enough to know it won't work for me. I am not willing to starve and be miserable today in order to be thin tomorrow. I am not sacrificing my todays for tomorrows. This morning, I had a sausage patty with a scrambled egg on top with a slice of cheese melted on it. DH had the same idea, in a sandwich form. I ate about 1/2 to 2/3 of the sausage/egg/cheese---and I was no longer feeling any hunger, or wanting anymore so I quit. Last night for dinner I had beef stroganoff, about 2/3 of a cup, I ate all of it, and a piece of garlic bread. For lunch I had a chicken salad sandwich in pocket bread---and ate about half of it. I snacked on mixed nuts, a piece of cheddar cheese, and drank 3 bottles of water, several glasses of iced tea (decaf), and shared a chocolate milk with my grandson! I ate the same things my family did. I ate less. I manipulated it to be better for me. I could have had my breakfast this morning in sandwich form like DH---but I would have been able to eat the same amount, and I would have filled that small space with bread, that I don't need. So instead the protein will keep me full for hours, and my blood sugar will remain steadier....I won't want to snack in a couple of hours. We can eat healthy---it as well as anything else---is a choice. If you cannot eat healthy, then it is time to see your Dr. and adjust your fill accordingly. Your Dr. has no idea how the fill will affect you---it is a joint effort to get it right. We have to do our part as well. He won't be the one with ulcers, or malnourishment if it is not handled well---we will!!! We have to be proactive with our health and diet, not just reactive when there is a problem. Kat
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Sorry you are going through this. I was hyper thyroid and went to hypo thyroid so they changed my meds but only by a 25mcg and I make them check it every month to see if I'm on track don't wait. However, I think it is why I have stalled in my weight loss no loss or gain for 3months
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What do you use to mix them with? Could it be a reaction to juice or milk? I have some reactive hypoglycemia, but I can trace that back to carb intake. When my BS drops, I get the shakes and lightheaded feeling. Do you have a BS monitor?? Maybe check your numbers...
