Can we get diabetes after DS?

[biggeekgirl]

Hi All -

This question entered my head recently because my last two blood draws (not for vitamin levels, but because I've had odd pain in the abdomen - these draws were done by the ER and OB/GYN) had "high" levels of glucose.

Let me stop here by saying - yes, these weren't fasting value (although one was close to 4 hours after I ate and the other 2 hours after eating a very very low carb meal.)

I was NOT diabetic prior to the DS (7 years ago) and while pregnant monitored my blood sugar which ran LOW.

I keep meaning to ask my surgeon but had other concerns on my mind when I spoke with him last. (mainly that pain I mentioned above.)

Thoughts?

Cindy

[Deleted]

Non-fasting = non-fasting. Doesn't mean anything if the reference range was fasting.

My husband has to go 12 hours to get a proper non-fasted BS reading; 10 hrs isn't enough and has resulted in scares.

[smokinstella]

it would also depend on what you ate as well in the 4 hours prior. pasta likes to make spikes hours later. >.<

[joanlaptods]

Pain can cause increased cortisol which can cause insulin resistance that is a temporary increase in glucose secondary to stress (cortisol). Sort the pain out first then get a fasting glucose after.

[biggeekgirl]

Thanks - that's what I figured. My meals prior to draws were LOW LOW carb (chicken breast - no skin / no breading) as I knew I had appointments and didn't want any problems if they started poking my stomach (you know what I mean!).

But I had eaten...

The nutritionalist said what Diana said.... fasting means fasting and there are other guidelines for non-fasting levels, but she didn't know what they were.

I was merely curious as I have (bad me) started eating more carbs than I had and often times they are pure junk carbs...

Thanks again!

Cindy

[Deleted]

Let me say this...yes, it is possible but only if you were wrongly diagnosed as type 2 and were actually a type 1.5.

Most doctors still assume if you aren't under the age of 20, you can not be a type 1...WRONG. It's just known by a different name, LADA or type 1.5 forecast.diabetes.org/magazine/features/other-diabetes-lada-or-type-15

diabetes.niddk.nih.gov/dm/pubs/diagnosis/

Other Types of Diabetes

A number of other types of diabetes exist. A person may exhibit characteristics of more than one type. For example, in latent autoimmune diabetes in adults (LADA), also called type 1.5 diabetes or double diabetes, people show signs of both type 1 and type 2 diabetes. Diagnosis usually occurs after age 30.

Most people with LADA still produce their own insulin when first diagnosed, like those with type 2 diabetes, but within a few years, they must take insulin to control blood glucose levels. In LADA, as in type 1 diabetes, the beta cells of the pancreas stop making insulin because the body's immune system attacks and destroys them. Some experts believe that LADA is a slowly developing kind of type 1 diabetes.

Other types of diabetes include those caused by

genetic defects of the beta cell, such as maturity-onset diabetes of the young (MODY) and neonatal diabetes mellitus
genetic defects in insulin action, resulting in the body's inability to control blood glucose levels, as seen in leprechaunism and the Rabson-Mendenhall syndrome
diseases of the pancreas or conditions that damage the pancreas, such as pancreatitis and cystic fibrosis
excess amounts of certain hormones resulting from some medical conditions-such as cortisol in Cushing's syndrome-that work against the action of insulin
medications that reduce insulin action, such as glucocorticoids, or chemicals that destroy beta cells
infections, such as congenital rubella and cytomegalovirus
rare autoimmune disorders, such as stiff-man syndrome, an autoimmune disease of the central nervous system
genetic syndromes associated with diabetes, such as Down syndrome and Prader-Willi syndrome

One of my listmates on a diabetes yahoo group had a DS about 5 years ago and just this year, her diabetes came back...she was anti-body tested and discovered she was actually a type 1.5 not a true type 2. So all her DS did was delay the need for insulin longer. And since this individual was a patient of Dr. Marchessini I am fairly positive she had a true DS.

Liz

[biggeekgirl]

Wow, Liz. That is great info! I never knew there were other types of diabetes (guess I never worried about it until recently!)

I will heal up from my recent gall bladder removal and keep an eye on my fasting levels and how I feel, etc. I do have a blood meter from when I was pregnant.

Thank you!

Cindy

[sandyv63]

Excellent information, Liz. I exalt thee!!

[jillybean720]

Yes, it's POSSIBLE. It's probably not likely and certainly not common, but it's not impossible. As noted previously, it could be type 1.5, not necessarily straight up type 2. It could actually even be type 1 - it's been known to appear in adults (again, not likely or common, but it has happened).

