VSG diabetes question.

I know RnY stuff but is there any research/success regarding diabetic remission in VSG?

Thanks. I'm helping a friend in the very early stages.

I don't have specifics at hand, but VSG does help with remission of diabetes, but not as much as RNY. Likewise, DS is better than RNY.

I believe the VSG diabetes remission is similar to anyone who loses weight and their diabetes gets better... not the quick hormonal change often seen with RNY.

My friend has a serious family history but she's considered pre-diabetic.

I promised to help her with anything bit the cost would be no alcohol for the first year!

Not sure about the remission not being the quick hormonal change... I went into surgery diabetic and other than blood sugar going low in that first month, was no longer considered diabetic. I had not lost much weight to trigger that at the time. I was newly diagnosed diabetic prior to the surgery and not insulin dependent.

I wish I could remember the stats my doc shared with me back when he was pushing rny and I was wanting vsg. Since I was diabetic and had acid issues he was recommending rny due to it being more effective for diabetes... but I no longer remember how much more effective. Vsg still has a decent track record on that, but like Grim mentioned Rny beats Vsg and DS beats Rny.

There are many things that effect remission even for RNY- as youmentioned - how long you were diabetic, how much medicine. Obviously Type 1 diabetics will never totally be reversed but one woman who was in my support group and was Type 1 was able to dramatically decease her insulin and was able to stabilize where she wasn't having such dramatic BS swings.

According to my surgeon, a recent survey indicated that the rate of diabetes cure after five years post surgery was the same for rny and vsg.

After hearing that I decided on vsg. (also because you can have nsaids) Anyway, I had surgery three weeks ago and they took me off metformin(I was never insulin dependent) and my blood sugar has been about the same or lower as it was on metformin. So I guess that was good.

If you want to keep it touch so I can let you know how it goes, feel free. Hope this helps a bit.

A few years ago the ASMBS changed their guidelines to no NSAIDS for VSGers. And the rate of diabetes remission is definitely lower for VSG than RNY.

ASMBS "recommendations" flip flop back and forth depending upon whose paper they are highlighting at the moment. Last viewing, they were back where they should be, which is basically "listen to your doctor" as many docs have the experience to appreciate the difference between procedures while others just cookie cutter their protocols based upon the procedure they have the most experience with, typically the bypass. So, if one has a surgeon who seriously knows the in's and out's of the VSG (and typically the DS along with it) they will typically be much more amenable toward NSAID use with those procedures than with the RNY, which has a propensity toward marginal ulcers with is the origin of the "no NSAID" rule. Further, there may be special cir****tances that may call for their use, even with a bypass, which would be subject to sound medical judgement rather than blanket rules.

They haven't flip flopped. Their early recommendations, when VSG was new, with very small sample sizes, didn't restrict NSAIDS. Once the surgery had been around longer, in much larger numbers, and the extent of the acid issues were known, they changed the recommendation to no NSAIDS for VSG.

You can keep trotting out your conspiracy theories and inventing facts, but it just doesn't wash.