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Diabetes and gastric sleeve op

Hi, I was diabetic but not insulin dependant. I had the sleeve op 14 weeks ago. Within 1 week of the op I was told I was no longer diabetic and my blood sugars were down to normal and have had no problems since. Still have bouts of nausea and solid food is harder to get used to again than I thought it would be but getting there. Nearly 9 stone in weight lost now so no regrets!!! Hope this helps :)
 
Hi Genevive,

I am Type 2 Diabetic but not insulin dependent, diet controlled sometimes with the assistance of Glicliazide (in preference to Metformin).

I believe the sleeve resolves Type 2 Diabetes in about 65% of cases and the RNY bypass resolves Type 2 Diabetes in up to 85% of cases.

I have (personally) chosen to have a sleeve rather than the RNY as I wanted the slightly less drastic surgery ..... and I am taking the gamble that because I am not insulin dependent, that surgery will be enough to resolve my "mild" Diabetes.

However, my surgeon has told me it is a (slight) gamble and that if my Diabetes was any worse, or if I was insulin dependent he would be arguing very strongly for the RNY bypass as there is some anatomical reason why the bypass op does resolve diabetes better than a gastric sleeve (someone has written about it on this forum somewhere).
 
Hi Jan - with my Diabetic Nurse hat on...
As you are a type 2 you may well get back to just oral medications, it all depends on how much insulin you are producing yourself, this can be found out by a c- peptide blood test under the diabetic team if needed, once you are post op.
Remember though although they like to say your diabetes is reversed, you are still at a higher risk than others of developing the complications of a diabetic and you must make sure you still go for your annual blood tests at the GP surgery.
A large amount of post ops seem to end up on greatly reduced medications, it's wise to stay on metformin as it gives you cardiovascular protection also.
Good luck
xxx
 
Yes deffinatly, it's one of the accepted comorbidities, along with sleep apnea.

I was a type 2 as well but since my bypass I have been off metformin and my bloods are now around 4.6 every day.

Paul
 
I am 4 months post op and my Hba1c last week was 5.7. I didn't take any meds for the first 4 weeks post op but then went back on one metformin tab a day for life, my dietitian says this is the new advice now.
 
Hi, I was diabetic but not insulin dependant. I had the sleeve op 14 weeks ago. Within 1 week of the op I was told I was no longer diabetic and my blood sugars were down to normal and have had no problems since. Still have bouts of nausea and solid food is harder to get used to again than I thought it would be but getting there. Nearly 9 stone in weight lost now so no regrets!!! Hope this helps :)
how did you get on with your diabetes when you had to do your pre op diets??? x
 
Hi Jan - with my Diabetic Nurse hat on...
As you are a type 2 you may well get back to just oral medications, it all depends on how much insulin you are producing yourself, this can be found out by a c- peptide blood test under the diabetic team if needed, once you are post op.
Remember though although they like to say your diabetes is reversed, you are still at a higher risk than others of developing the complications of a diabetic and you must make sure you still go for your annual blood tests at the GP surgery.
A large amount of post ops seem to end up on greatly reduced medications, it's wise to stay on metformin as it gives you cardiovascular protection also.
Good luck
xxx

That's an interesting point re the metformin, I was a type 2 only on metformin, I was told that post bypass I need not take metformin any more, my bloods are normally between 4.6 & 5.6, although tonight they where 6.0.

I will be seeing my GP in a couple of weeks for a full review of my post op medication, should I be asking him to keep me on metformin.

Thanks

Paul
 
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im actually taking four a day at the moment but i cant imagine that just stopping them prior to the op to do a liquid diet would be a good thing? any ideas?
xx
 
im actually taking four a day at the moment but i cant imagine that just stopping them prior to the op to do a liquid diet would be a good thing? any ideas?
xx

You'll be advised after surgery most likely, as I was. I was on 4 a day pre-op, then the hospital put me down to 3. Less than a week later I had to see my GP as I couldn't take that many as my blood was regularly dipping below 3.
I'm now on 2 slow release which is better for me and I have to have my HbA1C repeated next month with a view to a further reduction.
 
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