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I don’t understand why they are insistant on the surgery. He’s lost 400+ pounds with help, why can’t they just keep providing that same help?

MSNBC – Half-ton man recovering from obesity surgery

Good news:  I've managed to get up and walk on the treadmill for 15 minutes every morning, and I've managed it again when I got home from school.

Blood sugar is elevated, probably because my TDD (total daily dose) of insulin is elevated.  I've adjusted my basals and have the glucowatch on.

Sleep is an issue right now, and I'm hoping that getting a new mask will help.  I'm tired all day, hurt all over, and even Bextra isn't helping much, nor is any of the pain pills that I have for tooth pain etc.  (I haven't tried both in the same day).  Then I don't feel like going to bed, and waking up is painful too. 

As a result, food is an issue.  I working on better choices and portion control. 

I'm focusing on not eating in the evening, before I go to bed.   So I don't think reflux is an issue.

Frankly, I'm just miserable about the whole thing, though I am keeping my weight down.  I'm within 5 pounds of the CDE weight, and under 10 pounds of my latest lowest.

I "spent" the evening working on the too tired thing.  Doing a bit of activity now, so I don't hit a time crunch later.  I'm going to spend the next few days focusing on making sure I get enough sleep and on a good schedule.

I'm really frustrated right now.  I'm having trouble doing a couple of very easy things, that help my control my eating.

One of those is getting enough sleep.  If I am tired, I tend to eat to stay awake.  That makes my gastric reflux worse, making it hard to get to sleep and stay asleep.

Yesterday is a good example.  I was tired, but didn't want to go to bed too early, partly because sometimes I then wake up early, and partly because I get tired of feeling like I sleep every evening.

Then I woke up at 3:00 or so, because my pump went off and I was out of insulin.  Now that was something I could easily fix, because I'd already filled the cartridge.  But I trusted that I would have enough insulin.  Wrong!  And then it took me about an hour to go to sleep because I was refluxing.

So then I had trouble waking up, and I've been sleepy all day.  Tonight though, I am going to work hard at not eating anything in the evening so maybe I'll sleep all night.