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(deactivated member)
on 3/22/09 1:28 am - Woodbridge, VA
Topic: RE: Avg time for Diabetes to go away
Please don't try to tell me what to or not to respond to.

My profile includes resources showing the effectiveness of the DS in comparison to the RNY for type 2 diabetes. If you can find a single peer-reviewed clinical study or medical journal article that states that the RNY has a higher chance of resolving type 2 diabetes than the DS, then I will actually understand any of your ramblings here.

I have said MULTIPE times that the RNy CAN send diabetes into remission. How is that me refusing "to consider the possibility that RNY could be as equally effective as DS" when I have stated as much multiple times? It CAN be as effective, it just isn't as effective as often.

AGAIN, the RNY DOES work for some people for remission of type 2. If it worked for you, then that's wonderful! Diabetes is a monster, and anything that fights it is a step in the right direction.

My information is geared toward PRE-ops who are still researching their WLS options. Many people end up with an RNY without even knowing the DS exists, or decide against the DS because they are fed misinformation about it by surgeons who don't even do it. Based on the statistics for diabetes resolution, I think it is especially important for type 2 diabetics to be well-informed about the DS. It is up to pre-ops to then research both procedures to find which one best fits them, their eating habits, their lifestyle, their other health issues, etc.

Go back and re-read my posts. I have ALWAYS said the RNY CAN lead to resolution of type 2 diabetes. I have never said anything BAD about the RNY. I'm just pointing out that  the DS has an even higher rate of success at resolving type 2 diabetes, and for a longer period of time. These are facts, and if you don't want to hear them, feel free to block me.
Irishcoda
on 3/21/09 11:55 pm
Topic: RE: Pre-Surgery Liquid Diet and Diabetes
Hi, please do come and research more about the switch.  One main reason I chose it is that it has a much better diabetes remission rate.  If you come to the duodenal switch message board there's people a lot more knowledgable and can answer all your questions and concerns.  Best wishes!




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on 3/21/09 11:36 pm - Irvine, CA
Topic: Maintenance Scheduled for Thursday, March 26th

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Isla_Nina
on 3/21/09 12:47 pm - MD
Topic: RE: Avg time for Diabetes to go away
Jill,

It is not your "facts" that offend me, it's your righteous attitude.  You say you are not "dissing the RNY", yet you refuse to consider the possibility that RNY could be as equally effective as DS.  Diabetes is a highly personalized disease, as I previously posted.  If you've had it since you were 25, you should know that.  There is no single right way to fix it.  If there were, then everyone would do it, wouldn't they?

And, I did peruse your profile.  It reads like someone who did research on DS only.  How diverse is that?  You can quote your "statistical facts" all you want.  I'm willing to bet you don't understand 1/10th of what you've posted. 

The original poster of this thread asked for opinions and personal experience, that is what I gave.  What personal experience did you provide?  The bloggers on OH all give their opinions and occasionally post website information where folks can go to look up info for themselves.  I would never take what someone posted on their profile as fact.  And, I give credit to all *****ad and post on OH that they wouldn't either.

Don't respond to this.  I hope your surgery lives up to all of your statistics and expectations.  Notice I said "your surgery" not DS.  I have no opinion on DS one way or the other.  The variable in any surgery is YOU!
 
(deactivated member)
on 3/20/09 11:51 am - Woodbridge, VA
Topic: RE: Avg time for Diabetes to go away
I'm sorry, but it is a FACT, not an opinion, that the DS has a better chance than the RNY of resolving type 2 diabetes. Did you happen to read of the CLINICAL STUDIES linked to in the websites in my signature? Did you read any of the medical journal articles and studies included in my profile?

Again, the RNY has about an 80-84% chance of resolving type 2 diabetes. That's absolutely nothing to sneeze at. But still, the FACT remains that the DS has up to a 98.9% chance of diabetes resolution, and the DS also offers a lower chance of the diabetes returning in the years following the surgery. These are not advertisements, nor are they opinions - they are facts supported by scientific/medical documentation. You can find these articles on PubMed and the abstracts on other medical journal websites.

I never told anyone they made the wrong decision on surgery type. If the RNY works for you, that is fabulous! And I never said anyone's diabetes will 100% return after RNY - STUDIES (not opinions) show this happens about 12% of the time, not 100% of the time.

