Jump to content
×
Are you looking for the BariatricPal Store? Go now!

Diabetics (cure or reduce?)



Recommended Posts

Hello everybody My surgery is in a month, I am really afraid and beside the weight lost, I am choosing this surgery because I was told will eliminate my diabetics, any feedback...

Share this post


Link to post
Share on other sites

Hello Charpower:

I agree that reducing weight will reduce my dependence of insulin &/or diabetic meds. but when I told my doctor that I want the Sleeve surgery, he told me that the bypass surgery is better for me because is the one that will reduce my diabetic.

my question is if somebody know the difference between both surgeries and why one is better to reduce diabetic than the other when both surgeries help to reduce weight.

Share this post


Link to post
Share on other sites

Hello Charpower:
I agree that reducing weight will reduce my dependence of insulin &/or diabetic meds. but when I told my doctor that I want the Sleeve surgery, he told me that the bypass surgery is better for me because is the one that will reduce my diabetic.
my question is if somebody know the difference between both surgeries and why one is better to reduce diabetic than the other when both surgeries help to reduce weight.


I was an uncontrolled diabetic and was taking 2 insulins an oral and victoza...also blood pressure meds...I was off most meds prior to surgery and after I am completely off. And so thankful.i had the sleeve surgery.my a1c last year was 10 now it's under 6


Share this post


Link to post
Share on other sites

10 hours ago, Pat Pac said:

Hello Charpower:

I agree that reducing weight will reduce my dependence of insulin &/or diabetic meds. but when I told my doctor that I want the Sleeve surgery, he told me that the bypass surgery is better for me because is the one that will reduce my diabetic.

my question is if somebody know the difference between both surgeries and why one is better to reduce diabetic than the other when both surgeries help to reduce weight.

There was an article in Diabetes Forecast Magazine earlier this year and it did say that Gastric Bypass was the one that reduced blood sugar levels quickest but that all of the surgeries will reduce blood sugar levels as they reduce your weight. I am not sure why, my doctor also said the same. He suggested bypass for based on my diabetes and also GERD but the decision to have bypass was mine.

Share this post


Link to post
Share on other sites

Here's a JAMA excerpt. I can't unlock it for the full study. https://jamanetwork.com/journals/jama/article-abstract/2601499

I'm going by my surgeon's rec that RNY is more effective at potentially reversing T2. Of cource, it's possible for DFU errors (user errors :D ) and you could potentially re-eat your way back into your disease.

Share this post


Link to post
Share on other sites

I came across an article a while back, that gave a way for physicians to make an educated guess as to which procedure would be best for their diabetic clients.

It split the patients into 3 groups: mild diabetes (short time, easily controlled with 1 medication), moderate diabetes (up to 10 years, controlled with 1-2 meds), severe diabetes (long time or uncontrolled or need lots of meds)

The mild cases are likely to respond with sleeve or bypass.

Moderate cases really need a bypass

Severe cases are less likely to respond at all, so the sleeve might as well be chosen since it has fewer complications.

There are no hard and fast rules, but this gives some food for thought.

Share this post


Link to post
Share on other sites

Hello Charpower:

I agree that reducing weight will reduce my dependence of insulin &/or diabetic meds. but when I told my doctor that I want the Sleeve surgery, he told me that the bypass surgery is better for me because is the one that will reduce my diabetic.

my question is if somebody know the difference between both surgeries and why one is better to reduce diabetic than the other when both surgeries help to reduce weight.

The bypass procedure has both restriction in Malabsorption Whereas the sleeve primarily has restriction. Because of the Malabsorption portion of the gastric bypass you don’t intake as much calorically & utritionally speaking thus eliminating your diabetes.

Share this post


Link to post
Share on other sites


I was an uncontrolled diabetic and was taking 2 insulins an oral and victoza...also blood pressure meds...I was off most meds prior to surgery and after I am completely off. And so thankful.i had the sleeve surgery.my a1c last year was 10 now it's under 6



That is awesome! Congratulations on kicking all those medications to the curb


Share this post


Link to post
Share on other sites

I came across an article a while back, that gave a way for physicians to make an educated guess as to which procedure would be best for their diabetic clients.
It split the patients into 3 groups: mild diabetes (short time, easily controlled with 1 medication), moderate diabetes (up to 10 years, controlled with 1-2 meds), severe diabetes (long time or uncontrolled or need lots of meds)
The mild cases are likely to respond with sleeve or bypass.
Moderate cases really need a bypass
Severe cases are less likely to respond at all, so the sleeve might as well be chosen since it has fewer complications.
There are no hard and fast rules, but this gives some food for thought.





Share this post


Link to post
Share on other sites

My diabetic was under control with glipizide5mg and metformin500mg but 41/2pills daily. My a1c was 11 now is 8.5 after 6 months of medication.



