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Extreme fatigue and sleepiness can be a sign of high blood sugar. At dangerous blood sugar levels it's possible to slip into a coma. That's really extreme though so don't worry about that. What you really need to worry about is what Catracks posted. High blood sugar kills blood vessels starting with the smaller ones which is why toes and eyes and your organs are vulnerable. You need to protect yourself by listening to your doctors who will find a way to get your sugar under control. Obviously this surgery is going to help but you can't just rely on it. You need to be aware and work harder than a non-diabetic obese person would. Okay, preachy time is over and the soapbox is put away. Good luck and get ready to work your butt off to beat this. I know you will

I know you're looking for comorbidities for your insurance but diabetes isn't something you want to celebrate. If you've had for a while and it wasn't diagnosed you could have some serious damage that losing weight might not fix. I'd see an Endocrinologist if I were you and really get checked out.

Those are awesome numbers! I also talk 2000 mg of metformin daily plus victoza plus other things. I'm getting the sleeve for those kind of results. Thanks for sharing.

Pregnancy which is often planned doesn't fall into it either. Nothing is black and white which is why insurance companies do cover these procedures as long as that insurance is paid for. These are big public companies. Anyone can look up their financials and see how they're doing. In general health insurance has been a pretty good business to be in. Even if they do have to cover some major surgeries they are more than making up for it with the healthy people enrolled. The family on my plan that just goes for an annual physical each year still pays the insurance company the same $1500 a month in premiums that I do.

Not per person. It would have saved us $200 for the year for 25 employees. The employees only get 2/3 of the single premium so the cost to our firm is less than it would be to a company who pays more of the benefit premium. The cost to the employee who pick up a 1/3 of their single premium and all of their dependents premium would be higher but we are instructed to only look at the cost to the firm. Even with that though the benefit is nowhere near $35 to $90 per month per person. Maybe it's different in different states?

What's sad is that the employer barely saves any money with this exclusion. I work for a small company and coordinate the health insurance for my firm. The money we would have saved for 25 people with the exclusion was under $200 for the year. We lose a lot more than that from weight related health issue absences. Even for a large company I doubt the exclusion is worth it if they ran the numbers.

Nice job! That's very inspiring

That's great to hear for all of us looking for those same results after our surgeries. Thanks for sharing

Sounds like you have a lot of first hand experience with obesity and weight loss surgery. Whatever you decide will be the right decision. Only you though can make that decision.

There are millions of people around the world who can't even get basic healthcare so all in all it's not so bad.

I have visit 5 of 6 for my medically supervised weight loss on Monday. This whole process has been endless. I already finished every test I needed to do. This 6 month insurance required delay has been very annoying. I'm one of those people who likes to do something once I decide to do it. I am not good at waiting for it to happen.

That is excellent advice. Everyone needs to responsible for their own health. Keep asking questions and look for answers in multiple places.

That number is from Metformin, Victoza and Onglyza with 40 minutes of cardio 6 days a week. Honestly I don't know where I would be if it was just Metformin. Diabetes is my primary reason for having this procedure. I'm so tired of dealing with it and the complications that come from all this medication. I'm trusting my doctors that I will eventually end up in the same place that I would of with the bypass.

My surgeon told me that most of his diabetic patients do get off their diabetes meds but it takes longer than the bypass patients. Instead of 2 days it's 2 to 3 months. I can wait 2 to 3 months if that means I don't have to get things rerouted and face more serious malabsorption issues. I'm sure it depends on how serious your diabetes is. Mine is controlled using a lot of medicine, no insulin. My A1C is usually between 6 and 6.3. That might be why my surgeon and endochrinoligist feel that the sleeve should knock the diabetes out.

I want to take more than a week but I also want to keep my job. I'm not telling them that I'm having this procedure either. To miss this much time for something that is technically voluntary wouldn't go over too well. I saw my pregnant wife get fired from the law firm she worked at once they found out she was pregnant 3 years ago. All of a sudden there performance issues that we never there before. Despite all the laws and protections they can still get rid of you if they want to. You can sue but when you work for a small business there is usually very little to sue for. I'll hire a taxi if I can't drive but I will be at work a week after I get this done.

No one here seems to have anything good to say about the band. It probably has to do with the number of posters who had bad experiences and are now getting sleeve revisions. I know that I originally was going to get the band but after reading so many posters with issues it changed my mind.

Not bad as long as you count out 10, the portion size, and put the rest away.

I used to get it, get rid of it and then re-injure and get it again. Daily yoga got rid of it for me even with the extra weight. That's a tough one because you really have to just fight through the pain and stretch or it never improves.

I's good to be excited. Just remember that when you go through the seemingly endless amount of tests. It's all good

It's pretty simple. Just write everything you are going to eat in advance and only eat what's on your list. Make sure you use a food scale to weigh everything and so you stick to the correct portions. If it's not on your list you don't eat it.

My SIL who is a teacher had the same thing. I really wish small business could afford those kind of benefits.

I hit my $2,500 deductible about half way into the pre-op tests. On top of that I have to pay 20% of each procedure and $75 per doctor's visit. It can really add up if you don't have a good insurance plan.

That's really outrageous that they will tell the doctor's office but the patient has to wait for a letter to be mailed. The only other thing I would try is to see if a copy of that letter is available online. My insurance company, Oxford/UHC, makes a lot information available online. Try going to your Cigna webpage and see if a copy is in the online mailbox. If that doesn't work, stay calm and speak with your doctor tomorrow. I imagine it's frustrating but it's not time to panic. They probably just lost something and rejected instead of asking for it. Wait and see what the doctor says before you drive yourself crazy. Good luck

Nothing wrong with an upside surprise. Usually it's the other way so enjoy this one.

I also have a desk job and am planning on just 1 week off. Anymore than that and I'm going to have trouble keeping my job.