Re: pregnancy and sleeve questions

[Guest guest]

Correct me if I am wrong but patients with VSG aren't at risk for dumping syndrome according to all of my reseach and in talking with VSGers we don't have issues with dumping and this condition is usually associated with patients who have malaborsorptive surgical procedures?

Sharon

From: noheaecs@...Date: Sat, 30 Apr 2011 06:55:42 -0600Subject: pregnancy and sleeve questions

I was sleeved in September 2010, and am also a Maternal-Fetal Medicine specialist (high risk obstetrician).

Do NOT do the standard gestational diabetes testing. Anyone who is at risk of dumping syndrome should not do this. Your physician can screen for GDM by checking your fasting glucose, or by checking a Hemoglobin A1C. You don't mention how much you have lost or what your BMI is, but there's plenty of research showing the risk of GDM is WAY lower after weight loss surgery.

You should be on a good prenatal vitamin, which will contain enough folic acid. I also recommend additional calcium (or calcium/magnesium, which might be even better). I also test my patients routinely for vitamin D deficiency (that's ALL my patients) because I live in northern WI and most of us are vitamin D deficient most of the year), and supplement with vitamin D if the level is less than 40. I'd recommend supplementing with protein if you think you can't otherwise get 80 grams a day.

How many calories you need depends in part on what your current weight is. If you are a normal weight now, you probably really do need about 2000 kcals a day, and you'll have to work to figure out how to get that. If you are not yet at a normal BMI, don't be concerned if you continue to lose some weight. There is more and more evidence that some weight loss in an overweight pregnant woman is NOT damaging to the baby. Your doctor can recommend a couple of additional ultrasounds in the 3rd trimester to make sure the baby is growing normally if she is worried. I usually recommend U/S every 6 weeks in the 3rd trimester if I'm concerned about this. But fetuses are extremely efficient parasites, and will generally get the nutrition they need. Remember, over the centuries women have endured famine and war and starvation and horrible hardships, and we area all around as testimony to how they survived.

If you have any other questions, feel free to contact me privately, and your physician is also welcome to contact me if she'd like.

Danae Steele, M.D.

Green Bay, WI

[Guest guest]

Nope, it can happen because it's happened to me and others here. The

symptoms are exactly the same, and Dr. Aceves' team has noted the

symptoms indicative of are " dumping " syndrome.

>

>

> Correct me if I am wrong but patients with VSG aren't at risk for

dumping syndrome according to all of my reseach and in talking with

VSGers we don't have issues with dumping and this condition is usually

associated with patients who have malaborsorptive surgical procedures?

>

> Sharon

>

>

>

>

> From: noheaecs@...

> Date: Sat, 30 Apr 2011 06:55:42 -0600

> Subject: pregnancy and sleeve questions

>

>

>

>

>

>

>

> I was sleeved in September 2010, and am also a Maternal-Fetal Medicine

specialist (high risk obstetrician).

>

> Do NOT do the standard gestational diabetes testing. Anyone who is at

risk of dumping syndrome should not do this. Your physician can screen

for GDM by checking your fasting glucose, or by checking a Hemoglobin

A1C. You don't mention how much you have lost or what your BMI is, but

there's plenty of research showing the risk of GDM is WAY lower after

weight loss surgery.

>

> You should be on a good prenatal vitamin, which will contain enough

folic acid. I also recommend additional calcium (or calcium/magnesium,

which might be even better). I also test my patients routinely for

vitamin D deficiency (that's ALL my patients) because I live in northern

WI and most of us are vitamin D deficient most of the year), and

supplement with vitamin D if the level is less than 40. I'd recommend

supplementing with protein if you think you can't otherwise get 80 grams

a day.

>

> How many calories you need depends in part on what your current weight

is. If you are a normal weight now, you probably really do need about

2000 kcals a day, and you'll have to work to figure out how to get that.

If you are not yet at a normal BMI, don't be concerned if you continue

to lose some weight. There is more and more evidence that some weight

loss in an overweight pregnant woman is NOT damaging to the baby. Your

doctor can recommend a couple of additional ultrasounds in the 3rd

trimester to make sure the baby is growing normally if she is worried. I

usually recommend U/S every 6 weeks in the 3rd trimester if I'm

concerned about this. But fetuses are extremely efficient parasites, and

will generally get the nutrition they need. Remember, over the centuries

women have endured famine and war and starvation and horrible hardships,

and we area all around as testimony to how they survived.

>

> If you have any other questions, feel free to contact me privately,

and your physician is also welcome to contact me if she'd like.

>

> Danae Steele, M.D.

> Green Bay, WI

>

[Guest guest]

Hi,

Yes you are correct. We do not have issues with dumping.

Suzanne

In a message dated 4/30/2011 3:50:18 P.M. Pacific Daylight Time, shendricks5@... writes:

Correct me if I am wrong but patients with VSG aren't at risk for dumping syndrome according to all of my reseach and in talking with VSGers we don't have issues with dumping and this condition is usually associated with patients who have malaborsorptive surgical procedures? Sharon

From: noheaecs@...Date: Sat, 30 Apr 2011 06:55:42 -0600Subject: pregnancy and sleeve questions

I was sleeved in September 2010, and am also a Maternal-Fetal Medicine specialist (high risk obstetrician).

Do NOT do the standard gestational diabetes testing. Anyone who is at risk of dumping syndrome should not do this. Your physician can screen for GDM by checking your fasting glucose, or by checking a Hemoglobin A1C. You don't mention how much you have lost or what your BMI is, but there's plenty of research showing the risk of GDM is WAY lower after weight loss surgery.

You should be on a good prenatal vitamin, which will contain enough folic acid. I also recommend additional calcium (or calcium/magnesium, which might be even better). I also test my patients routinely for vitamin D deficiency (that's ALL my patients) because I live in northern WI and most of us are vitamin D deficient most of the year), and supplement with vitamin D if the level is less than 40. I'd recommend supplementing with protein if you think you can't otherwise get 80 grams a day.

How many calories you need depends in part on what your current weight is. If you are a normal weight now, you probably really do need about 2000 kcals a day, and you'll have to work to figure out how to get that. If you are not yet at a normal BMI, don't be concerned if you continue to lose some weight. There is more and more evidence that some weight loss in an overweight pregnant woman is NOT damaging to the baby. Your doctor can recommend a couple of additional ultrasounds in the 3rd trimester to make sure the baby is growing normally if she is worried. I usually recommend U/S every 6 weeks in the 3rd trimester if I'm concerned about this. But fetuses are extremely efficient parasites, and will generally get the nutrition they need. Remember, over the centuries women have endured famine and war and starvation and horrible hardships, and we area all around as testimony to how they survived.

If you have any other questions, feel free to contact me privately, and your physician is also welcome to contact me if she'd like.

Danae Steele, M.D.

Green Bay, WI