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I haven't seen many recent posts from anyone with Type 1 DM. I've had it for 42 years and have been on a runaway insulin train. The insulin helped me to easily gain weight which caused me to have to use more insulin (Lantus and Novolog) and the circle (and me) kept widening. I knew I had to do something soon to be able to keep my weight off. I lost 100 lbs three different times but it crept back on. My health in the past five years has really suffered due to my DM with neuropathy, heart disease (had a stent in 2011), retinopathy and laser surgery to repair eye hemorrhages, and stage 3.5 renal failure. I felt like my days were numbered, so when I researched WLS I felt I had found something that could help me control my weight and blood sugar. I still feel that way. What I'd really like to know is how much the sleeve has helped people with blood glucose control and cutting down the amount of insulin they used. My first two weeks after my sleeve were some kind of honeymoon eutopia because I was able to cut my Lantus from 60 units a day to 5, and my Novolog from 24-30 units a day to nothing. As I'm beginning to go from mushies to real food, I'm finding I am also having to add more insulin even though my carbs stay below 20 a day and my calories are around 500-600 a day. I knew I would not be able to be free of insulin but I'm disappointed that it seems like I'm going back to the large doses I once had to take. It's already harder to lose the weight and I have to watch my blood glucose levels when I exercise as they drop extremely fast in 30-40 minutes. I see my endocrinologist next week, but I'd love some insight from other type 1 people here. I know it'll take me a while to adjust everything, but it's always good to hear from others on the same track. Thanks!

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I was a BAD diabetic.....I took over 300 units a day of combined R & N insulin. I used 10 bottles a month.....now I am down to using 3. 2 bottles of N and 1 of R. When I was on the liquid diet.....I was insulin FREE!!! Once I incorporated food back into my diet, I was back on the insulin. I am trying to ween myself off the R all together. Eating the right amounts of Protein and carbs is a science and what works for me ......may not work for you. I think that once I reach my goal weight, I will still be on insulin.......hopefully 1 bottle will last me a month. GOOD LUCK on your journey!!!!

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    • Aunty Mamo

      Iʻm roughly 6 weeks post-op this morning and have begun to feel like a normal human, with a normal human body again. I started introducing solid foods and pill forms of medications/supplements a couple of weeks ago and it's really amazing to eat meals with my family again, despite the fact that my portions are so much smaller than theirs. 
      I live on the island of Oʻahu and spend a lot of time in the water- for exercise, for play,  and for spiritual & mental health. The day I had my month out appointment with my surgeon, I packed all my gear in my truck, anticipating his permission to get back in the ocean. The minute I walked out of that hospital I drove straight to the shore and got in that water. Hallelujah! My appointment was at 10 am. I didn't get home until after 5 pm. 
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    • BeanitoDiego

      Oh yeah, something I wanted to rant about, a billing dispute that cropped up 3 months ago.
      Surgery was in August of 2023. A bill shows up for over $7,000 in January. WTF? I asks myself. I know that I jumped through all of the insurance hoops and verified this and triple checked that, as did the surgeon's office. All was set, and I paid all of the known costs before surgery.
      A looong story short, is that an assistant surgeon that was in the process of accepting money from my insurance company touched me while I was under anesthesia. That is what the bill was for. But hey, guess what? Some federal legislation was enacted last year to help patients out when they cannot consent to being touched by someone out of their insurance network. These types of bills fall under something called, "surprise billing," and you don't have to put up with it.
      https://www.cms.gov/nosurprises
      I had to make a lot of phone calls to both the surgeon's office and the insurance company and explain my rights and what the maximum out of pocket costs were that I could be liable for. Also had to remind them that it isn't my place to be taking care of all of this and that I was going to escalate things if they could not play nice with one another.
      Quick ending is that I don't have to pay that $7,000+. Advocate, advocate, advocate for yourself no matter how long it takes and learn more about this law if you are ever hit with a surprise bill.
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    • BeanitoDiego

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    • ChunkCat

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    • BeanitoDiego

      Still purging all of the larger clothing. This morning, a shirt that I ADORED wearing ended up on top. Hard to let it go, but it was also hard to let go of those habits that also no longer serve my highest good. Onward and upward!
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