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November 8th, 2009
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There are two very important people in my life who are considering weight loss surgery. I won't lie: I've thought about it, too.

 

I'm not really that excited, though, about the type of lifestyle you have to lead after bariatric surgery. Seems to me there's a lot of liquid involved and the recovery is long and slow. How would that affect my family? My family life? What about my job?

 

I've thought about a lap band, too. That seemed to be much less invasive and more my style. From what I understand, a lap band makes your stomach smaller and doesn't change the way your food is digested.

 

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The following are actual headlines published recently:

 

DID STEROIDS CAUSE DIABETES? – Philly.com

 

You heard the man, Charlie! Did it? Put down the 50-pound dumb bells and answer the question!

 

CARBON MONOXIDE MAY HELP WITH DIABETES – St. Louis Post

 

There's just one small problem.

 

SUN CUTS RISK OF DIABETES AND HEART DISEASE – Coventry Telegraph

 

You want to end up like your brother? No? Then get back outside and don't let me see you back in here until your back is the color of the stop sign.

 

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I'm over seventy-two hours post-op on my wisdom teeth removal. And I'm doing okay. The surgery went well with no ups or downs in blood sugars or the actual removal. Ever since, I've just been recovering as best I can.

 

Immediately after the surgery, my blood sugars did okay. The anesthesia and the stress haven’t seemed to have any kind of effect on them. However, the diet that I'm keeping is throwing me into a minor tailspin.

 

Some soft foods (like shakes) send me sky high so I go scrambling to get them down. And some soft foods (like soup and fruit) leave me low after a few hours. And since I'm not eating as many carbs in general (eating is more annoying than it's worth), my blood sugars are staying in a moderate zone.

 

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I went to bed early enough to get eight hours of sleep the night before surgery. Before I fell asleep, my blood sugar was 168. I lowered by bolus by about 20%. I set an alarm for 3:45 am (9 hours pre-op) and an alarm for eight (to call the doctor's office). Not too long after, I was fast asleep (thankfully!)

 

At 3:45am, my blood sugar was 185. I ate 45 grams of carbs and bolused for both the correction and food. I decreased the bolus by 15%. I set my basals to decrease by 30% at 8am, since that would put me at 5 hours pre-op and awake (and nervous!).

 

When I woke up at 8am though, my blood sugar was 233. I bolused, lowering it by 40%. I called the doctor's office to confirm my pre-op instructions and ask about my basal rates before I came in for surgery. The nurse told me that the oral surgeon wanted me to keep my basal rates at a normal level. If my blood sugar dropped, I was only to treat with Sprite.

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As a person with diabetes, I find myself constantly informing others.
As a person with diabetes, who also has a 90-year-old grandmother with type 2 diabetes, I find that I am a springboard for "real world" information for my mom and aunts who have to sift through what Bami's doctors tell them, what they hear on the news and what they read. It wasn't long after the oral diabetes drug Avandia made headlines in regard to worsening heart conditions that I got calls and emails from Mom and my two aunts. Bami has a history of heart trouble (runs in the family) and had a severe heart attack roughly 20 years ago. They wanted to know if she should stay on the drug. (READ MORE)


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One thing about diabetes that can be particularly frustrating is not knowing how our body will react to stress. I've had just as many highs from stress as I have had unexpected lows.

 

Strangely, I think I more often go lowish from certain kinds of stress. Namely medical stress. Just over a year ago, for example, I had to have an MRI on my hip with contrasting dye and it was really an experience I was not prepared for. Sitting in the waiting area before the procedure I was high. During the part where the doctor injected the dye into my hip, I felt myself going low and thought I was going to pass out.

 

And then there was the minor hand surgery I had two and a half years ago where my sugar stayed low all morning until my mid-day surgery.

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One thing that has always bothered me about diabetes is how our bodies react to different things. Our ability to physically heal is always slow. We also seem to be more prone to catching diseases and other ailments than most other people. Anytime we have a cut, sprain, break, or tear it seems like an eternity before our bodies fully recover. Anytime its flu season we hear about the need for people with diabetes to get their shot. Whenever dental hygiene is discussed we are reminded that it is even more important for us to take special care of our teeth and gums. Even things like staying too long in a hot tub, steam room, or sauna. WHAT'S THE DEAL WITH ALL THIS? (READ MORE)


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One of our readers, Teresa, has some questions for the Blogabetes readers about diabetic retinopathy. Has anyone had retinopathy surgery and can share their experiences with Teresa?
"I have a question that I was unable to find an answer for, and couldn't figure out how to post a new blog. I have type 1 diabetes and have had it for over 30 years. I have retinopathy and have had many surgeries. I now have cataracts as a secondary problem of the surgeries and my doc wants to remove them, I have done some fairly extensive research on the two (retinopathy and cataracts) and have found that most articles agree that cataract surgery speeds up the process of retinopathy. Has anyone here had this surgery as a person also with retinopathy?
Does anyone know more about the complications?
- Teresa" (READ MORE)


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There's a lot on my mind lately. Some good, some bad, some neutral. Mostly, it's confusion and decisions. And mostly, it has to do with my health...of course.

 

I started a new prescription called Spironolactone (or Aldactone) on September 1 to help with the side effects of my PCOS. It's supposed to take about three months to truly see results, but I feel like I'm already seeing some effects. My skin, although still breaking out, is not nearly as bad as it was a few weeks ago. Granted, I'm using tea tree oil and Mederma religiously. So I can't really say if the "Spiro" is helping for sure, but it obviously isn't hurting in that area.

 

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Cure. Disappear. Diabetes.
The one nightly newscast that I trust and enjoy the most threw those words out there tonight. Carelessly.
I am absolutely fuming, and I can't ever remember feeling like this over a news story.
Granted, Brian Williams on his newscast initially said "type 2 diabetes", but then the lines got blurred and type 2 diabetes became just "diabetes." The Associated Press story on the MSNBC web site, does not make a distinction; it buried a mention of type 2 (not even a whisper of type 1) toward the end of the story. This makes me even more mad.
I'm speaking as a person who masqueraded as type 2 for three years, too.
The story summarizes an Australian study that reveals that gastric bypass or lap-band surgery can "cure" diabetes. Brian Williams says type 2, the AP story just says diabetes. (READ MORE)


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Michelle Kowalski
Michelle KowalskiMichelle Kowalski, a writer, editor and photography hobbiest living in Phoenix, was diagnosed with Type 2 diabetes in February 2005. In January 2008, as part of her quest to start on an insulin pump, Michelle learned that she actually has type 1 diabetes. (Read More)
Carey Potash
Carey PotashCarey is a full-time hater of diabetes. The benefits stink. His 7-year-old son, Charlie, has been giving he and his wife the finger since November of 2003. Carey's parenting humor has appeared in various websites and print magazines. He resides in the suburbs of Philadelphia with his wife and three children. (Read More)
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