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Diabetes...Sleeve or RNY??



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So, I'm all amped up to get the process started again to get the sleeve (process stopped earlier in the year when I was laid off). In the time that I was laid off and since back to work, I was diagnosed with diabetes (REALLY need some WLS now!). Well, now my bariatric Dr. says that RNY (Gastric Bypass) is the gold standard for diabetes patients, and its gives a significantly better chance of getting off meds than the sleeve. I only take pills now, but I still want to stop taking them.

Can those with, or who had diabetes give me some insight on this one? Maybe some studies or some such? Or, was the doctor right, and I should start thinking about RNY?

Thanks in advance

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I'm not diabetic and still pre-op, but I seem to recall reading lots of posts on here about people who are no longer on diabetes meds since their sleeve surgery. ??

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I have been diabetic since 2003. I had the surgery 3 weeks ago. I am currently off all of my diabetes medication. There are several others on the boards who are in similar situations - or at least greatly reduced medications.

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Who is your surgeon? How many sleeves has he/she done total? How many RNY? Here is someone who was in your position last year. She choose to go with VSG. http://www.thinnertimesforum.com/topic/49893-vsg-type-ii-diabetes/

IMO only, sounds as if surgeon is leading you what he/she is more comfortable with or may not have enough information to compare the two. Good luck with what ever you decide is best for you!

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I know doctors still say RNY is the "Gold Standard" because it's been around for so long, but I think things are changing and someday soon VSG will become the new Gold Standard.

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I was taken off my diabetes meds one week post op and my blood sugars reamain in the 80-90's daily!

You can't go wrong with this surgery!!

KElly ;)

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I had type 2 diabetes. I had the surgery on 5-25-2011 and my blood numbers were back to normal about a week after surgery. Losing the weight pre-op and eating healthier is what I felt achieve this. My doctor wanted to start me on Meds once I was diagnosed but since I was going to have the surgery so soon after diagnoses, we waited to see how the surgery was going to affect the numbers.I was told by my PCP that the RNY is the best surgery for diabetes but it depends on what is causing it. We all know that weight, diet and exercising are all keys to correcting blood sugar and if these can lower your blood sugar, the sleeve will achieve this.. I was told that if you have an issue with the way your body produces or processes insulin, that the surgery, losing weight , diet or exercise might not help. If the pancreas cannot produce enough insulin or your body is having issues processing it, you might still have to be on meads.

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I'm six weeks pre-op, was a type 2 diabetic taking 1000 mg Metformin 2x daily and a 18mg shot of Victoza at night.

had high blood Pressure 190/115 at times, taking 15 mg of lisinopril daily...

Had high cholestorol, taking 40 mg of simvastatin daily....

Now no medication at all....:D

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 0 replies
      1. This update has no replies.
    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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