I read about Symlin, the hormone replacement drug/injection that helps to reduce insulin, kill appetite and help weight loss, on the Tu Diabetes.org website. It seems really complicated to get the right balance with carbs and insulin. Man alive, you should see the calculations and experiments these people seem to go thru to get it working for you. I'm looking into whether or not this is a short term thing, at the start, or somethng that continues.
Geez, this stuff is just way too complicated for me. It's not easy to get your bolus and basal insulin at the right levels, but if you change your routine, or don't have a routine, it can be hell going up and down in BG, weight, mood, etc.
Seems like current factors - difficulty in losing more weight, complexity of the insulin and diet, extreme hatred of boring exercise - are kind of pointing me to gastric bypass. My forms and priority for OHIP-paid surgery has gone MIA between St. Joe's Hospital in Hamilton and the clinic in Montreal that does overflow for them. I need to spend some time this weekend going over my file and kick starting or restarting this thing. My GP and endo are both not too enthused, they prefer the lap banding, but studies show the gp is very effective in arresting t2d.
It's not major surgery at all, not now with the french roux -en-y procedure that is well tested in Europe and US. It works. I have a close colleague who did it and he has lost about 100 lbs. The medical establishment and drug cos don't like it - less drugs, less lap bands, less testing for them.
Anyhow, forge ahead!
Friday, October 30, 2009
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