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Topic: RE: Bypass or Lap Band - Type 2 Diabetes
Hi Valerie,
I too had type 2 diabetes and high blood pressure. When I went to mexico to have my surgery with Dr. Almanza, I was weighing 288 pounds. As of now, I have lost 63 pounds and I have been getting normal readings with my high blood pressure & diabetes. I decided on the gastric bypass because I know myself and how I can eat uncontrolled. So my suggestion is that if you know your body, you should know which procedure to have. Dr. Almanaza is wonderful and all the staff is great.
Jesus Mendoza
I too had type 2 diabetes and high blood pressure. When I went to mexico to have my surgery with Dr. Almanza, I was weighing 288 pounds. As of now, I have lost 63 pounds and I have been getting normal readings with my high blood pressure & diabetes. I decided on the gastric bypass because I know myself and how I can eat uncontrolled. So my suggestion is that if you know your body, you should know which procedure to have. Dr. Almanaza is wonderful and all the staff is great.
Jesus Mendoza
Topic: RE: Bypass or Lap Band - Type 2 Diabetes
My understanding is that once you have diabetes," you have it period!" The question is if you can keep it under control or not. I had a long talk with my pcp about my decision between Lap and RNY which one is best for diabetes and she told me I will always have diabetes regardless of which surgery that I have, Its which surgery will help me to be able to control my diabetes without meds. My insurance will cover only Lap or RNY and of the two RNY is the choice for me to be able to control my diabetes without meds. Some people have done just as well with Lap. also I have two women at my support group meetings that have had the Lap and lost over 100 lbs. each and resolved their issues with diabetes and stayed at goal for 2 yrs. or more and still control their diabetes without meds. But on the average most people do better with the RNY. I don't know anything about other wls because my insurance only covers the two. Hope this helps you to make an informed decision my surgeon was very helpful as well as my pcp.
Good Luck
God Bless
Sherry
Good Luck
God Bless
Sherry
Topic: RE: Bypass or Lap Band - Type 2 Diabetes
Jillybean... Thanks so much for all the information. I'm hoping to make a decision soon. :-)
(deactivated member)
on 1/27/10 12:09 am - Woodbridge, VA
on 1/27/10 12:09 am - Woodbridge, VA
Topic: RE: Insulin Dependent?
Yup - for me, it took a little time before I saw any truly normal numbers. The first few weeks out of the hospital, like you, my numbers were high, but under 200. As my body healed and I started eating more (and more properly), the numbers slowly trended down and settled in a nice normal range (with the exception of if I eat too many carbs at once - I will still spike up to the low 200s).
(deactivated member)
on 1/27/10 12:05 am - Woodbridge, VA
on 1/27/10 12:05 am - Woodbridge, VA
Topic: RE: Bypass or Lap Band - Type 2 Diabetes
The DS works even better for diabetes than RNY, and about 10% or more of RNYers whose diabetes goes into remission after their surgery see their diabetes RETURN at 2+ years after the surgery.
Normal weight loss will help you CONTROL your diabetes, not cure or resolve it.
While the RNY has about an 84% chance of putting type 2 into remission (sometimes only temporarily), the DS has up to a 98.9% CURE rate - in fact, as patients get further out from the surgery, MORE see resolution of their diabetes instead of some seeing it return like with the RNY.
Your PCP likely doesn't even know what the DS is, and if you're seeing a surgeon who doesn't perform it, they probably won't tell you about it. Please do lots of research on your own.
Oh, and I know of patients who had a DS at BMI of only 35-38, and none of them have wasted away to sickly thinness! With both the RNY and the DS, there are steps you can take to stop losing weight if need be.
Normal weight loss will help you CONTROL your diabetes, not cure or resolve it.
While the RNY has about an 84% chance of putting type 2 into remission (sometimes only temporarily), the DS has up to a 98.9% CURE rate - in fact, as patients get further out from the surgery, MORE see resolution of their diabetes instead of some seeing it return like with the RNY.
Your PCP likely doesn't even know what the DS is, and if you're seeing a surgeon who doesn't perform it, they probably won't tell you about it. Please do lots of research on your own.
Oh, and I know of patients who had a DS at BMI of only 35-38, and none of them have wasted away to sickly thinness! With both the RNY and the DS, there are steps you can take to stop losing weight if need be.
Topic: RE: Insulin Dependent?
Type 1 diabetic for 25 years - pumping for 12 years.
are you a type 1 or 2? probably type 2 but the statement of insulin dependant? threw me off
I'm type 1 and I purposly ran my sugars avg at 170 post op for a month to make sure that I didn't go low, and try to have to treat. A low blood sugar with out having sugar sort of worried milk.
Stress, infection things increase blood sugars. Also dehydration and sleep deprevation. So take care of yourself, and if needed get treatment. You need the sugars stabolized to help with recovery.
I'm type 1 and I purposly ran my sugars avg at 170 post op for a month to make sure that I didn't go low, and try to have to treat. A low blood sugar with out having sugar sort of worried milk.
Stress, infection things increase blood sugars. Also dehydration and sleep deprevation. So take care of yourself, and if needed get treatment. You need the sugars stabolized to help with recovery.
Type 1 diabetic for 25 years - pumping for 12 years.
Topic: RE: Bypass or Lap Band - Type 2 Diabetes
Hi All,
Thanks for replying. My doctor advised me by losing weight I will or can put my diabetes in remission. She's also advised me that the bypass will work better. My main concern is that I lose over 85 lbs.. which in my eyes I believe I would be too thin. I'm 5'2 and currently weigh 206lbs. I want to get healther, not look REALLY skinny. I would be happy at 130lbs, and that would mean I only need to lose 75lbs.
Thanks for replying. My doctor advised me by losing weight I will or can put my diabetes in remission. She's also advised me that the bypass will work better. My main concern is that I lose over 85 lbs.. which in my eyes I believe I would be too thin. I'm 5'2 and currently weigh 206lbs. I want to get healther, not look REALLY skinny. I would be happy at 130lbs, and that would mean I only need to lose 75lbs.
Topic: RE: Bypass or Lap Band - Type 2 Diabetes
Hi Valerie. I also have/or had type 2 diabetes. My doctor told me that with bypass, a horomonal change occurs and that 82% of patient who had the bypass no longer have diabetes. Since the lap band does not bypass the part of the small intestines that causes the hormonal change, the best you can hope for is remissiion. Check with your doctor. Hope this helps.
Julia
Julia
Mummu22
on 1/26/10 12:29 am
on 1/26/10 12:29 am
Topic: RE: Insulin Dependent?
Hi Julia.
I am 5 weeks post op RNY also and my blood sugars are still running high (under 200) but my surgeon is not concerned, says they will come down. Have not seen my primary care physician yet either, will see soon! I feel so much better than when I was on all of the meds and insulin that I am hoping to stay off.
I am 5 weeks post op RNY also and my blood sugars are still running high (under 200) but my surgeon is not concerned, says they will come down. Have not seen my primary care physician yet either, will see soon! I feel so much better than when I was on all of the meds and insulin that I am hoping to stay off.
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