No, my insurance did not.  I have BCBSNC and they only require that  you have a BMI of 40 or higher OR BMI of 35 with comorbities.  It's actually quite easy to get the RNY approved.  Didn't even have to complete any monthly drs appointments documenting weight loss, etc.  HOWEVER they do require a BMI of 50 or higher for DS.
I hope your approval process goes quickly and smoothly!!!

I'm type 1, was insulin resistant prior to surgery. Using about 130-140 units daily. I'm a year plus post op and use about 60 units. That's still HALF of what I was using before!! I've lost 132 pounds in 13 months. (In a bit of a stall right now, but I'm ok with that) Yeah it might be slower than others. but i reached 100 lbs lost at month 7. Exercising more would certainly help!

Loved the fact that I can reduce my basal rates by %. I stayed on the pump the entire time! I also was able to set my target rate to be a bit higher so that I wouldn't go low early post op. I've managed my lows just fine, it happens but treatable.

Anyhow Good luck - I'm glad I went with an RNY and don't regret that choice one moment

I have been trying for months to get my insurance company to approve me for a DS.  Finally heard back on Friday (4 days before surgery) that the denial was upheld on my appeal.  I am moving forward with the RNY and am having the surgery on Tuesday!  I am a type I diabetic (for almost 17 years).  I have all of the normal fears but one of my biggest is that Insulin shots will keep me from losing the weight that I need to.  Are there any other Type I's on here that will share with me the "rate" that you lost weight?  Cutting calories and exercising for me in the past has yielded such disappointing results for me. 
I don't mean to sound like I'm down about it all.  I'm actually quite excited!  No terrible anxiety (yet) just running around telling my family and friends how much I love them all of the time! lol

Unfortunately, the answer is: it depends on the person. Eating very low in carbs will help most type 2s even without surgery, so they do have a point. What they fail to recognize is that malabsorptive procedures (RNY and DS) have been found to inflict a bit of a metabolic change in many patients that leads to reduced insulin resistance/increased insulin sensitivity. While the reasons aren't 100% clear quite yet, there is evidence that certain hormones and checmicals of the intestines are a factor in type 2, and the intestinal part of the malabsorptive surgeries helps to correct the imbalance that was causing type 2 symptoms.

Now, it's not a "cure" for everyone - some patients will still need meds or even insulin, some will be free of them for a few years and then will need to go back on them, some will never need them again - it all depends on your body, your diet, your pancreas, your weight loss (since weight loss can even help type 2s without surgery, though not usually as quickly nor as profoundly)...

The only way to know is to keep tracking your own numbers. Do be aware that in the first month or two post-op, you may see glucose level fluctuations simply because your body has been through a physical trauma and is healing. Heck, the highest glucose levels I ever had that required the only insulin injections I've ever had were in the hospital in the couple days right after my surgery, and lor dknows I wasn't eating any carbs or sugar since I couldn't even keep down the sugar-free Jell-o they gave me!

Don't know about it stopping surgery but, I also have the same thing.  I was dignosed about 6 years ago after my blood pressure suddenly shot up and stayed up for no explainable reason.

My cardiologist said that weight does have a bearing on the Diastolic Dysfunction becuse the heart is working overtime so to speak.  After getting a 2nd opinion I was told weight loss is the best "help" for the heart and that with the weight loss, medication to lower my blood pressure and exercise I should have no problems living with it.

I hope that helps.  Best of luck.