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Calories, diabetes, and a clueless doc



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Tomorrow will be 2 weeks post-op and a follow-up with the bariatric team. Purees are coming!

Today I saw my GP about my glucose and BP. She confirmed no more diabetes meds (YAY!!!!!) but then she said something odd. She noted that my numbers are excellent on this full liquid diet, but we'd see how I do when my diet "progresses." Now, she's young and clearly still developing her bedside manner (she's awkward) but she insinuated that my diabetes would probably come back and I'd have to go back on meds once I'm on solid food. I guess I thought most docs (even GPs) would know that bariatric surgery has a high likelihood of "curing" diabetes immediately post-op, especially as our weight goes down. Mine was mild to begin with and almost controlled through diet alone. I kinda feel like she threw a bucket of cold Water on me. (Getting rid of diabetes was one of my top reasons for surgery.)

ANYWAY, I told her I'm consuming about 400-ish calories per day on the FL diet. And I know (I KNOW, I KNOW) we're supposed to concentrate on water and Protein at this point, but I'm curious what everyone else's average per day is. Eventually I think we top out around 600-800 with 1,000-1,200 max, but anyone else willing to share where they are in the beginning stages?

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I think you are correct re the diabetes information. I would guess your numbers may increase some as you have some carbs once you are months out but I would guess not to the point of going back on meds.

I was at 300-400 calories the first month and worked up to 500-600 and stayed at that level until month 6. Then I was only 10 pounds form my goal and worried about losing too quickly (I know that sounds insane right!!) so I purposely increased calories about 100/week to hit around 1000.

I worked up towards 1200-1400 around the 10 month mark and now at almost 2 years am around 1500/1600 to maintain. Honestly that seems a little high compared to what others on here say but it keeps me at my comfortable weight. According to the BMi chart I could lose another 10 pounds but I feel like it would make me look too thin and bony ( also crazy to think that would ever be a thought re. my body).

If I see my weight trending up 2-3 then I set a goal of 1200 (but usually log around 1300-1400) and that will get me down those 2 pounds within 1-2 weeks. I do think that wont be as easy in another 6-12 months as I am out of the honeymoon phase so I keep logging food/calories religiously. If I see I am low on Protein its just a matter of fact thinking ok go get a piece of cheese or drink a glass of milk vs old me would get crackers or chips at the end of the day.

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I seem to stay around 400 cal range. I was prediabetic and taking Metformin before surgery. There is absolutely no way I could take one of those pills now. My bariatric NP told me it's ok to stop them. My blood glucose numbers have been normal range and some lows I haven't seem in a while.

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I am about three months post VSG and the last three weeks I have been really trying hard to get to 600 to 800 calories. I was stalling out at 500 and 600 calories at two months after I started working out regularly so I bumped up my caloric intake (per dietitian) and it worked so I stuck with it. I too was type 2 diabetic and no longer on any medication and my A1C just came back at 6.2, my TSH is a little chaotic right now but we are working on it !

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    • 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!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

    • 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.
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