I'm 67 years old, had my pnacreas, gall bladder, spleen, over 1/2 my stomach, and part of my upper intenstine removed in July 2007. I was placed on a diet of 60 carbs 3 times a day and 30 carbs twice a day, with a goal of 2200 calories a day. With very little stomach and only 60 carbs (e.g., 8 oz of milk, bowl of quaker oats, and a piece of sugar free toast is 60 carbs) at each meal there is no chance of maintaining my weight (178) on hospital release. Additionally, I have to take enzymes (5 before every meal, 3 before the two snacks) 30 minutes before meals and insulin (novolog) before each meal/snack based on a sliding scale of blood glucose and carb totals to be eaten. My problems at weight lose (I now weigh 154 and falling) and very erractic blood glucose. For no apparent reason my glucose level can change as much as 200 to 250 points up or down in an hour. The worse case is when it went from 118 at 7 p.m. to 396 at 9 p.m. to 37 at 6 a.m. While these are the extremes, the least bit of exercise will drive my blood glucose below 70 and I have to take tablets and sugar liquids to keep from getting confused and passing out. I also take Lantus at night for long-term (12 hours) glucose maintenance levels based on the blood glucose reading at bedtime.
If anyone has found a solution to either or both issues please let me know. I am active outdoors, but not to the point of being fanatical.
Thanks
Rick