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Dibetic insulin

from another post, i know you're scheduled for surgery on March 10th, but I don't know what kind of pre-op routine you're on, and have no idea what the "milk diet" is. Since you're presurgical, your diabetes concerns are solely the province of your doctor, not of your bariatric surgeon or nutritionist. But many people here have had changes in diabetes and you can search the archives using the word "diabetes" to locate those posts.

Still, your blood sugar will undoubtedly change after the surgery, but that's a medical question, and a very important one. we can't answer medical questions in this forum. only your doctor can address your diabetes concerns. and your blood sugar will be tested immediately after surgery and your doctor/surgeon will keep track of that, and your nutritionist will take diabetes into consideration with your post-op diet. Aside from that, we can't really say much of any value until you have the surgery.
 
I'm wondering if anyone is insulin dependent and how gastric bypass affects the insulin usage. I'm currently on the milk diet my Dr took me off metformin as and cut my insulin in half it's been 5 days and I'm not getting blood sugar that are acceptable.


Hi Bme -

When you say "milk diet" is this where you pretty much cut out all food and drink milk - raw milk?

I've been an insulin dependent diabetic going on 29 years. I had GB 1/22/2020. Before surgery I was on so much medication to control my blood sugars.

Diabetic Meds Before Surgery:
Metformin ER 2000 mg
Pioglitazone 15 mg
Losartan 50 mg - (I know that a lot of people take this for high blood pressure - I don't have HBP - it's for my kidneys because of all the abuse insulin does to them.)
Humalog 15 units every evening
Toujeo 80 units daily
Bydureon 1 shot everyweek

Since surgery - they have eliminated a lot of those medications.

Diabetic Meds Now:
Metformin 2000 mg - NOT ER
Losartan 50 mg

When I left the hospital I still had access to Toujeo - I used it the first week 30 units. I've not used it since then. I use the Freestyle Libre sensors with the monitor to check my blood sugar 7-8 times a day. My average blood sugars are 132 for the last 3 months.

Now - with all that said - everyone is different. There is no guarantee that insulin dependent diabetics will get better with GB. The odds are better GB than the sleeve - but again - everyone is different. Talk to your Dr. Best of luck on your journey!
 
My main reason for choosing gastric bypass was because I was diabetic. My grandpa was insulin dependent and I saw how bad it could get. When I was diagnosed my a1c was 9.5 and then I started metformin, 500mg 3x a day, watched my diet some, and then for years it was between 5.5 and 7. Since surgery in July....they took me off metformin in the hospital and my sugars shit up to the low 200's. They gave me insulin which I had never had before, to bring it down. By the time I left the hospital it was in the 125 -150 range and I was told to stay off the metformin and watch the bs (blood sugar). So I did and my bs was down to 102 within a few days and it has stayed low. At my 6 month check-up my a1c was in the 5's. Anyways, that's my diabetes story
 
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Hi Bme -

When you say "milk diet" is this where you pretty much cut out all food and drink milk - raw milk?

I've been an insulin dependent diabetic going on 29 years. I had GB 1/22/2020. Before surgery I was on so much medication to control my blood sugars.

Diabetic Meds Before Surgery:
Metformin ER 2000 mg
Pioglitazone 15 mg
Losartan 50 mg - (I know that a lot of people take this for high blood pressure - I don't have HBP - it's for my kidneys because of all the abuse insulin does to them.)
Humalog 15 units every evening
Toujeo 80 units daily
Bydureon 1 shot everyweek

Since surgery - they have eliminated a lot of those medications.

Diabetic Meds Now:
Metformin 2000 mg - NOT ER
Losartan 50 mg

When I left the hospital I still had access to Toujeo - I used it the first week 30 units. I've not used it since then. I use the Freestyle Libre sensors with the monitor to check my blood sugar 7-8 times a day. My average blood sugars are 132 for the last 3 months.

Now - with all that said - everyone is different. There is no guarantee that insulin dependent diabetics will get better with GB. The odds are better GB than the sleeve - but again - everyone is different. Talk to your Dr. Best of luck on your journey!
Hi the milk diet is pre surgery you drink skim milk for protein for 2 weeks to shrink the liver for easier access to the stomach. I take 1000 mg metformin morning and 1000 at night.110 units of novalog 70/30 mornings and night my hope is to get completely off insulin, cholesterol, blood pressure, prilosec meds.i started the diet 2-25-20 My Dr cut my insulin to 50 units and no metformin I haven't experienced normal blood sugar readings 5 days in ?
Thank you for responding
Ron
 
Hi the milk diet is pre surgery you drink skim milk for protein for 2 weeks to shrink the liver for easier access to the stomach. I take 1000 mg metformin morning and 1000 at night.110 units of novalog 70/30 mornings and night my hope is to get completely off insulin, cholesterol, blood pressure, prilosec meds.i started the diet 2-25-20 My Dr cut my insulin to 50 units and no metformin I haven't experienced normal blood sugar readings 5 days in ?
Thank you for responding
Ron
What surgery are you having? The gastric bypass seems to help diabetes more effectively than VSG. VSG didn't help my blood sugar at all. I'm struggling with that.
 
