Say some prayers!!

Oh, and if you count my highest weight, I'd only be 6 lbs away.... :(

I remember I was just 20 lbs shy of BMI 40, but had all the comorbidities.  So I prepared for my doctor's visit by stuffing 5 lbs sacks into pant pockets and 1 into my underwear, and 1 into my bra.  Then as soon as I got weighed, I asked for a bathroom and went in there and dug 20 lbs of sand out of my underwear and pockets.

I got the weights from ankle weights I have.  It has 5 lb sacks that can be taken out to reduce/add the weight.  I just unzipped that thing and found homes for them elsewhere for the day.

I made it to BMI 40.

Bwwwahahhhaaaa!!! I love it! I might actually consider this except I've already been getting weighed monthly and I would have to explain how I gained 20 lbs in 30 days!!

Did they know you did it, and just kept their mouths shut? :)

Thanks for the chuckle!

It was 2 months between weigh ins, and my doctor did ask me about it.  I told her I've been stress eating.  She asked me if I came in with rocks in my purse, and started laughing, but I assured her I've been able to gain 10 lbs a month before. 

I just stuck to my story and she wrote it down.

Brilliant!!!!

According to the NIH, you qualify for the DS. Your BMI of 46 and two comorbidities qualify you. If DS is what you want, don't take no for an answer. I'm going DS, but I'm self pay. Good luck and will pray for you.

Hi Londa!

Where did you find this article on the NIH website? I am there now and am trying to find it to take Friday as 'evidence." LOL. 

Thanks!

Picking the right surgeon is the most important thing ~ even if you have to travel.

For type II diabetes, go with the DS, DO NOT "I REPEAT" DO NOT go with an RNY. 

 

If you have no options, Go with a sleeve, then later on go back and get the full DS. (With your BMI, that is a possibility)

PLEASE DO NOT go with an RNY!!! 

The RNY is a temporary fix, not a permanent fix for diabetes.  The DS has been done in Europe longer than the US just for Diabetes.

Best of Luck to you!
 

Can you fill your pockets with coins next time you weigh in?  Wear a bullet proof vest?  JK, of course, but I can tell you that my surgeon is convinced now that DS is the best of the surgeries, with better overall and long term results, and much fewer complications and returns to the OR, not to mention the durability of the weight loss.  He's doing RNY to DS revisions, and he's doing DS on lower BMI patients.  My BMI was in the high 30's when I had the sleeve to DS revision.  He made my common channel 125cm, he said, because I only had 70 lbs to lose.  If I were in your shoes I'd do whatever it takes to have a DS over and RNY.  I'm a PACU nurse, and I've seen lots of RNY patients come back through the OR with complications months and years later.  Not so with the sleeves and DS's. 

Hope this helps!  Let me know if I can send you some loose change to fill those pockets!

Tonya

There is evidence that about 5-10 years after the RNY, about 35-40% redevelop diabetes. http://www.ncbi.nlm.nih.gov/pubmed/23161525

Overall, 68.2 % (95 % confidence interval [CI], 66 and 70 %) experienced an initial complete diabetes remission within 5 years after surgery. Among these, 35.1 % (95 % CI, 32 and 38 %) redeveloped diabetes within 5 years. The median duration of remission was 8.3 years. Significant predictors of complete remission and relapse were poor preoperative glycemic control, insulin use, and longer diabetes duration. Weight trajectories after surgery were significantly different for never remitters, relapsers, and durable remitters (p = 0.03).

If you have any history of needing NSAIDS yourself or a family history that would need NSAIDS, it's another solid reason.

There are two solid reasons for getting the DS and avoiding a RNY.

Good luck.

Liz