Which surgery would be best for my diabetes?

I have been part of the DS world, VERY actively involved, for over 7 years, and I don't believe I've EVER heard a DSer say they wish they had had a different surgery.  I've met hundreds of DSers.  I call bull****

And the statistics demonstrate that the cure rate for type 2 diabetes with the DS is not only superior in the beginning, but there is a MUCH higher risk of type 2 diabetes returning with the RNY over time, especially when the RNY fails -- which happens many times more often than it does for DS patients.

ok, so what is it abt ds vs. rny? I am having a hard time decided on what to do.  I am on the brink of having a band and now having second thoughts because i dont think it will work for me.  seems like a glorified diet.  And my main concern is the diabetes and bp, I want it gone.  so what is your experience??

Personal experiences are almost irrelevant - nothing works 100% of the time, and some will have better results than normal. Please see my profile for actual research.

Best thing you should do is to consult a doctor. They will decide what's best bariatric surgery for you. Good luck!

No! Do not let some doctor decide what is best for YOU for the rest of your life! Do your own independent research and choose the procedure that best suits you, your comorbidities, your lifestyle, etc. Most doctors don't even know about all the different types of WLS procedures available.

I have been reading and reading going back and forth between RNY & DS. I find that there r more Drs that do RNY over DS, thats the areas that I checked VA & NC, I have a friend that drove 5hrs from va to NC to have DS. I feel so, so comfortable with my surgeon, but he doesnt do DS. WOW, decisions, decisions. right now I'm leaning with RNY.hmmm wondering though if he did do DS would I do DS smh I dont know

Which NC surgeon does DS?  I'm just being lazy, but I'm new to the area.  I have been wanting the sleeve and I still do, but am positive that I will have a big fight on my hands to get BC/BS to approve it.  Considering that fighting the insurance company could give me a stroke - is it worth it?  I was going to use money from selling my house for the surgery and go to Mexico - but the darned thing won't sell!  I feel so stuck.  And diabetes is my real reason for doing surgery.  I went to a seminar tonight and the doctor said that RNY does a better job resolving diabetes than the sleeve, but the research I have seen doesn't agree with his opinion.  Very confused.  And I'm almost positive BC/BS won't pay for DS.

The RNY DOES do a better job than the VSG for resolving type 2 diabetes, and the DS does a better job than the RNY. The trouble with the VSG right now is the lack of good long-term studies. The VSG will basically only help your diabetes if it is directly weight- and diet-related. The RNY and especially DS actually inflict a bit of metabolic change via the intestinal reconfiguration. In Europe and in trials in the US, they actually do JUST the intestinal part of the DS (without making the stomach smaller) as a treatment for type 2s who are NOT obese. I don't see how a VSG might ever help a non-obese type 2.

Many BCBS plans DO cover the DS. Mine did. But it depends on your plan. There are SO many BCBS plans out there. I had BCBS of NJ.

Can you direct me to studies that show stats for resolution of Type 2 diabetes with both RNY and VSG?  I've seen two studies that show almost identical numbers.  I'm a numbers girl.

If you're a "numbers girl," research the DS for diabetes. I have many studies and articles in my profile and also posted here:
http://www.obesityhelp.com/forums/diabetes/3751535/If-you-are-Type-2-and-considering-WLS/

You're right that initial resolution rates for RNY and VSG are in the same ballpark (most studies will say there is not a "statistically significant difference," but the VSG results are typically just a fraction of a percent to two percent lower than the RNY). The DS still beats them both. Of course, I found one study that concluded that the reduced insulin resistance as a result of VSG was merely a direct result of dietary changes and weight loss, whereas I found another study concluding that the insulin resistance post-VSG is likely due to a hormonal change (it didn't specify ghrelin, but that would be my guess). The study I was involved in at Johns Hopkins was leading to the conclusion that it was dietary changes and weight loss

I just did a quick search on PubMed, and it looks like there are a lot of abstracts for currently ongoing studies regarding the VSG and diabetes, which is good because there is not a whole lot of info out there right now, and really none that is long-term. Most of the studies I've found compare the VSG to the band since they are both restrictive-only procedures, and it's hard to compare the results of one study to the results of another study because they don't all follow the same standards, including their definition of "resolution" of diabetes. Heck, in my quick search on PubMed, I found one study that defined "resolved" diabetes as having a A1C of <6.0 and another that defined "resolved" diabetes as having a fasting glucose level of <126 and an A1C of <6.5. So, different standards even across VSG studies.

http://sites.google.com/a/clos.net/mini/sleeve-gastrectomy-versus-gastric-bypass-diabetes (I don't trust the MGB, but different surgeons have different definitions for MGB, and this was in Taiwan, so I'm wondering if it's different from the shady stuff going on in Vegas)

http://www3.interscience.wiley.com/journal/117992315/abstract