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I don’t have a diabetes diagnosis at this point (hoping to avoid that) but I was diagnosed with metabolic resistance and was on my way towards a diabetes diagnosis prior to weight loss surgery. Metabolic resistance can cause your body to react in different ways and really make loosing weight difficult - even when you are doing everything right. It’s a combination of several medical conditions that affect how your body breaks down and processes insulin. I struggled having to eat less than a 900 calories (prior to WLS) to see any results along with exercise (it was not maintainable long term). Eventually I agreed to try some medication - which made all the difference, I was finally able to eat reasonably and loose weight (slowly) but I was loosing. My body still fights me - but it’s better. I’m hoping the damage that metabolic syndrome can cause is reversible for me - depends on several factors (like how much damage was done while it was active, if my weight was the cause or genetics). The tests I’ve had are the fasting glucose & A1C, I’ve had non fasting test (but not asked to eat anything specific) and I’ve had to drink the sugary drink (which is awful). A family Dr is a good place to start, but I’d suggest talking with an endocrinologist if you don’t have one you see. Mine has been a blessing helping me dial in things and he doesn’t solely rely on labs to do it. He looks at my labs and my symptoms to make adjustments… in addition to metabolic syndrome - I have Hashimoto’s also. While ranges are great to guide you if you are looking for something wrong. My Endo is the first to say “that may not be what’s normal for you, so let’s see if we can do better”. Since my WLS I’ve had improved numbers across the board, except my cholesterol, but that might stay high till my weight stabilizes. I still have to take a medication to help my body process the insulin and when I take it, the weight comes off slowly but more easily than when I don’t. (Even if I am eating all the same things and doing the same activity). As far as what to eat, I would think the dr wants to see how your body is processing carbs in your normal diet, if they didn’t give you specific guidelines on what to eat. My guess on the “big meal” is they don’t want you to eat minimally and the test results wouldn’t be as accurate. Depending on the results - it might dictate the next test(s). So I would eat whatever the normal diet is I was eating (and struggling with) to give an accurate reflection of how my body is handling the breakdown, not cutting out carbs or anything else (dessert or snacks) that I would normally have. Good luck!

Thank you for all the many tips! They're very helpful! Since I have a month left before surgery I believe I can figure out a good schedule now so I don't have to worry about that later. Thank you again for all of your helpful information and advice!

Ooh yea the most important thing is that you take that multi if it has iron with food or shake. And I mean like with the last sip of the shake so your tummy is coated. And separate the calcium doses from each other and from the iron. It seems daunting at first but once you figure it out it will just become second nature. I use my alarms on my phone (you can set them to be recurring everyday). I usually remember beforehand and I’m sitting there holding the vitamin or whatever when the alarm goes off at this point but sometimes I do forget even at a year and a half out so I still have my alarms to annoy everyone. Lol

You can ask your clinic for advice, but it's probably going to be up to you to figure out, mainly because you have to work it around your schedule. It can seem complicated at first, but you get used to it. I take a multivitamin with iron plus an additional iron supplement, calcium 3x/day, B12, biotin, and D3. Calcium and iron are supposed to be at least 2 hours apart, and I also take a prescription thyroid medication that's supposed to be 4 hours apart from calcium and iron. I use a free app called Medisafe to track my medications and remind me. It's really useful because you can track what time you took everything, and it also tracks how many of each you have left and reminds you to refill. You can set reminders at whatever time you want. I set reminders as follows, but I usually stay ahead of schedule. 6:00 am - Thyroid prescription 10:30 am - Multivitamin with iron, B12, Biotin, D3 1:00 pm - 1st calcium 3:30 pm - iron 6:00 pm - 2nd calcium 8:30 pm - 3rd calcium I also recommend getting a pill organizer with 3 or 4 compartments for each day, where each day has its own removable box (the one I have looks like this one: https://smile.amazon.com/Organizer-Compartments-Moisture-Proof-Medication-Supplements/dp/B07Q9JSHMP). I distribute my pills in that once per week, and then I can just grab the box for the day.

I asked so many questions about loose skin and was told that nothing I could do besides staying hydrated was going to do anything to help prevent it. if you have a lot of weight to lose and have a lot of loose skin though plastic surgery is something to consider down the road and may even be covered by insurance if you meet the criteria.

In the US we do B12 shots too, sometimes they are required post WLS too, just not always (sorry if that’s what you meant). From my experience the dr’s are kinda stingy with the B12 around here. Which is sorta odd because im pretty sure I’ve been told your body just pees out any excess (don’t quote me on that though). I was borderline low once in labs and they said the sublingual version would be sufficient so they seem to reserve the injections for more severe deficiencies. I guess that makes sense.

Sounds a lot like mine! It was about a week before surgery and took about 4 hours total. Started with a pre-op review with a Nurse Anesthetist, followed by lab work, final weigh-in, as well as a BIA scan on their In-Body Scale. After that, I had another quick review of the post-op diet, and a review with the nurse educator on what to expect between then and my surgery date. We we also reviewed the general post-op plan, though she said she'd see me again in the hospital (I did), and that we'd review it all again at that time (we did). Finally I met with my surgeon and got to ask whatever questions I had.

hematologist was 6-7 years ago but my main dr knows all about it… normal wbc is 7-10… i usually run 13-17… yesterday was 20, so double normal limit… so-far i haven’t gotten a call about it, so maybe not a problem (wishful thinking)… just don’t want anything to derail things at this point !! (side note: my a1c dropped from 6.2 to 6.1! was hoping for more but i will take any reduction)

Just be slightly more strict with yourself and wean yourself off a bit on the snack foods. Like yourself, I had some gain back due to a med that I needed for a TN flare (gabapentin) and got all the way up to 197 pounds. I've since weaned myself off the med after being put on something different that doesn't cause weight gain and I've dropped 10 of the pounds I gained as I'm 187 today, but I don't know if it's even possible to lose the 5-10 more pounds I want as I've been struggling to lose any more despite adjusting and fixing my eating habits. My doctor told me today to not stress about it because some of it may be due to my MCAS and some of the issues it's been causing lately. So maybe a part a part of the weight gain you're experiencing is diet, some from the med, and the other part possibly stress? (stress can cause weight gain as well) If you're struggling with getting your diet back on track just slowly adjust it. Don't stress yourself out even more by denying yourself everything just cut it back slowly bit by bit and eventually you'll be eating better and hopefully the weight will come back off.

Hi! I'm 3 days out from a sleeve to mini bypass. Right now it feels exactly the same.