insulin concerns post-op

[jaciqltz 0]

OH my..I am being banded TOMORROW and I just NOw find this string of Diabetic threads...geeezzz

anyway...I am type 2, and have been on insulin for the last 6 years!

I am on insulin because at first I had a reaction to Metformin, then they put me on Glyburide, and that made things worst because I have having lactic acidosis and the GP did not listen me. SO long story short, I was paralyzed for 6 months from the waist down...went off the meds by my own accord...was fine 3 weeks later!

two years later, sugars started going back up so by then I was living in the Ak bush and had only Indian health hosp to go to. They did not have any other meds to put me on, so insulin it was.

For the last 18 months I have been on Lantus, once a day and 75units. Before that it was R & NPH 4 times a day!

I had a low yesterday morning and was wobbly, until I got some juice.

Today my stomach just hurts, and I have a headache.

BUT I am having surgery tomorrow! So I do not want to push the carb envelope at this point.

I have lost 18 pounds in the last 3 weeks.

How will I know when to lower my insulin dosage?

How many calories a day is needed to maintain sugars and weight loss?

I know with the bypass they say you are pretty much off insulin instantly, but the banding is different. SO I am prepared to wait to be off of it, but I want to make sure I am doing things proper to ensure staying off of it!

Thanks for any info!

[JoJo1 0]

My doc told me to take half of the usual dose after surgery. He also told me not to take any at all the day of the surgery. I know the body is more efficient when it is healing so that is probably why. I did what he said but I wished I had taken at least half on the day of the surgery. That evening, I was 288 I fixed it though, and after that, the half doses were perfect. I started walking right away. Now that I am 7 weeks post, I need a little more than half both morning and night. Everyone is different so you will just need to test often and hang in there. I have heard of many type 2s getting off of Insulin very quickly after surgery so you might surprise yourself. Best of luck!!!!