Gastric Bypass: The Last Resort

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Gastric Bypass: The Last Resort

Members: 36
Latest Activity: Feb 21

hi everyone. a friend of mine suggested i turn my blog into a group. it was a great idea. this is my progressions through gastric bypass. i thought it might help anyone who is considering this as a last resort. i hope it helps and we can exchanged questions and answers with those who may have already gone this route.

Diabetes Forum

RNY Gastric Bypass Stories- to treat Diabetes

Started by SpeckleParkMatters. Last reply by SpeckleParkMatters Feb 21. 1 Reply

one week post-op

Started by debb. Last reply by SpeckleParkMatters Jan 19. 3 Replies

by pass surgery

Started by steve. Last reply by Joanne Dec 27, 2011. 11 Replies

Type 1 Diabetes and Gastric Bypass

Started by Char Berss. Last reply by Joanne Dec 21, 2011. 3 Replies

my progress after 8 months

Started by debb Jan 28, 2010. 0 Replies

curious

Started by Angelica. Last reply by debb Dec 22, 2009. 1 Reply

third month appointment

Started by debb. Last reply by debb Aug 22, 2009. 2 Replies

mini graduation

Started by debb May 29, 2009. 0 Replies

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Comment by Joanne on January 19, 2014 at 8:39pm

I am 61. I am an RN. Had RNY Dec 2011. Did not have the weight/BMI so Insurance initially gave me a hard time. But with my Family Dr, Endo & cardiologist writing strong letters I finally was approved due to several co-morbidities.
My medical history is extensive. Everything all seemed to come at the same time. In 2004 I was treated for a toxic Thyroid nodule with Radioactive Iodine. While that actually worked it knocked my sugars out of whack & I got DX with T2 Diabetes. Had Metabolic syndrome. Insulin resistance etc.
Meds I was taking :
850 mg Metformin Bid
4 mg Amaryl daily
4 mg Avandia daily
10 mcg Byetta inj Bid
1200 mg Red Yeast Rice daily - slightly elevated LDL
20 mg Omeprazole Bid - GERD
0.5 mg Klonopin - Restless leg syndrome
The Avandia possibly caused me to have a silent heart attack in 2010.
My A1C was 7.4 & my sugars just would not regulate. Had/have trouble with my knees (DJD/Osteoarthritis/Chondromalacia) needed cortisone shots which send blood sugars soaring.
Had a lumpectomy L breast in 2006.
Started getting nauseous a lot late 2010. Passed out at work , was admitted, lots of tests. Thats when I found out I had the heart attack. Also borderline Gastroparesis. Ended up that my Gallbladder wasn't functioning so they removed that Jan 2011. My lungs collapsed 20 hrs after surgery. It was a rough time. In Feb.all my Drs started talking to me about Gastric Bypass. My Cardio Dr said being a woman with Diabetes & history of a heart attack my risk for another was very high. My Endo explained how the RNY .... only the RNY .... no Lab band/ sleeve etc would work to put my Diabetes in remission & get me off my meds. After all the problems previously i was not eager to jump into another surgery but after much research (my son has a PhD in Pharmacology)& support from family & Drs. I said Ok let's do this.
So had my surgery Dec 2011. Left the hospital off all my meds except Klonopin. This surgery can't help that. While they did my surgery they found I had a hiatal hernia which is why I had the bad case of GERD. Have no trouble anymore. But now take a heart pill & all the vitamins required post surgery.
It's not the easiest thing to do but well worth it. My BG runs normal and my A1C is 5.4. LDL is 68.. Lost 65 lbs which helped my knees a little but felt sick & couldn't stop losing.But got everything working and finally gained a little weight back & feel good where I am. I went from a size 16-18 to a size 6. Now mostly wear an size 8 & hover around 136 lbs
You can contact me with any questions.
My email is jgst516@cs.com

Comment by Joanne on January 19, 2014 at 8:35pm

Have not been on here for a while & just got a message from a new member. Will come back & answer questions ASAP. But late tonight. Have work early.