I'm not sure why you think I'm dissing the RNY. I'm not. I'm just stating statistical, proven facts. I'm sorry if those facts somehow offend you.
leighg
on 3/20/09 3:55 am - salisbury, NC
Topic: RE: Pre-Surgery Liquid Diet and Diabetes
I am leaning toward having the RNY vs other surgeries. I probably need to research the duodenal switch more. I feel I've got only one shot at this and I want to be sure I'm making the right choice. Thanks, Leigh
Isla_Nina
on 3/20/09 3:53 am - MD
Topic: RE: Avg time for Diabetes to go away
Jill,

Did you read what you just wrote?  "I have NEVER said that with the exception of the context that the DS is better at kicking diabetes than the RNY."  That is tantamount to saying that DS is superior over RNY.  Sorry, but I do not agree and I'm not by myself in that opinion.

I agree with you one one point...Pre-ops should read as much factual information as they can get their hands on.  I went to the two hyperlinks that you list in your signature.  One seemed to be a lot of opinion, people sharing stories, etc.  That's nice, but that does not make it medical, scientific information.  The second site seemed to be an advertisement promoting DS surgery.

When I was researching my surgery, I went to sites that did not promote any particular surgery.  They laid out the pros, cons, facts, contrasting similarities/differences between the procedures and said here you go Ms. Consumer, take this information and make of it what you will.  That is what pre-ops need to do.  They need to decide which surgery, if any surgery, is right for them.  They don't need web-infomercials. 

I believe that anything that a person does to change their cir****tances to improve their health will ultimately improve their diabetic status.  There are no guarantees that any surgery will make the diabetes go away, including RNY and DS.  Diabetes is very individualized by person; how old you were when you got it, how long you've had it, how well you took care of yourself, how compliant you were with dr.'s instructions, family history, etc.  And then there's just plain old fate.  Some people are able to resolve their issues and some aren't.  No one knows why.

In my case, RNY sent my diabetes into remission and I have no reason to believe it will not stay that way, assuming I continue on the path I've started.  I interviewed 3 surgeons before having surgery and asked them:  If your numbers return to a normal range after surgery, are you still considered a diabetic?  Want to know how many different answers I got?  Three.  The medical community does not have a pat answer on this because there isn't one.

Jill, I'm glad you are pleased with your choice of DS.  I'm pleased with my choice of RNY.  We are both surgically altered.  We are both winning our wars with obesity and it sounds like diabetes as well.  Let's rejoice in that.
 
(deactivated member)
on 3/20/09 2:48 am - Woodbridge, VA
Topic: RE: Pre-Surgery Liquid Diet and Diabetes
I sooooo am with you! I have even told my family that even if I end up only losing 10 pounds after surgery, it will be worth it as long as my diabetes is resolved.

Check out my profile for more info on surgery for type 2 diabetes.
(deactivated member)
on 3/20/09 2:45 am - Woodbridge, VA
Topic: RE: Avg time for Diabetes to go away
Where did I say any surgery was better than anyone else's? I have NEVER said that with the exception of the context that the DS is better at kicking diabetes than the RNY. And the reason I mention this is that we are NOT all surgically altered - PRE-ops need as much information as possible!

I have mentioned in multiple posts that the RNY CAN send type 2 into remission. That's a fact. It does so approximately 80-84% of the time within the first few months of the RNY (sometimes immediately, while still in the hospital); recent studies show that at 2+ years out from RNY, just over 10% of patients' whose type 2 diabetes went into remission see it return.

With the DS, just about every study shows a greater than 92% chance of type 2 diabetes resolution post-op, and this number actually increases at 2+ years out from surgery.

These are facts, and pre-ops should have them. In the end, it is up to each individual to choose what they feel is the right path for them.
Irishcoda
on 3/19/09 9:25 pm
Topic: RE: Pre-Surgery Liquid Diet and Diabetes
I hear you, this is mainly why I'm having surgery too!  It seems that most people I've "talked" to who've had the bypass or switch has been able to stop their diabetes meds almost right away.  My husband is also diabetic and had a switch.  He is practically in remission.  You might want to post as a separate thread so that more people on the board see it.  :)  Best wishes!




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