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gastric bypass

mortigger1968

Well-Known Member
Messages
102
Location
Cheshire
Type of diabetes
Type 2
Treatment type
Insulin
Went to my diabetic doctor on friday, i used to be 23 stone and now i am 15…1 and he said to me i want to offer you a gastric bypass i was shocked and uoset.
Also the diabetic nurse gave a diet were i have been told to have 7 rounds of carbs and fruit and veg and 2 of protein and fats,i asked why so many carbs she said we need thembalso my last hba1c was 6.3 he said he doant buy that because of my numbers on my monitor, he also wants.me.to go on insulin
 
You've done an excellent job with the weight loss!

Not sure what's going on with some Dr's at the moment, but this is the third time in less than a month that I've heard the same thing. The other two people I heard it from were diabetic relatives, one of whom gave the Dr hell when the suggestion was made. Makes you wonder whether they have a new set of boxes to tick!

It sounds like you are doing a great job without the intervention of a gastric bypass, and not that I'm advocating not listening to your team... but I think you are wise and sensible enough to know what's best for you at this time where diet is concerned.

Is there any way that you can get a second opinion, or speak to another Dr?
 
if you managed to get down from 23 stone to 15 I can't see why on earth they want you to have a gastric bypass. You have shown that you were able to loose a lot of weight. well done. a gastric bypass is very invasive and as it ius surgery risky. there are simpler ways to shock the body into diabetes reversal for example the newcastle diet.why doesn't the doctor believe your hba1c results? what are your BG readings? if much higher, is the meter faulty?
if you really do still need to loose weight and are unable to do this you could use a new method.

instead of gastric bypass they can now fill your stomach with balloons by swallowing them before they inflate them. far less risky.
 
Hmm. I'm afraid (as an amateur!) I'm going to disagree with the advice you have been given. It's great that you have already reduced your weight but it sounds like you have a bit to go yet depending on your height and BMI etc. To reduce your weight you need to seriously control your carb intake; perhaps to less than 150gm/day. The body can cope quite well with no carbs as it can derive what it needs from fats and protein. Nevertheless most of us do have some carbs and I aim for 150gm/day max even though I'm not overweight. Your HBa1C if correct is fine, so it sounds like your blood sugar and diabetes aren't too bad, but you have some remaining weight to remove. It's your choice ref gastric bypass but if it was me I would try to further reduce weight first as you appear to have been successful so far in doing that. Why would you need to go onto insulin with an HBa1C of 6.3%; that would go against NICE guidelines and doesn't appear to make sense. I think you need to ask the doc why he is suggesting insulin if you have a good HBa1C. If he doesn't trust the result he should do another test to check.
 
Hi i agree and i am confused why i have been put on insulin? Can i go to my doctors and insist i.dont want to go on it and wud rather go on gliclazide,because i have high fasting morning levels,i dont fee im getting anywere at all,i think im going to aak for refferal to a new specilist who can give me a second opinion
 
Forgot to add i asked the specilist for gliclazide he said not appropriate, do u ave a article about the guidlines for having insulin with a hba1c of 45 think that 6.3 or something
 
I would ask for a second opinion.
 
Yes lenny i think.i will be asked to go.to a.diffrent hospital,im supposed to get insulin in 2 weeks i prob wont get a refferal for for 6months so shud i take it while i get a refferal
 
Hi mortigger. What readings do you get? I agree with the others. You should get a 2nd opinion.

Sent from the Diabetes Forum App
 
Hi. You can access the NICE Diabetes Pathway doc on the web; just Google it. I think you will find insulin is only recommended when you have an HBa1C above 7.5% and have been on 2 or 3 level tablets (as I was). Most T2s when overweight have some insulin resistance as well as raised blood sugar if in any way diabetic. The best starter drug when overweight is Metformin not Gliclazide; has this been suggested for you? Gliclazide stimulates the islet cells to produce more insulin. If you have insulin resistance you will already have too much which is why having insulin may help a bit but you may need large injection shots and find getting a balance not so easy. So, it is important to know your correct HBa1C and go from there. In my non-expert opinion losing more weight is the most valuable way forward for you.
 
l dont think anyone can force insulin on you so if you want to stay on present meds l am sure you can insist until your referral comes through and kick up a stink dont let them do 6 months insist your health is at risk. lf you sit back they will walk all over you.
 
Thanks everyone think i do have insulin resistznce because i have polycystic ovaries,ivwas on insulin 60 units 3 times a day but got weight down so previous diabetic dr who i nkw dont see told me tobtaper off it because hba1c was dropping.,i was going.to ask my.doctor if i cud try gliclazide first
 
Hi, yes as I posted earlier Glicazide is not the best treatment for insulin resistance; Metformin is the drug of choice for that.
 
Hi. Insulin doesn't really help with insulin resistance. Insulin resistance is due to fat being deposited around the body and you have to force the body to burn it away. This is really what a very low-carb diet does i.e. it forces the body to derive energy by burning fat and is called ketosis. I know nothing about POCS so may be this is relevant and I have no idea what the effect might be as an amateur. Metformin does help reduce insulin resistance a bit as well as blood sugar but not in a major way. There are injectables other than insulin to help with blood sugar reduction and weight loss. These include Victoza, Bydureon and Byetta. Perhaps you can discuss these as a possibility but again I have no knowledge of the effect of POCS with these. So, keep up the low-carb diet and discuss other medication options with the GP
 
Hi daibell, i have discussed victoza,byetta,etc and im frightened of the side effects of thoae like pancreatitis and pacreatic cancer
 
I have PCOS and I am also Type 2 on Insulin, Metformin + Forxiga. I have to agree with the peeps above - you have done really well on your own losing the weight and your hba1c of 6.3 is excellent. I am unsure why the Dr wants you to go back on insulin - it doesn't make sense to me.

You don't say how much Metformin you are taking? Are you doing daily tests - what are your numbers?

I don't really do low carb - but I have tried to cut down and this has helped.

I would definitely try and get a second opinion before going back on the insulin.
 
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