Pre-op diet as a diabetic

[machnia 5]

So I'm kind of freaking out over the pre op diet, as a diabetic...I'm worried that by not getting as many calories, my blood sugars are going to be too low. Anyone know how to manage that? My doctor said we will dial back my insulin a lot but I'm still worried. I'm on insulin, Ozempic, Gliclizide and Jardiance for diabetes and my sugars are on the high normal side of things but I am worried about lows. They terrify me.

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[catwoman7 11,272]

I would guess that bariatric surgeons are used to dealing with people with diabetes and can accommodate that - but I'd contact them with your concerns just in case.

[ClareLynn 153]

I was on an insulin pump, metformin and Ozempic when I started my pre-op diet. I was glad that I had my Dexcom because it helped me quickly adjust my insulin.

I had 2 severe lows then after talking with my endo, stopped all insulin while on < 600 calories. I’m 1 week post op and while my numbers aren’t perfect they aren’t high enough to warrant correcting.

When I am eating again, I’ll have to test and figure out how much I need.

[ClareLynn 153]

My surgeon left all of my insulin and diabetes meds up to my endocrinologist. Make sure that you are on top of testing your blood sugar when you start the diet and communicate with your doctor regularly

[huskymama 149]

I’m on preop liquid never was on insulin just metformin and my sugars are really high. My surgeon is having me see my endocrinologist on Monday. So if you have an endocrinologist I’d see him/her. My surgeon said meds are adjusted. God willing we will all be no longer diabetic after the weight loss. Fingers crossed