I am a low BMI gastric sleeve patient. My BMI was a little over 35 when I got sleeved. I was approved by my insurance because I have kidney disease and getting HBP or diabetes would be detrimental to my health. I'm getting very frustrated with people not knowing my history and saying I didn't need the surgery. Although a 35 was the highest my BMI has ever been, it's more about the constant struggle with loosing weight and trying to stay healthy.