Oddly enough, it came up somehow today at an agility trial. Weird coincidence, but a lady see at agility trials, and who has the same size dog, actually has had successful gastric bypass surgery. She told me that the biggest things I needed to figure out, is
a) can I live without whatever food gives me down — can I give up eating full meals, sugar, and lots of other things
b) what size do I see myself, and can I “be” thin.
And I think the answer to those two questions right now are no.
It’s not going as well as I would like lately.
However, I feel I’m mostly recovered from the few weeks without exercise. My bolus ratios are still low, but my daily insulin usage has gone done substantially AND my blood sugar levels have stabilized again.
The good news, is that I lost the weight I had temporaily gained and now I am not gaining.
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From my Treo
I have been thinking about surgery since if I am going to do it, I need to do it this year.
Lots of reasons not to though — first, I can always wait a year, and it wouldn’t be that big of a thing.
I am afraid I would be trading one set of medical problems for another.
There is a huge possiblity insurance won’t cover it, and I’m definately a believer that you don’t rely on insurance 100%. In fact, I just talked to someone who has had the surgery, happy with it, but has already paid for over half, and I wouldn’t be surprise if she doesn’t end up paying for all of it.
FYI: If you don’t count on insurance covering things you won’t be rudely suprised. Been there, done that.
I am still afraid that going with WLS means trading one set of health problems for another. In fact, I only have one health condition that will probably be solved by weight loss surgery, and I consider it the least of the problems (GERD).
I also consider that waiting a year means that I’ll have a stronger case, I definately am getting good documentation on weight loss via the CDE.
So I really think I’ll not be doing surgery. It really only comes up with me when I realize that it’s six months until June AND I’m depressed about weight loss, or lack there of.
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From my Treo
Achieving Glycemic Control in Type 2 Diabetes
This paper will review currently available oral therapies, with a focus on the unique attributes of the insulin sensitizers for patients with type 2 diabetes.
I’d heard this on a diabetes awareness piece but had posted anything about it here yet, because I didn’t have time to confirm it.
BUT, according to this article and the news item I watched, oral agents only reduce A1C by 1.5 – 2.0 % —
I suppose most people start out with diabetes more gradually than I did. Before my glucose tolerance test, my fasting blood sugar was never over 200, and I think (but don’t remember), it was between 150-200.
My blood sugar was elevated to over 500 at the end of a glucose tolenance test, and never went below 400 until I went on insulin, no matter what I ate or did.
And it took weeks on insulin to get it down to something reasonable.
I still haven’t “recovered” from that excusion, my blood sugar hits over 300 if I forget to bolus, and it climbs to 200 if I get disconnected from the pump for several hours (like gets pulled off at night).
I don’t think oral meds would have solved the problem even if we had played with combinations. And man, I didn’t enjoy the side effects.
I’ll pass on the inhaled insulin…. I’ve never done well if inhaled medications.
Went to the primary care physician today. Couple of reasons — my prescriptions are starting to expire and I wanted to make sure we were both on the same page.
Also wanted to talk to him about getting a different sleep doctor. I want someone a bit more aggressive and less reluctant to make sure I have the right equipment. I also want to make the switch when things are going well, I’ve had a chance to meet the new doctor before there is a real need or at least a crisis. I also want to avoid either someone who is really into drugs to solve the problem or surgery. In other words, someone who is a bit middle of the road.
He doesn’t have any experience with sleep doctors, so is going to ask his referral person. I’m also going to run it by the endo and CDE before I make any appointments.
The new mask is working very well, I’m sleeping all night, not waking up, and was able to get up for 7:00 am departure for agility trials this weekend AND workout before going!
Food is much better too.
Called Medco and asked them about the birth control. I think I’m going to stay with Depo for a while, and go with the generic. It’s very inexpensive, but I am also going to talk to the doctor’s office about the last charge. I don’t think I should be paying an office visit for a shot.