Hi everyone . I’m being revised due to a slip and intolerance to a ten yo band to rny in 2 weeks . My doctor only asked that my pre op diet be low carb and high protein which to them is probably 25-30 carbs a day. I’m a raging type 2 diabetic. No longer on insulin since my band ten years ago and my A1C is only about a 7 right now but I take 1000mg of metformin , and two other diabetes meds ; one as needed if I eat too many carbs (prandin) and a daily before I eat morning one (invokana)

But forcing myself to eat this super low in carbs will crash me and have me feeling sickly or hospitalized I’m sure . Wondering if I should just wean off of it and just take the regular metformin for now . I see my surgeon next Wednesday on the 31st for anpre op appt as my rny is scheduled August 9.

You need to speak to your surgical team about your concerns and follow their instructions.

True I know this . I’ll be making a phone call

I know it's not super helpful advice....but seriously....you can't go off road. You need to make these decisions with the people doing the surgery and caring for you as you heal.

Carb restrictive diet before surgery shrinks the liver and gives the surgeon space to work safely next to that spleen. (this depends a bit on the surgeon and their technique)

But yeah....gotta work with your program and communicate everything. Safety first.

Best wishes!

I understand. I’m only 215 but had to liver shrink my lap band surgery ten years ago . I messaged my endocrinologist about nixing meds except my metformin and testing regularly to see what she thinks . 20-25 carbs a day just won’t float with that much medicine

51 minutes ago, sld21 said:

I understand. I’m only 215 but had to liver shrink my lap band surgery ten years ago . I messaged my endocrinologist about nixing meds except my metformin and testing regularly to see what she thinks . 20-25 carbs a day just won’t float with that much medicine

I would take your endocrinologist advice over your surgeons when it comes to this.

Ideally you want to take care of both, but your endocrinologist is going to know and understand your diabetes, while the surgeon knows surgery.

Personally I would get your endocrinologist advice in concrete clear language, and share this with your surgeon. (be sure not to misonterpt anything or change someone's words)

I messaged her and she told me to stop taking invokana and prandin, continue metformin and have a follow up with her post surgery