Roux-en-Y and type 1 diabetes

[Guest guest]

Hi all... I know this is odd ... but. (also, sorry for the cross-posting)

we have a 36 year old male - BMI 40 - with type 1 diabetes - is on an insulin

pump and is increasingly insulin resistant. Has co-mobidities of mobility, high

blood pressure, lack of energy.... and is seeking approval for the Roux-en-Y

procedure.

My question: has anyone else had a Roux-en-Y patient with type 1 diabetes - and

if so, what tips would you have to offer?... If approved, I will work with him

during the four day hospital period to determine the dosing with the pump -- my

guess will be very low basal... Additionally - the monitoring of ketones would

also be key during this time frame.

It is very odd to have an obese type one - but the patient states at his

diagnosis at the age of 25, the physician stated he was type 1 and has been on

insulin since. thanks for any ideas/sharing.

PS. I will post all responses.

Joan Bahr RD CDE

Southwest Health Center

Platteville:608-342-4766

Cuba City: 608-744-3966

Privacy Notice: The information contained in this message and any attachment is

intended only for the use of the individual or entity to which it is addressed,

and may contain information that is privileged, confidential and exempt from

disclosure under applicable law. If you have received this message in error, you

are prohibited from copying, distributing, or using the information. Please

contact the sender immediately by return e-mail and delete the original message.

[Guest guest]

I too was diagnosed at age 25 with Type one, put on insulin and I have been

on a pump myself but I was not Type 1 and although I do use insulin now I do

not use it all the time. I still see pts all the time that docs admit under

the diagosis of DKA but they aren't...no ketones. The pt could have

antibody testing but that is expensive. I'd do some more checking.

Beverly Millison MS RD/LD CDE

Clinical Coordinator, MNT

Medical Center of ville

972-219-5113 - office

972-420-1891 - fax

Beverly.Millison@...

Roux-en-Y and type 1 diabetes

Hi all... I know this is odd ... but. (also, sorry for the cross-posting)

we have a 36 year old male - BMI 40 - with type 1 diabetes - is on an

insulin pump and is increasingly insulin resistant. Has co-mobidities of

mobility, high blood pressure, lack of energy.... and is seeking approval

for the Roux-en-Y procedure.

My question: has anyone else had a Roux-en-Y patient with type 1 diabetes -

and if so, what tips would you have to offer?... If approved, I will work

with him during the four day hospital period to determine the dosing with

the pump -- my guess will be very low basal... Additionally - the monitoring

of ketones would also be key during this time frame.

It is very odd to have an obese type one - but the patient states at his

diagnosis at the age of 25, the physician stated he was type 1 and has been

on insulin since. thanks for any ideas/sharing.

PS. I will post all responses.

Joan Bahr RD CDE

Southwest Health Center

Platteville:608-342-4766

Cuba City: 608-744-3966

Privacy Notice: The information contained in this message and any attachment

is intended only for the use of the individual or entity to which it is

addressed, and may contain information that is privileged, confidential and

exempt from disclosure under applicable law. If you have received this

message in error, you are prohibited from copying, distributing, or using

the information. Please contact the sender immediately by return e-mail and

delete the original message.