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Insulin Before And After Surgery



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I am considering sleeve surgery and am going through the necessary medical testing and procedures now. I have a few questions about the need for insulin pre-op and post-op. Do you need less insulin during the two week pre-op liquid diet? Do you come home from the hospital off of insulin and only need it again if your blood glucose numbers go up? Not sure how this is handled. Thank you for any help.

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I'm type one and have been sleeved for 1.5 years, I used to take 60 units of novolin N and R and now barely take any. I didn't take more than 3-5 units a day while on liquids and now I take 3-5 units every few days. I feel like I cured myself. But as always talk to your doctor .

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"Super" diabetic (Type 1 and Type 2 at the same time) 175-200 units of Novolog daily via pump before surgery at 400+ pounds. Now 30-35 units a day at 215 pounds.

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My diabetes doctor told me that I wouldn't need any insulin after surgery.

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I'm on day 2 of Protein Shakes I have 12 more to go before my sleeve surgery date on 12/9. Type 2 diabetes for 20 years. I was up to 80 units NPH morning and bed, sliding scale Novolog, 1.8 Victoza, and 2 XR metformin twice a day. Its day 2 of Liquid Protein and I keep going low. Haven't taken novolog, and my endocrinologist is cutting my NPH in half. It was down to 64 units twice a day with the presurgical program. Got the OK to treat lows with 1/2 cup OJ or glucose tablets. Been taking blood sugars pretty frequently. Would love to hear others experiences with this. Great topic!

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So today is my surgery day. I've already had to cut my NPH in half, and then reduce the bedtime from 64 to 30. My morning NPH has gone from 64 to 32. I haven't had to use my Novolog since day 2. Still taking 1.8 Victoza, and 2 Extended Release 500 mg Metformin twice a day. My sugars went berserk the first few days of Protein shakes, like 280! Since then the highest I've see in 138! Lost 14 pounds on the liquid diet. Took 20 NPH and my victoza earlier. Nothing tomorrow morning. Surgery is at 11/:30. Let me know how you all are doing.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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    • bellaamey

      https://alluniqueguide.com/java-burn-coffee-reviews/
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