Managing Diabetes

[Katbad 30]

I’m scheduled for sleeve surgery on June 22. I’m type 2 diabetic. I take metformin but it doesn’t control my sugar levels enough. I eat very healthily but still have high sugars in the morning and slightly high before meals.

My endocrinologist first added Farxiga but I developed side effects and it didn’t help the sugars.

Next she put me on Glipizide. That worked great - until today when I experienced my first ever low blood sugar event. Almost passed out! Very shaky. Scared me!

So now with a pre-op diet and surgery around the corner I’m worried about this happening again and again. Any advice? Do certain foods or eating patterns trigger it?

[kimberlymi 113]

Your NUT should have had a long conversation with you about reducing your meds per your primary care doctors orders. You should give them a call.

I am insulin dependent or type 1 how ever you want to look at it. I have been on insulin forever so I will be on insulin for ever. I am allowed to lower my units as I am losing weight before my surgery. I will be on a much lower amount durning 15 day pre-op diet and after. I use this rule of thumb now
6 meals = 200 calories each very low carbs, very low sugar if any.
Good luck.

[Danny Paul 761]

On the day I was discharged from the hospital my Endocrinologist eliminated my four diabetes medications . She said with the weight loss you wont need them. She was right my type 2 diabetes is gone. I hope to continue to keep the weight off and to better my health.

Not doing what's popular just doing what's Right.

[NancyD 3]

No one told me to reduce my diabetic meds while on the pre-op diet, but when my sugar tanked, I adjusted it myself. I am 1.5 months post bypass and am down 40 lbs since the first of the year, 20 lbs since 1 week prior to surgery. Sugar is running between 120 to 150. Endo says no meds unless I go over 180. Haven't. I am hoping to be med free as the weight comes off. This was the most important reason I went forward with WLS - to control type II diabetes. It is a work in progress.

[MdmMargott 20]

You should be off Glipizide while on liquid diet pre-op and post-op. It can cause lows (especially dangerous at night!) and potentially do more harm than good. Metformin is usually fine.

Talk to your endocrinologist and your surgeon.

[RapidFirePickle 119]

I was on Lantus, Victoza, metformin, and Invokana. The Lantus I was able to stop before the three week-pre-op diet (slowly decreased as blood sugars got better), the Invokana I stopped during the three weeks pre-op, the metformin the surgeon had me stop the day of surgery (night before was last dose), and now I am waiting to be told I can wean off the Victoza (six weeks post-op). My morning sugars are between 90 and 120.

[Katbad 30]

They did take me off the glibiside before the pre-op diet and then the metformin two days before surgery. Now I’m on day three post op and monitoring my levels. So far all normal without anything. Once I start adding food that may change but so happy with this so far!
It’s been a long time since my morning sugar was well within the normal range!