Type II Diabetes Management after surgery

[molinomama 0]

I am curious how Diabetes Type II is managed after surgery?

[jazie 0]

I have type 2 and immediately after surgery, I was taken off Byetta. I took a Byetta injection twice a day. I take 1 Levemir injection, and Januvia 100 once a day.I now take 50 Levemir once a day, and went down from 100 to 50 Januvia.

Just getting off Byetta was worth the band surgery.

I have lost 42lbs since July 1st. I expect to keep lowering my meds until I am off all of them.

I know I will always be on high blood pressure meds I have been on them since I was a young woman and when I was slim. Can't remember those days too well now.

Good luck!

Jazie

[marie715 0]

When I started the liquid only diet, my endocrinologist told me to inject 1/2 of the units of insulin I was injecting. I thought that was still too much insulin so I cut back to taking 1/3 of the units I was taking. Now I am on solid foods and this seems to be a good dose for me. As type II diabetics, I believe we'll spend alot of time tweaking our diabetes medications because as we loose weight we'll need less medication.

[*slim* 2]

I was taking 1 metformin er tablet a day. My PCP told me to stop taking them after surgery. She said that she doesn't anticipate me needing them any more, but to watch my blood sugars closely.

[speck 1]

I'm type 2 diabetic but never took medication.

My sugars are perfect since pre-opt and surgery.

[barbara9460 1]

I am curious how Diabetes Type II is managed after surgery?

The day I started my two week preop liquids I stopped 1 med (Actos) and cut my dose of Glucophage; After surgery I stopped that one too. I had to do insulin my first year after diagnosis with type ii. I was on max meds prior to surgery.

Now, 4 1/2 months later, my blood sugar is normal. No meds. I'll get my a1c back this week and the new test glycomark - I expect all will be perfect.

Remember this: you still control what you eat. Since surgery, I've cut out nearly all carbs - I don't eat bread, though I do eat an occasional cracker; I don't eat Pasta or white potatos, though I do eat the occasional well blended sweet potato. I go sugar free with things like Jello, pudding and Protein shakes. I still keep an eye on my bs readings too.

How long have you had type II? They say that the sooner you get the lap-band after diagnosis, the better your chances of complete reversal of the condition. I've been lucky! I've been diagnosed for 8 years and probably had it much, much longer without knowing it.

Best of luck and let us know how you do.

Barbara

[molinomama 0]

Thanks so much for the replies. I am hoping to have surgery the first of November and cannot seem to get answers about how I will manage. I take Byetta 2x day with Humalog 2-4 units, Lantus 80 units at night. My A1C has been between 6-7 for the whole time I have had diabetes - about 8 years. I am really hoping to come off all meds, that is my main reason for having the surgery. Any and all suggestions are really appreciated.

[RestlessMonkey 7]

Molinomama, I think they consider bypass a "cure" for most Diabetes type II...the lap band can control or prevent it depending on how you choose to eat. You might want to discuss this with your surgeon and your PCM or endocrinologist to see which surgery might be best for you if controlling your diabetes is a main concern. In other words I think both surgeries CAN do it but it's more work with the band, and "almost" a guarantee with bypass. Check with your surgeon and doc.

[*slim* 2]

Thanks so much for the replies. I am hoping to have surgery the first of November and cannot seem to get answers about how I will manage. I take Byetta 2x day with Humalog 2-4 units, Lantus 80 units at night. My A1C has been between 6-7 for the whole time I have had diabetes - about 8 years. I am really hoping to come off all meds, that is my main reason for having the surgery. Any and all suggestions are really appreciated.

Since they did not put me on my metformin, the surgeon's office thought it would be best to talk to my PCP about when to stop that medicine since they have all of my information concerning my A1C scores and such. I was never actully diagnosed as diabetic. I have insulin resistance due to PCOS. When I talked to my PCP about it, she told me to make my last dose be two nights prior to surgery. She said we will reevaluate my blood sugar levels one month out, but that she didn't anticipate me needing the medicine any more by that time.:tongue2:

Edited September 26, 2008 by *slim*
correct spelling error

[terilynn112 1]

IM type 2 also. I was on byetta with some good control. I was told I'd bring home insulin for this period, with a sliding scale of doses. I've got a cold and am higher than I was. Not terribly. I just watch what I eat, and can get it down. This morning I was 124. Not terrible, not where I was before this blasted cold. That was in the mid 90's. I can't wait to feel better.

Teri

[*slim* 2]

IM type 2 also. I was on byetta with some good control. I was told I'd bring home insulin for this period, with a sliding scale of doses. I've got a cold and am higher than I was. Not terribly. I just watch what I eat, and can get it down. This morning I was 124. Not terrible, not where I was before this blasted cold. That was in the mid 90's. I can't wait to feel better.

Teri

I am so sorry. You really have been going through some tough times the last few days. I hope that you get better soon.

[sil 0]

hello today sept,26th. some nurse from yale university call me this morning trying to convince me to have the bypass surgery. she lied an said it wouldn,t help my diabetes. i guess she thought i was gullable to fall for her crap.it took me 6 months to get here,because she stated my bmi was too high, saying she recomended the bypass i said no,my insurance don,t require bmi. just that it,s medically necesary, from my pcp. so i call them back to say someone call my house talking about i have to have the bypass, the lady on the phone say,s it,s my choice. she says it happens all the time.i almost cried. but i gotten everything straighten out. sorry for the long reply had to vent. good luck everyone on your journey.

[LoisinStA 1]

I am type 2, uncontrolled and headed for insulin. Had the surgery in April. Put my head in the sand and didn't take meds and figured that after I reached my goal - loss of 50 pounds, my diabetes would be in remission.

Well, that did NOT happen. I've lost 53 pounds and when I saw my doctor last week my finger prick was 300 and my A1C was very high. I am back on metformin - had to get the liquid version cuz my band is a little tight and had trouble swallowing the pills and also back on my glipizide. Need to see doc again in 3 months.

I thought for sure that the weight loss would make a big difference...now I only hope that in the next few months at my new goal weight (145 pounds, 5'5 1/2", size 10) and my meds I will see my sugars stabilize and maybe even become normal.

I have not been exercising like I should so that is my next project.

[Danigirl521 0]

I'm type 2 also and before surgery was taking 2000mg Metphormine, a Januvia and 45mg Actos and still uncontrolled. I was headed for insulin next.

Since surgery on August 15th I'm off of all of them except the Actos. I just saw my GP last week and my A1C was great so he lowered the Actos to 30mg. I'm very happy but have worked to keep it this way. I also eat very low carb and check my BS levels every day. I was also told I would be better off with the Bypass because of my diabetes and am happy to prove them wrong! :bolt:

[minidriver 0]

I have a question for those of you who check your BGs regularly. I am new to this issue (diagnosed with pre-diabetes AFTER my lap band) and am planning to check regularly to make sure that things are moving in the right direction. My 2 hour BGs are rather high (160 after lunch today, 195 after dinner!). I am wondering if having the band delays the BG peak due to delayed digestion of our food. Has anyone else noticed anything like that?