Hi! I had the same concerns preop so I wanted to share my story with you. I have had type II diabetes for 11 years, insulin dependent for 4 years with approximately 6-8 injections per day, and high blood pressure. My surgeon told me that I would be discharged off all insulin/meds and that was a big factor in deciding to get the surgery or not. My PCP however warned me that I may still need insulin and that I may never be off of it completely. It really messed with my head and I almost canceled the surgery. I am 4 weeks post Loop DS surgery and I feel great! The doc discharged me from the hospital on steroids so I continued to take insulin for about 3 weeks post op, but he stopped all oral meds immediately. About a week ago I had my follow up and was told that as long as my blood sugar stays under 160 I can come off the insulin. Amazingly I have not had an insulin dose for 5 days now. As I add foods back into my diet that may or may not change, but I am confident now that I can reach my goal weight and stop feeling trapped by the insulin kit I carried with me everywhere. I have also had to stop my blood pressure meds as they were too strong and I am in normal range. I will say with absolute confidence this is the best thing I have ever done for myself. The biggest struggle I have faced is boredom with the protein shakes, and serious constipation but honestly, small price to pay. I would encourage you to talk to your surgeon and endocrinologist about your concerns because it may not be an immediate fix, and I actually fully expect to possibly need some insulin as I add foods back into my diet. Going forward I am concentrating on low carb high protein meals. I want to encourage you to do as much research as possible, but also let you know that for me, it was the best option to regain control of my health. I wish you luck and if you have any other questions just ask!