Comment by netbadger on November 5, 2013 at 8:11pm

Drats! I had a post about as long as my last one, and the computer just lost it. I do not have the patience to do it all aver again. Basically, each of the three primary gastric bypass procedures has different ways it affects your diabetes. The Roux-En-Y operation I had, is the most effective. The Lap-Band the least, with the Gastric Sleeve, somewhere in-between. I am a couple of weeks shy of being at the six months mark myself. I have lost between 125 and 130 ponds so far. It fluctuates during the day. I am on a sliding scale now, that has me taking 5 units of insulin in the morning (before breakfast)if my blood sugar is over 120. In the evening if it is over 150, I take another 5 units of U-100 Levamir (normal strength). I also take two 500 mg Metformin tablets a day. When I got out of the hospital about two months after the operation. I had complications and spent a month and a half in the hospital, and another two weeks in a rehab center for physical therapy, to learn how to walk again. The details are what got blown away. Anyway, back to your question. As I have lost more weight, they have reduced my Metformin from 4 to 2, and my sliding scale to what I wrote above. On average I take 5 units of insulin a day. I am usually over the 120 in the morning, and under the 150 in the evening. I watch my carbs as diligently as when I was on the insulin pump. They think that when I lose the other 90 pounds to reach my target weight of 180, I will not have too take any insulin at all. So I guess my only suggestion is to keep losing the weight, and it will take less insulin to control your blood sugar. I would not get your expectations of doing without insulin entirely, if you had the Lap-Band or Gastric Sleeve. I also exercise regularly, for the first time in my 58 years of life.

Comment by carolyn mcquis on November 5, 2013 at 6:13pm

Hi, I had the gastric bypass 4/17/13 and only lost 34 pounds. my T2 went into remission for about 6 months, now it's back and i'm having a hard time getting it to respond to anything. pills didn't work. now im doing levimir and i'm supposed to only use 4 units in the morn and 4 at night. However, that's done nothing so i on my own raised slowly the insulin i'm up to 18 in morn and 12 at night and even at that it's never been below 151. any suggestions

Comment by netbadger on May 5, 2013 at 10:39am

Before Debb read my post, and invited me to join this group (which I was unaware of), I posted a question asking if anyone who was using Humulin U-500 insulin had been through the Roux-en-Y procedure. Specifically, I asked if they were able to give up insulin completely. As part introduction, part explanation, I will give a little background. If you read my original post, some of this is redundant. I was diagnosed with type II diabetes about 14 or 15 years ago. I went the usual progression of pills, to insulin, but I developed an insulin resistance. I had to start using Humulin-R U-500 insulin, which is nearly $1000 a 20mL bottle. I have insurance, but still have a co-pay of 20%. E. Lilly keeps raising the price of the insulin every few months. It doubled in price in 2011, and double that again in 2012. Before another year is out, at this rate, I would be unable to afford my insulin. My pharmacist (an HMO member only pharmacy) said the insurance company was considering dropping the U-500 from the formulary, because of the price. So getting off of the U-500 is a necessity for me.

I have been obese most of my life, and morbidly obese since I became disabled in January of 2006. Until recently, I had too many health problems for my insurance HMO to approve the gastric bypass surgery for me. By religiously following my doctor's (all of them) instructions, I have been able to get my health to the point I do qualify. The last domino to fall in place was getting from stage 3 kidney disease to stage 2. My surgery is on the 15th of this month, so only ten days to go. I had to go through the bariatric program and lose 20 lbs. At my last weigh in a couple of weeks ago, I had lost 33 lbs. The co-ordinator for the program seems to think I may reach 40 lbs. lost before surgery. As of this morning, I had reached 37 lbs. lost. Because of Painful Diabetic Neuropathy, Lymphedema, and gout (as well as weight), I am unable to walk more than 150 feet or so, without sitting down to rest. I also have to take several very strong pain medications. So losing this much weight without exercising has been a personal triumph for me. I started off at 400 lbs even, and the doctor set my target weight at 155. I am told the first 100 lbs. will most likely come off in the first six months. From what I understand, the weight after that, until I reach my goal will be more difficult.

I am getting to my additional questions, believe it or not. I am VERY interested to hear from anyone who may have similar problems with severe neuropathic pain in their legs, and how having the gastric bypass has affected it? For anyone with mobility problems, were you able to reach your weight loss goals with your reduced exercise capability? I have heard that vitamin deficiencies and osteoporosis are just two possible difficulties I may have to deal with. I am on a group of vitamins and have calcium citrate chews, which are supposed to deal with those two problems. Have you been taking these, and still have those problems? What are some of the other bonus issues I may have to deal with because of this surgery?

I will give the questions a temporary respite, although I have many more. I probably should have asked them in separate post, but once they started tumbling out, I could not stop the flood. I feel that it is a necessity for me to have this surgery, regardless of what other issues may develop. This is my attempt to learn about challenges I may face, and how to deal with them.

