Diabetes, A1c, sleeve and remission?

[huligoo 75]

---Now that you are post op and sleeved; how is your sugar readings and meals and meds working out?---

I am a lil over two months post op right now..and my sugars are still fluctuating alot...

If I have a large gap between meals my sugars skyrocket to 190...some mornings I wake up to a glucose of 160

My meals during the work week are very spaced out

7am Breakfast

1230 lunch

6pm dinner

My sugar around 330p is usually around 145

I am only taking metfromin 500 mg twice a day;right now;

My meds have been physician reduced...from metformin 1000 mg 2 times a day; insulin NPH 15 units a day;Actos 5mg 2 times a day

Im scared to exercise strenously ; Im afraid my sugar will drop too low and maybe even pass out...

The dr at my 6 week check up said I could do strenous exercise...but I am really afraid of it...

ps. my dr said that no matter what my diabetes is gonna go away---I guess the more weight I lose it should..but still ---diabetes remission is not guaranteed

Thoughts/feedback?

[FRED1977 186]

My wife was type 2 pre op and now post op is no longer having any sugar issues and she is 2 months out.

[huligoo 75]

My wife was type 2 pre op and now post op is no longer having any sugar issues and she is 2 months out.

Do you mind me asking how long she was a diabetic BEFOre surgery?

Im 38 years old an been a type 2 diabetic since I was 22 years old

[ShanRN 58]

I've been diabetic for 18 years, and on an insulin pump for the last 8 years of it. The pump did nothing for my numbers. I also did 2000mg of metformin. My A1C was usually double digit. I'm 4.5 weeks post op and haven't used my pump since my pre op diet. I'm usually 80-low 100 fasting and 120-140s after meals. I was usually double those numbers. But....and this is the big difference....I'm still on insulin. No metformin. I take lantus (replaces the ATC insulin from the pump) and novolog for meals.

Edited to add: I eat 4-5 times a day, about 3oz of lean Protein and 1 ounce of veggies. I'm on soft foods and I'm able to get 70+ grams of Protein so I rarely do Protein shakes now.

Diabetes remission depends on how long you've had....and unfortunately, 18 years put me in the group that probably won't ever be "cured." I knew that going into it, and my main goal was get control of it. I have that now, which is amazing! Any weight I lose is an added bonus. My A1C - based on my meter readings, at least - is hovering at 6-7. I won't know the true number till I'm 3 months post op though. I'll have it checked in a couple weeks and I'm super excited to see the difference!

Do you see an endocrinologist? You may have to consider different meds for control. Most type 2s eventually stop making insulin, but don't worry. Insulin is a wonderful tool =) Not scary at all. Feel free to PM any questions and good luck!

[mokee 588]

Type II for 20 yrs. Was on 150 units insulin, 4 shots a day and 1000 ml metforin twice a day. A1C ran about 8.9. Now after 9 mo post op take 15 units twice a day and same metforin. Don't know current A1C but numbers are running 110 in mornings. I am older through, 66, so that has something to do with this. Best of luck to all. I hope it works for you.

[ItsMe2033 143]

I recommend that you read the book "Dr Bernstein's Diabetes Solution." Once you read it your eyes will really be opened. I've was diagnosed as a type II about 15 years ago and my A1c was 12.5 at the time I was diagnosed. . For the first year or two, I continued to eat in a very bad way and even with taking meds my A1c was about 8.5. I started eating low carb and exercising about 13 years ago, and within a few months I go my A1c below 6. Over the last 12 years my A1c has ranged from 4.5 to 5, and my fasting blood sugar was around 85 - 90. I was sleeved six weeks ago, and my fasting blood sugar is still in the 85-90 range.

In terms of exercise, don't use excuses not to exercise. Just start out very slowly and work your way up. Also if you eat a low carb, high Protein, fatty meal prior to exercise then you will require less insulin and have less chance of your blood sugar dropping.

Please read the book I recommend. It can really change your life.