[jeanjeannie]

hi all,

i am now 6wks post surgery and am loving my bypass, the weight is coming off two and a half stones so far, but i have two quesstions for those more experienced firstly at the begining my insulin was halved and then didnt need any but now on proper food and my levels are going up again not eating anything remotely naughty fresh prawns poached egg etc and secondly my hips are killing me after a short walk they ache and i feel like an old woman hobbling around is this normal????

[amina6ae]

Not Sure What Is Going On With That!!!!!!!!!!
Sounds A Bit Weird...
Maybe Doc Will Be Around Shortly To Answer Your ?????

Lol,

[DocSanae]

1) Insulin: there is no guarantee that you will be able to come off this completely, or any other diabetic medication for the matter, as diabetes is not caused just by obesity. The data for RNY is around 80% complete resolution of diabetes, but that also means that 20% will still need treatment for diabetes. The difference is, the level of medication these patients need will go down dramatically with the weight loss.
Also, if you experience dumping frequently, then the raised blood sugar level may be the sugar spike that comes after hypoglycemic dumping. Check your blood sugar levels at fasting, an hour and two hours after eating, and before going to sleep. Keep a food diary along with this. Show the numbers and your food diary to your endocrinologist, or whomever dr is looking after your diabetes. The record will give your dr hints on what's behind the rise, and what to do to resolve it.

2) Hip/joint pain: As a rule, the pain eases with weight loss, but while you are losing, especially in the early stages, it seems many post ops will actually experience an increase in pain. This may be due to several reasons, but one of them is that the excessive fat helped *bolster* your joints in holding up the weight. With weight loss, this fatty *cushion* is gone, but you still have not developed the muscles necessary to support the particular joint. Another point to consider is that the earlier out you are, you will have difficulty in getting in the required nutrients during the weight loss. This may affect your pain level as well. As your weight loss journey continues, and you lose more weight, the pain should get much better. In the meanwhile, consult your dr and have it checked, and dealt with.

[jeanjeannie]

thanks doc thats put my mind at rest a little, i dont dump at all but my eating is very good try to get mostly protien in first , morning levels are good it tends to spike at night still nowhere near as bad as it was just expectations you know what i mean!!
i have been swimming so that should help with the hips but will get them checked out i think im expecting too much too soon thanks for the help x

[Ladyhawk]

I was an insulin dependant diabetic for 15 years prior to surgery. It is still early from your surgery to be off the insulin completely. I had a period of time about 2 months out when my levels would spike at night. I had "dawn syndrome" prior to the WLS. By the time I was 4 months out from surgery, the spiking stopped. Can't explain the medical reasons for it... just the way my body worked it out. I was completely off insuling around 4 - 5 months after surgery. I think our bodys just need time to adjust to the changes...