Comment by Char Berss on December 19, 2011 at 6:58pm

Hi everyone. I posted a topic last night, and i'm really hoping to get some feedback. If someone (or some many!) could take a look and comment, i would REALLY appreciate it! Thank you!!
~Char

Comment by debb on December 16, 2011 at 3:43am

yeah joanne, it's just so amazing how it all works. i'm still having problemswith my knee, i may need a knee replacement, but not sure yet. i want to hold off on that one for as long as possible. at 55 i'm still young and want to try to leave that for when i'm older. i see my doctor again on the 21st for the knee and hopefully he will have some answers. but the longer i'm away from exercising the more weight comes back. it's so agravating. but i am so proud fo you for going through with the surgery. it will take time to get through those bad days but the will be fewer and further apart. i do get a bad day here and there where i have bad gas in my tummy and the only way i can get rid of it is to drink about a 1/4 cup of diet pepsi. my doctor isn't happy with that but when he happened to see how much pain i was in and how quickly it helped me he said grudgingly ok. he said that it's not something he would recommend but it seemed to be the only thing that would help me. he still doesn't recommend it to any of his other patients. he is very much against soda pop of any kind and for the most part i agree with him. regular soda has the sugar and the diet can cause kidney damage. so it's 6 of one and half a dozen of the other. i stay away from it for the rest of the time. since i hate water and they want me drinking it they ok'd pepsi's 0 calorie life water. my fav is the apple pear. it has a nice flavor. best of luck to you and message me any time you want to talk to someone who has gone through it. love ya, debb........

Comment by Joanne on December 15, 2011 at 8:23am

Well I am here and had my RNY done 12/6/11. Still mostly on a liquid diet with stuff like yogurt an s/f pudding. Had some good days and some not. Taking one step at at time. But before surgery I was on a hi protein low sugar/carb liquid diet for a week and my BS was still running 150-180 even with all my meds (Metformin,Amaryl & Byetta) Now I am off all my meds including ones for Cholesterol, and GERD and my BS today was 106 = ) Really amazing. Not easy but amazing.

Comment by Rixie on October 11, 2011 at 7:02am
Back on TuDiabetes and want to learn folks experiences with gastric bypass
Comment by debb on August 1, 2011 at 4:54am
hi rachael & joanne, i know people who have had the lapband and some that had the full bypass. for me the full fit my needs better then the lapband. a friend of mine had the lapband and had to have more surgery to fix it because it slipped, (because she was lifting heavy things before she had permission to do so) and then last spring she went back in because she had a different set of problems with the new one and had the full bypass. she is much happier now that she has had the full. that said i also have friends that have had no problems with the lapband and are very happy with it. the reason i didn't choose lapband was because of the need for a stent and if anything needs adjusting they have to go back through that stent to do the adjusting. i'm not adverse to big needles but i don't want to go through all that every time there is a problem either. my progress has been halted right now due to some knee and thyroid problems but i am in the process of getting them taken care of so that i can get back on track with my weight loss. i have found out because of the knee problems just how important exercise is when trying to lose weight. i haven't been able to even walk on my treadmill since i hurt my knee last sept. of course the doctor's have been p****footing around wanting to make sure my knee really needs the surgery and have now decided that i have a torn cartilage and will have to have arthroscopic surgery. i'm not sure how they will go about doing it because the one thing they can't do is put the tube down my throat for the surgery. i'm opting for a general anesthesia but that has it's problems for my doctor as well. lol, i burn through the anesthesia real fast and keep on waking up on them. lol, it really freaks them out when that happens. because of these problems i have been discouraged but not once have i regreted the surgery and know that once i get through these problems i will be back on the road to weight loss again. just remember that GB is not a cure, it's an aid to changing your life style and will give you a good jump to a better and healthier way of life. let's face it we all need any help we can get and if it weren't for my GB Family i would still be going down a bad path. they are the best and really care about me and want to help me do the best i can do. best of luck to you. if you need someone to talk to my e-mail address is debblahnen1956@yahoo.com. don't hesitate to send me an e-mail. the option you choose is your own preference and is the right one for you. you have to do what is most comfortable for you. both ways have their own goods and bads to them. take your time and make sure that you are ready for it. my GB doctor told me that he would not do anything until i was sure i knew what i wanted and was comfortable doing the surgery. he smiled and said that he doesn't feel good about operating on someone who isn't sure and just won't do it, and that he has so many people needing GB or Lapband surgery that if i thought that i would be wasting his time by taking my time in my decision that i shouldn't worry. when i was ready for the surgery then he would be ready to do it. i couldn't ask for a better doctor or GB team. they are the best.
 

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