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It depends on your surgeon. My surgeon admits that he knows little about diabetes and defers to the endocrinologist. If the endo clears you, the surgeon is good with that. All he knows is the best way he can get your a1c down is by doing the surgery,, I'm so sorry your surgeon is giving you a hard time. If he expects you to get your a1c down AND lose weight, he's asking too much. :(
Maggie May
It's true that the insulin makes it difficult to lose weight. The high blood sugar response and need for insulin is a vicious cycle and the insulin converts sugars directly to fat. :(
Maggie May
I fixed my cholesterol numbers in the past 3 months by going off of wheat. My triglycerides were at one time nearly 700. They are just below 175 now. My numbers are all within normal range now. I was also able to cut my insulin in half and get off of two blood pressure meds,,, all of this pre-op! I take u-500 insulin which is a potent concentrated insulin that is 5x stronger than the u-100 insulin most people take. My pharmacy has to special order it and I was able to not only cut it in half but get off of my pump as well. I can't wait to see what RNY will do! I will continue to avoid wheat in my diet after surgery as well.
Wheat - evil stuff,, even the whole grain.
I'm also grain free as well.
Maggie May
The sleeve is not nearly as effective with diabetes as the bypass. The sleeve is restrictive while the bypass is restrictive AND malabsorbtive which makes a difference in how it will affect diabetes. The bypass has a 95% success rate in curing diabetes. With that said, neither surgery will fix or cure the diabetic peripheral neuropathy damage caused by previous diabetes. It will prevent it from getting worse but won't cure or fix it. Your pain may be lessened however by not weighing as much and for the inflammation, I suggest getting off of wheat. I too am in pain with it in my feed and it has also moved to my hands and fingertips. I am having the bypass in 4 days. I wish I had it many years ago.
Maggie May
Thanks for your reply . I think I will stick with the sleeve . My insurance does not do DS and RYN is just too extreme . The thought of getting dumping syndrome does not thrill me at all . I really don't want to have my intestine moved around and I am concerned about vitamins absorption . I think I can lose all the weight I need to lose with the sleeve and because I will have lost the weight there is a good chance that my diabetes will go also .It sounds like your doing great ,I hope you continue to do good and that your happy . Stay in touch and let me know how you are doing . Good Luck to you as well !
Surgery was November 2010. I lost about 160 pounds, from 310 to 140. At the time of surgery, I was 52 years old. I told the PA at my surgeon's office that getting rid of the diabetes was one of my primary goals. Given the relatively short time I'd been diagnosed with Type 2, she was confident that the sleeve and weight loss in general would do the job. I didn't expect it to happen so quickly!
The surgery with the best resolution of diabetes is the DS, then the RNY, then VSG. The DS was too extremely malabsorptive for my taste. And you lose the use of your pyloric valve with RNY. The sleeve was the right choice for me. But you have to do an honest assessment of yourself and your habits and decide which one will work best for you. Best of luck!
When did you have your surgery ? A1C of 4.6 is great I hope you are still doing as well . Did you have to lose a lot of weight ? This is a hard thing to decide between the sleeve and Roux en Y . I really want to be free of these needles . My last blood test my A1C was 6.3 so I don't know if the Roux en Y is going to the extreme .I have about 50 lbs to lose . Thanks for replying to my post .
on 8/13/13 6:20 pm
What that site says, could you please share that. what i know is that the remission rate of type 2 diabetes one to two years after bariatric surgery is approximately 70%. Some studies have indicated that the remission rate of type 2 diabetes is higher after gastric bypass than after sleeve gastrectomy. If you are interested know more at the following site.
Thanks everyone for all the information that you have profited . I hope that I do as will as some of you and I don't have to do these shots any more . I have a surgery date now and I am getting more excited as the day gets closer ( Sept 18 ) I still have a lot to do before surgery ,there are a lot of hoops I have to go through to get this done but I am glade that I have had to go so many class's because I am getting a great education , I have had to loss weight and go to a lot of different doctor appointments to get this chance of being insulin free . It has been a long journey and I have a long way to go but I know I will get there . Thanks for listening . Darlene
Congrats - I hope that continues to be the case. It does not happen for everyone.
