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Type 1 Diabetes prior to Sleeve

hbradford510

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hbradford510    0

hbradford510
Posted

Hey everyone! I was wondering if there are any type 1 diabetics here who have had the gastric sleeve, and how the process was for you? I have started the process, and my nutritionist doesn't seem too worried about the diabetes, and my endocrinologist feels as we will just adjust as we are doing this.

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LibbyAbby    67

LibbyAbby
Posted

I am a type 1 diabetic who is preoperative for bypass. Although you had the sleeve, I would love to hear how it went for you. I wish I could find more type 1s on thos forum.

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Kotrenell    0

Kotrenell
Posted

Everything been great so far. My pre op diet was only one day full liquids. I was told my blood sugars will not take long to correct on its own. I normally wear my Dexcom. Day of surgery my sugar was 125. My doctor adjusted my insulin for my pre and post op. I take 4 shots a day. So far I haven’t had any lows. Blood sugars definitely been better. I have a sliding scale and a ratio to carb count. My incision look pretty good. Have 6. My A1c was 7.9 so not perfect. So far I been able to tolerate everything. That was my worst fear that I would suffer with lows and be unable to get it up but blood sugars definitely been stable.

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LibbyAbby    67

LibbyAbby
Posted

54 minutes ago, Kotrenell said:

Everything been great so far. My pre op diet was only one day full liquids. I was told my blood sugars will not take long to correct on its own. I normally wear my Dexcom. Day of surgery my sugar was 125. My doctor adjusted my insulin for my pre and post op. I take 4 shots a day. So far I haven’t had any lows. Blood sugars definitely been better. I have a sliding scale and a ratio to carb count. My incision look pretty good. Have 6. My A1c was 7.9 so not perfect. So far I been able to tolerate everything. That was my worst fear that I would suffer with lows and be unable to get it up but blood sugars definitely been stable.

I use a pump and dexcom. My endo wants me to go back to MDI before the surgery. Which makes sense, but I dread doing all that math again.

My a1c was 7.8. My surgeon told me if it was 8 or higher he wouldn't do the surgery, so I'm happy I was just under.

My biggest worry is going high. Anytime I'm sick or hurt, my blood sugar goes sky high and it is difficult to get it down. I've experienced DKA a couple of times and that scares me thinking about dehydration and vomiting and somehow injuring my newly sewn insides.

I'm glad to hear you're doing well. Are you currently on a liquid diet?

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Go To Topic Listing PRE-Operation Weight Loss Surgery Q&A

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    • Aunty Mamo

      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. 
      I'm down 31 pounds since the day of surgery and 47 since my pre-op diet began, with that typical week long stall occurring at three weeks. I'm really starting to see some changes lately- some of my clothing is too big, some fits again. The most drastic changes I notice however are in my face. I've also noticed my endurance and flexibility increasing. I was really starting to be held up physically, and I'm so grateful that I'm seeing that turn around in such short order. 
      My general disposition lately is hopeful and motivated. The only thing that bugs me on a daily basis still is the way those supplements make my house smell. So stink! But I just bought a smell proof bag online that other people use to put their pot in. My house doesn't stink anymore. 
       
      · 0 replies
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    • BeanitoDiego

      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.
      · 0 replies
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    • BeanitoDiego

      BeanitoDiego

      Some days I feel like an infiltrator... I'm participating in society as a "thin" person. They have no idea that I haven't always been one of them! 🤣
      · 0 replies
      1. This update has no replies.
    • ChunkCat

      ChunkCat

      Thank you everyone for your well wishes! I totally forgot I wrote an update here... I'm one week post op today. I gained 15 lbs in water weight overnight because they had to give me tons of fluids to bring my BP up after surgery! I stayed one night in the hospital. Everything has been fine except I seem to have picked up a bug while I was there and I've been running a low grade fever, coughing, and a sore throat. So I've been hydrating well and sleeping a ton. So far the Covid tests are negative.
      I haven't been able to advance my diet past purees. Everything I eat other than tofu makes me choke and feels like trying to swallow rocks. They warned me it would get worse before it gets better, so lets hope this is all normal. I have my follow up on Monday so we'll see. Living on shakes and soup again is not fun. I had enough of them the first time!! LOL 
      · 0 replies
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    • BeanitoDiego

      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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