Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Insulin Before And After Surgery



Recommended Posts

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.

Share this post


Link to post
Share on other sites

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 .

Share this post


Link to post
Share on other sites

"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.

Share this post


Link to post
Share on other sites

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

Share this post


Link to post
Share on other sites

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!

Share this post


Link to post
Share on other sites

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.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 0 replies
      1. This update has no replies.
    • 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. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • 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
      1. This update has no replies.
  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×