BOPDHB Patient Resources Laparoscopic Gastric Sleeve Procedure | Page 48

Things to be aware of while on Optifast Diabetics on oral medication If you are a diabetic on oral medication, you will need to monitor you blood glucose levels more closely, especially in the first few days, as your sugar levels will fall. You may need to reduce your medication while you are on the Optifast programme. Diabetics on insulin If you use insulin to control you diabetes, you will need to reduce your insulin dosage while you are on Optifast. You will already have been referred to a Diabetes Nurse Specialist, and they will be able to guide you, helping to monitor your sugar levels and insulin doses. You should be aware of the signs of hypoglycaemia (low blood glucose levels), and know what to do if this happens. Gall stones Gallstones can form when there is rapid weight loss, and if there is no fat in your diet. Adding 1 teaspoon (5ml) of vegetable oil to your daily serve of vegetables may stimulate the gall bladder to empty, and help prevent gallstones from forming. Gout Rapid weight loss can sometimes lead to high uric acid in the blood, which may bring on an acute attack of gout. If you have previously suffered from gout, make sure you drink at least 2 litres of fluid every day, to help avoid a gout attack. 44