Share this post


Link to post
Share on other sites

My diabetic was under control with glipizide5mg and metformin500mg but 41/2pills daily. My a1c was 11 now is 8.5 after 6 months of medication.









Share this post


Link to post
Share on other sites

I'm not sure if that is a question, but I think I'd call that moderate diabetes.

Share this post


Link to post
Share on other sites

Diabetes is the main reason I am getting the surgery. I am hoping that the 'side effect' of the surgery is that the diabetes will be eliminated or greatly reduced. I have been told there is an 80-85% chance that it will be gone !! That is worth it for me. It is controlled by medication right now, but I know that won't last long without serious intervention,

Share this post


Link to post
Share on other sites

I am also a moderate diabetic, when I had my consult with the dr to discuss which surgery to get I was told that due to the malabsorption part of bypass it helps lower blood sugar within a few days to weeks before significant weight loss. That is why i like chose the bypass.

Share this post


Link to post
Share on other sites

Create an account or sign in to comment

You need to be a member in order to leave a comment

Create an account

Sign up for a new account in our community. It's easy!

Register a new account

Sign in

Already have an account? Sign in here.

Sign In Now

  • Trending Products

  • Trending Topics

  • Recent Status Updates

    • vsg.with.sharon

      Hey everyone!
      I’m new here! Looking for some friends! 🥰
      · 0 replies
      1. This update has no replies.
    • LeighaTR

      Four days post surgery. I am sipping as fast as I can and getting NO WHERE near the goal of 60 - 80 grams of protein or the 64 oz of liquids. I just feel FULL. I don't know if it can still be the gas build up (I would think by now that would be gone) but it is a struggle to drink. And so far I have not had the nausea or spasms and don't want to wander into that territory by pushing too hard with liquids. I about passed out today as it was my most "strenuous" day. Went from second story to basement for shower and I was sure I was going to pass out. Looking back on my last few days I have had a total of less than 1000 calories. Am I just not getting enough nourishment in me? Once again a friday where I can't get ahold of the doc until Monday rolls back around so I am hoping maybe someone here has some experience on how to keep energy going. I do have fibromyalgia too and that may be where some added fatigue comes into play. How did you all fair with the goals the week after surgery?
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      2 days until I fly out to San Diego to have my Bypass Surg. in Tiajuana Mexico. Not gonna lie, the nerves are starting to surface. I don't fear the surgery itself, or the fact that I'm traveling alone, but its the aftermath that I'm stressing about the most, after this 8 week wait. I'm excited to finally be here, but I am really dreading the post surgical chapter. I know its going to be tough, real tough and I think I'm just in my head to much now that the day i here. Wish me luck, Hopefully I'm one of the lucky ones, and everything goes smoothly. Cant wait to give an exciting update,. If there is anyone else have a June bypass or even a recent one, Id love to have someone to compare war stories with. Also, anyone near San Antonio Tx? See ya soon with the future me. 💜
      · 3 replies
      1. Phil Penn

        Good Luck this procedure is well worth it I am down to 249.6 lb please continue with the process..

      2. Selina333

        I'm in Houston so kind of near you and had the sleeve in Dec. Down 61 lbs. Feeling better. Was definitely worth it. I hope the everything is going well for you. Update us when you can!

      3. Doughgurl

        I am back home after my bypass surgery in Tiajuana. I'm post op day 4. Everything went great! I guess I'm one of the lucky ones who have not encountered much pain at all, no nausea thus far and I'm having no problem keeping down broths and water. Thank you for your well wishes. I cant wait to keep up this journey and have a chance at better health and simply better quality of life. I know there will be bumps in the road ahead, and everything won't be peaches and cream, but at least I have a great start so far. 😍

    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 2 replies
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

      2. Doughgurl

        Thank you so much for your well wishes. I am hoping that everything goes easy for me as well. We don't eat out much as it is, so it wont be too bad in that department. Thankfully. Also, I hear you regarding your back and feet!! I'd like to add knees to the list. Killing me as we speak! I'm only 5' so the weight has to go. Too short to carry all this weight. Menopause really did a doosey on me. (😶lol) My daughter also lives in Houston. with her Husband and my 5 grand-littles. I grew up in Beaumont, so I know Houston well, I will be sure to keep in touch and update you on my journey. I may need some advice in the future, or just motivation. Thank You so much for reaching out, I was hoping to connect with someone in the community. I really appreciate it. 💜

  • Recent Topics

  • Hot Products

  • Sign Up For
    Our Newsletter

    Follow us for the latest news
    and special product offers!
  • Together, we have lost...
      lbs

    PatchAid Vitamin Patches

    ×