Non-fasting levels are still important - in fact, it's the post-meal levels that are usually an earlier indicator of a problem than waiting until your fasting levels are high. That said, yes, the range for what is a "good" post-meal level is different from fasting. Most resources say that a normal, healthy adult should be below 120 by 2 hours after a meal (some sources say 140).

Also, as mentioned, get the pain figured out before you worry about it too much. Illnesses, infections, traumas, etc., and even stress can all have an impact on glucose levels.

[sherbearmama]

Jan 4, 2012 16:32:42 GMT -5 @southernlady said:

Let me say this...yes, it is possible but only if you were wrongly diagnosed as type 2 and were actually a type 1.5.

Most doctors still assume if you aren't under the age of 20, you can not be a type 1...WRONG. It's just known by a different name, LADA or type 1.5 forecast.diabetes.org/magazine/features/other-diabetes-lada-or-type-15

diabetes.niddk.nih.gov/dm/pubs/diagnosis/

Other Types of Diabetes



A number of other types of diabetes exist. A person may exhibit characteristics of more than one type. For example, in latent autoimmune diabetes in adults (LADA), also called type 1.5 diabetes or double diabetes, people show signs of both type 1 and type 2 diabetes. Diagnosis usually occurs after age 30.

Most people with LADA still produce their own insulin when first diagnosed, like those with type 2 diabetes, but within a few years, they must take insulin to control blood glucose levels. In LADA, as in type 1 diabetes, the beta cells of the pancreas stop making insulin because the body's immune system attacks and destroys them. Some experts believe that LADA is a slowly developing kind of type 1 diabetes.

Other types of diabetes include those caused by

genetic defects of the beta cell, such as maturity-onset diabetes of the young (MODY) and neonatal diabetes mellitus
genetic defects in insulin action, resulting in the body's inability to control blood glucose levels, as seen in leprechaunism and the Rabson-Mendenhall syndrome
diseases of the pancreas or conditions that damage the pancreas, such as pancreatitis and cystic fibrosis
excess amounts of certain hormones resulting from some medical conditions-such as cortisol in Cushing's syndrome-that work against the action of insulin
medications that reduce insulin action, such as glucocorticoids, or chemicals that destroy beta cells
infections, such as congenital rubella and cytomegalovirus
rare autoimmune disorders, such as stiff-man syndrome, an autoimmune disease of the central nervous system
genetic syndromes associated with diabetes, such as Down syndrome and Prader-Willi syndrome

One of my listmates on a diabetes yahoo group had a DS about 5 years ago and just this year, her diabetes came back...she was anti-body tested and discovered she was actually a type 1.5 not a true type 2. So all her DS did was delay the need for insulin longer. And since this individual was a patient of Dr. Marchessini I am fairly positive she had a true DS.

Liz

Liz this really has me thinking. My brother is a LADA--got diagnosed about 2 years after being diagnosed as a type II. I got diagnosed as having insulin resistant PCOS and then got gestational diabetes (REALLY BADLY) and it never went away. Now that I'm post op, I find that my levels in the morning are still at diabetic range. I hope that as I am further out from surgery (I'm only 4 weeks right not) I'll go down to a normal level. But I will definitely think about the LADA possibility as i travel down this journey.

Sheri

[bearmom]

I would have a sleeve, if DS weren't available, but the diabetes thing, for me, would weigh so heavily. Diabetes just adds so much BS to life, that only gets worse through the years.

I had metabolism issues, but I think women are much more likely for that to be the case, so as a guy, if he just eats too much, and needs volume control, but can't have PCOS, and hopefully no additional metabolic stuff, I don't think the sleeve is unreasonable.

The band, never.

[shann_ds]

Sheri, it took several months for my levels to come all the way down to normal. They remained elevated although not as high as they were preop. Hopefully yours will resolve as well.

Liz, I didn't know that! I exalt you too!

[sherbearmama]

Jan 5, 2012 0:01:04 GMT -5 shann_ds said:

Sheri, it took several months for my levels to come all the way down to normal. They remained elevated although not as high as they were preop. Hopefully yours will resolve as well.

Liz, I didn't know that! I exalt you too!

I soooo hope I'm you. I've never actually had it 100% under control even when medicated. My fasting levels are always higher. But perhaps in a few weeks or months, it'll go into remission. I really hope so--almost everyone in my family has Diabetes and my brother is type 1.5 so it's such a concern for me. My brother was first diagnosed with type 2--though he was skinny as could be but his symptoms followed the typical type 2. But within a year or two he was unable to control the diabetes with diet and oral meds. His pancreas just wasn't working and he ended up on insulin shots and now a pump. It's one of my biggest fears that I'll end up like him. I'll have more faith in my DS for now. ;D

[RedSkittles]

Of course. But I would see about adding A1c to your next labs before having a freak out.