never heard of the milk diet & it doesn't sound like a good thing to me. your preop should be getting you ready for real-world eating and should include, as much as possible, a variety of high-protein foods.

maybe someone here has experienced it & can address that. but your milk diet could be the reason for high sugar readings;

 
again, this is a really weird diet and as a diabetic, you shouldn't be on it, according to this;

Diet Option 1

Each day you will need to have:
  • 3 pints (approximately 1800mls or 9 glasses) of skimmed milk (Red Top bottle of milk usually – please check label)
  • Sugar free jelly made with water or you could include some of the required 3 pints of skimmed milk a day.
  • Unlimited water, tea, coffee, no added sugar, squashes (milk for tea and coffee as part of the required 3 pints of skimmed milk a day).
Ensure you take one Forceval tablet a day (A – Z complete vitamin and mineral supplement) as this will make sure you get all the vitamins and minerals required before your operation because this is a very restrictive short term diet. (Approximately provides 600kcal, 60grams of protein, and 90 grams of carbohydrate)

Diet Option 2 (is an alternative liver shrinkage diet, you may be advised to follow this diet)

Each day you will need to have:
  • 2 pints (approximately 1200mls or 6 glasses) of skimmed milk (Red Top bottle of milk usually – please check label)
  • Sugar free jelly made with water or you could include some of the required 2 pints of skimmed milk a day
  • Unlimited water, tea, coffee, no added sugar squashes (milk for tea and coffee as part of the required 2 pints of skimmed milk a day)
  • One Meal – options include
    • 75 grams of grilled or oven baked skinless chicken and green leafy vegetables or salad (this includes lettuce, onion, tomato, peppers, cucumber and should not include potato)
    • Or 120 grams of grilled or oven baked white fish and green leafy vegetables or salad (this includes lettuce, onion, tomato, peppers, cucumber and should not include potato)
    • If using a dressing ensure a low fat option (small drizzle)

Ensure you take one Forceval tablet a day (A-Z complete vitamin and mineral supplement) as this will make sure you get all vitamins and minerals required before your operation because this is a very restrictive short term diet.

(Approximately provides 600kcal, 60 grams of protein, and 60 grams of carbohydrate)

Special note for patients with diabetes
If you have diabetes and are treated with medication, you will need to adjust your insulin or medication whilst following this diet. Please contact your Diabetes Specialist Nurse/Practice Nurse/GP before starting the diet. If you have questions or concerns, please ask at clinic appointments.
 
My main reason for choosing gastric bypass was because I was diabetic. My grandpa was insulin dependent and I saw how bad it could get. When I was diagnosed my a1c was 9.5 and then I started metformin, 500mg a day, watched my diet some, and then for years it was between 5.5 and 7. Since surgery in July....they took me off metformin in the hospital and my sugars shit up to the low 200's. They gave me insulin which I had never had before, to bring it down. By the time I left the hospital it was in the 125 -150 range and I was told to stay off the metformin and watch the bs (blood sugar). So I did and my bs was down to 102 within a few days and it has stayed low. At my 6 month check-up my a1c was in the 5's. Anyways, that's my diabetes story
Since starting this journey I've already cut my insulin to less than half and no metformin. At least I'm heading in the right direction. Lol
 
Hi Bme -

When you say "milk diet" is this where you pretty much cut out all food and drink milk - raw milk?

I've been an insulin dependent diabetic going on 29 years. I had GB 1/22/2020. Before surgery I was on so much medication to control my blood sugars.

Diabetic Meds Before Surgery:
Metformin ER 2000 mg
Pioglitazone 15 mg
Losartan 50 mg - (I know that a lot of people take this for high blood pressure - I don't have HBP - it's for my kidneys because of all the abuse insulin does to them.)
Humalog 15 units every evening
Toujeo 80 units daily
Bydureon 1 shot everyweek

Since surgery - they have eliminated a lot of those medications.

Diabetic Meds Now:
Metformin 2000 mg - NOT ER
Losartan 50 mg

When I left the hospital I still had access to Toujeo - I used it the first week 30 units. I've not used it since then. I use the Freestyle Libre sensors with the monitor to check my blood sugar 7-8 times a day. My average blood sugars are 132 for the last 3 months.

Now - with all that said - everyone is different. There is no guarantee that insulin dependent diabetics will get better with GB. The odds are better GB than the sleeve - but again - everyone is different. Talk to your Dr. Best of luck on your journey!
Thanks for the reply the milk diet is skim milk for protein I can also have broth its called the rapid weight loss diet to shrink the liver to make the surgery easier just being on this diet I've cut my insulin down to less then half of what I was taking and no metformin win win lol
 
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