I am a type-2 diabetic, which is very much weight related for me. (In the past, my need for medications has fluctuated with my weight). I have good control using Lantus (long acting insulin) and Janumet.

I've asked my PCP about how to handle my insulin during the pre-op diet and post op and he pretty much said that I'll have to monitor my blood sugar and adjust accordingly.

Although I don't have a surgery date yet (it will hopefully be in December), I am trying to test things out and see how my blood sugar reacts to the Protein shakes, the all liquid diet, etc.

Does anybody have any advice or experience in this area?

Thanks

Test often, if you get that feeling of your blood sugar getting low, test it and you may need to drink some skim milk to bump it up.

I was on Lantus and glimepiride, but did not have my glucose levels under control in the months before surgery. I was on a two week pre-op liquid diet with Protein shakes. My blood glucose levels started going down immediately. I would test first thing in the morning and also around meal time. I ended up dropping the lantus completely and cutting back my glimepiride leading to surgery. My glucose levels were generally between 150 and 175 during this time. After surgery, my surgeon told me to follow up with my PCP and to stop taking the glimepiride. My blood sugar crept up a bit, so I reintroduced a small dose of the glimepiride (1/4 of the dose I was taking before) and my blood sugar levels have been right around 150. I anticipate they will continue to drop as I lose weight, and I should be able to come off of it completely in the next few months.

I was also very worried about my glucose levels, but with regular testing it was pretty easy to adjust my medication. I'm sure you'll find it easier than you think.

Test often, if you get that feeling of your blood sugar getting low, test it and you may need to drink some skim milk to bump it up.

I was on Lantus and glimepiride, but did not have my glucose levels under control in the months before surgery. I was on a two week pre-op liquid diet with Protein shakes. My blood glucose levels started going down immediately. I would test first thing in the morning and also around meal time. I ended up dropping the lantus completely and cutting back my glimepiride leading to surgery. My glucose levels were generally between 150 and 175 during this time. After surgery, my surgeon told me to follow up with my PCP and to stop taking the glimepiride. My blood sugar crept up a bit, so I reintroduced a small dose of the glimepiride (1/4 of the dose I was taking before) and my blood sugar levels have been right around 150. I anticipate they will continue to drop as I lose weight, and I should be able to come off of it completely in the next few months.

I was also very worried about my glucose levels, but with regular testing it was pretty easy to adjust my medication. I'm sure you'll find it easier than you think.

Thank you so much! This is exactly the type of input I need!

my pre-surgery diet started at beginning of September with cutting out all carbs...I had a monitored daily and within a week decided to stop all meds (this is just me personnally i am NOT advocating you do it). When i had my pre-op last week my a1c had dropped to 6.8 already.

Jiust monitor it will drop and adjust accordingly.

Good luck!