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Diabetes type 2 and hypertension after surgery



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Just a quick ? My husband is considering this surgery. Have you had any luck coming off meds due to weight loss? He takes 2 types of I Surin and 3 loos pressure meds. My words of encouragement for him?

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I am a type 2 diabetic, and before the surgery I was on 40 units of insulin daily plus the maximum daily metformin dosage of 500 mg twice daily--even on the meds I was having difficulty controlling my glucose levels, and my a1c got as high as 11 at one time...since WLS, I am down to just 1/2 of a metformin once daily, and I don't really think I need that..most days my glucose levels don't go over 110 or 120 and most of the day stay under 100...haven't had lab work though since my VSG on May 6...I will go soon to my PCP for blood work and am expecting my a1c to be below 7 this time...I am hoping this is a permanent remission of my diabetes...I doubt I will ever get of blood pressure meds...I think mine is a genetic predisposition because I have been taking meds for hypertension since I was in my 20s and of relatively normal weight...I am on two types of meds now for blood pressure and at least hope my PCP will take me off one of them soon...best of luck to your husband in his decision process--it is a tough one (or at least was for me)

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I was on Metformin for Diabetes & Lisinopril for my blood pressure prior to surgery. Just prior to surgery they had me off the Metformin & I did not have to take it again. I was taking my blood pressure medication for a few days after, but almost passed out in the shower. I asked my PCP if I could discontinue the medication. It was still above what he wanted it to be at the time (I don't remember the exact #) but he felt that with my changes that it wouldn't be long that I wouldn't need it. Almost 3 months off the medication my blood pressure was 99/71 as of yesterday.

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Was taking 9 or 10 pills plus 15 units of Lantus/insulin prior to surgery.

Went home from the hospital day after surgery on 2 1/2 pills and no insulin.

So not really due to weight loss at that point but a big benefit of the surgery and food changes.

Hope to be off everything sooner than later:)

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    • Theweightisover2024🙌💪

      Question for anyone, how did you get your mind right before surgery? Like as far as eating better foods and just doing better in general? I'm having a really hard time with this. Any help is appreciated 🙏❤️
      · 2 replies
      1. NickelChip

        I had about 6 months between deciding to do surgery and getting scheduled. I came across the book The Pound of Cure by Dr. Matthew Weiner, a bariatric surgeon in Arizona, and started to implement some of the changes he recommended (and lost 13 lbs in the process without ever feeling deprived). The book is very simple, and the focus is on whole, plant based foods, but within reason. It's not an all or nothing approach, or going vegan or something, but focuses on improvement and aiming for getting it right 80-90% of the time. His suggestions are divided into 12 sections that you can tackle over time, perhaps one per month for a year if a person is just trying to improve nutrition and build good habits. They range from things like cutting out artificial sweetener or eating more beans to eating a pound of vegetables per day. I found it really effective pre-surgery and it's an eating style I will be working to get back to as I am further out from surgery and have more capacity. Small changes you can sustain will do the most for building good habits for life.

      2. Theweightisover2024🙌💪

        That sounds awesome. I'll have to check that out thanks!

    • BeanitoDiego

      I've hit a stall 9 months out. I'm not worried, though. My fitness levels continue to improve and I have nearly accomplished my pre-surgery goal of learning to scuba dive! One dive left to complete to get my PADI card 🐠
      I was able to go for a 10K/6mile hike in the mountains two days ago just for the fun of it. In the before days, I might have attempted this, but it would have taken me 7 or 8 hours to complete and I would have been exhausted and in pain for the next two days. Taking my time with breaks for snacks and water, I was finished with my wee jaunt in only 4 hours 😎 and really got to enjoy photographing some insects, fungi, and turtles.
      Just for fun last week, I ran two 5Ks in two days, something I would have never done in the past! Next goal is a 10K before the end of this month.
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