Type 2 diabetes

[shayshay85 5]

Hi everyone,

I am in the pre surgery, looking at a surgery date of end of November/beginning of December. But I was hoping to hear from sleevers who were/are diabetics and how your diabetes has changed since surgery, and if you wish you had done RNY instead.

I'm a type 2 diabetic, horrible blood sugars and on multiple medications (insulin, victoza, amyral, metformin and invokana). So I am primarily looking at surgery for blood sugar control help. I'm 5'10" and 250. Weight loss will be a bonus but I'm trying trying to decide which surgery is better for blood sugar control. My endocrinologist suggested sleeve surgery but the surgeon thinks RNY. I'd be so greatful to hear how it helped you.

Thank you!

[Bufflehead 6,358]

Gastric bypass seems to have stronger stats than VSG for resolving Type II diabetes, especially when you look at resolving it without the use of drugs:

http://www.nejm.org/doi/full/10.1056/NEJMoa1200225#t=articleTop

Also, I would expect that your bariatric surgeon would have better knowledge than the endocrinologist with respect to the effect of bariatric surgery on Type II diabetes, although I am sure there are exceptions!

Good luck in making your decision.

[4MRB4PHOTO 3,900]

I was only a type 2 diabetic for only a couple of years and was taking 1000mg of Metformin 2x's a day. My A1C numbers reached a high of 6.8.

Since the surgery and weight loss, my A1C numbers were normal (the last 4 readings were 5.6, 5.2, 4.8 & 4.6) and I no longer need to take Metformin or see an endocrinologist.

When I researched WLS, I found articles leaning towards the RNY patients had slightly better results in improving (or eliminating) some comorbidities such as diabetes. The VSG hasn't been studied as long for WLS, so there is still some knowledge to be learned, newer studies may show there are little differences.

Discuss this more in depth with both your endocrinologist and surgeon to make the correct decision for you.

You should have successful results too with either surgery due to the weight loss, dietary changes, exercise and (there is a hormonal/gut change that is kind of technical that I read about in a medical publication, which I won't do any justice by trying to recite it).

Edited September 8, 2015 by 4MRB4PHOTO

[Mandala27 14]

My research leads me to believe that bypass surgery will almost instantly resolve your diabetes. With the number of meds you are on and still not being able to achieve good glucose control I would lean towards bypass.

I have Type II diabetes and has decided to get sleeved. I am well controlled with 3 medications and my goal is to get off of as many medications as possible.

Best of luck with whatever decision you make.