Where are the diabetic type 1's

[Healthy_life2 8,322]

Question for type one diabetic sleeve. How did you do on the pre op diet? I'm having lows even now before I get to the liquid diet. trying to control it with sf apple sauce and healthier choices other than real sugar. ( I don't want dumping syndrome) Am I over thinking all this out of nerves? thanks again,Jenn1

[Teachamy 1,042]

Hi Jenn!

Work very closely with your endocrinologist or CDE. Are you on a pump? You will need to lower your basals (or lantus or NPH) as well as your boluses for food. I had no real problems on the pre-op diet, as I had a 1200 calorie diet. I was also very insulin resistant pre-op (despite being a Type I--belly fat caused this).Man, has that changed! My biggest hurdle since surgery has been lowering my insulin. Pre-op I took about 80 units of insulin a day. As of today I am taking around 20. It's a good thing, but the lows are mind numbing, literally! I look forward to getting to my goal weight so I can stabilize my insulin dosage, rather than dropping my basals every day.

A word of advice--buy Dex4 liquid glucose for lows and reintroduce your family members to insulin glucose injections in case of nighttime lows. I have never "dumped" due to sugar, so I wouldn't worry about that too much with the sleeve.

There is a diabetic sleevers page, but I don't find it updated very often.

Good luck!

[Healthy_life2 8,322]

Thanks so much for the response. Im not on a pump. I do take novalog 7 units with each meal. And lantus 40 units twice a day. I have been dropping to lows and adjusting them with reducing the amount of insulin. I just have to get into the mindset this is just going to come with the wls. Do you have highs as well?

Thanks again,

Jenn

[acampbell1318 58]

I am also type 1 and was very insulin resistant. I used to take 50 units lantus in morning and 20 before bed and then Humalog when I ate my meals. now I do not take any lantus at bedtime and I only take 30 units in the morning and I rarely take Humalog cause I am not eating carbs. My nut. told me to drink 4 to 8 oz of 100% fruit juice when I had a low she recommended juicy juice. I am still adjusting to everything and still have lots of highs and after surgery my BS's stayed high for at least a month.

[Healthy_life2 8,322]

Wow,

If you don't mind me asking. What brings on the highs. Is it just body chemistry postoperative?

Thanks again,

jenn

[Teachamy 1,042]

Yes, the body reacts to stress by releasing hormones that counteract the effects of insulin. It's normal, but different for all of us. I was high for a week or so immediately after surgery, then it was like I was hit with a bomb. Low blood sugars all over the place. Be aware that if you are always taking 7 units of novalog, regardless of carb intake, that will need to change because you won't be eating many carbs. (No bread, Pasta, rice, starchy veggies, crackers, etc.)

I do occasionally have a high. the last time was due to a pump malfunction. Yuck. Otherwise, if it peaks after dinner/bedtime snack, I know it will plummet over night. (And it does!)

[Healthy_life2 8,322]

I'm feeling better! thanks for all the info. I'm just so close to surgery and I'm over thinking things. Good to know you both are doing well. I need that positive kick in the butt sometimes.

Thanks for being there,

Jenn

[acampbell1318 58]

I was over thinking everything before surgery too, the main thing is get in the mindset that it will all change after surgery I know for me I still can't believe "I don't have to take a shot of insulin when I eat"...that just has never been normal for me so it is an adjustment. Teachamy was a lot of help to me before and after surgery, main difference for us I think is she has a lot of lows and sounds like she is in better control than me.

[Teachamy 1,042]

For me, the big problem of my type I was the Type II insulin resistance I had pre-op. Apparently not all Type I's have the same degree of insulin resistance. It seemed no matter what amount of insulin I took, my body wanted more. More insulin=more fat, and more hunger. Now that I have virtually no insulin resistance, the insulin can actually do its job. I wouldn't say I am in better control--we just each have our different challenges. Unfortunately, our bodies seem to be the ones in control! Bottom line, diabetes sucks, over 30 years of dealing with it, and I AM SICK OF IT! But I am really thankful for WLS, it has made treatment so much easier!

[Healthy_life2 8,322]

Pre op and what a change.....Who knew?

I step on the scale and it keeps moving down! I'm no longer Morbidly Obese...I'm now just Obese.

My a1c is 6.7

I've adjusted my Insulin to once a day....... from 5 times a day.

The insulin adjustment has helped so much. I don't get panicked when my blood sugar drops. I feel less hunger pangs.

Just feeling so thankful!

Jenn