RNY VS Sleeve for a type 2 diabetic?

[MissMerc 0]

I have diabetes and high blood pressure, which would be the better option?

thank you

[Megall9 268]

I am type 2 diabetic, and I am getting the sleeve. I was diagnosed about 6-7 years ago with it, but it has always been diet and exercise controlled, I've never been on medication. (knock on wood) My surgeon knows, and we're going ahead with it. He was explaining to me that with the bypass sometimes down the road there are issues with malnutrition and absorption of nutrients, whereas with my sleeve I shouldn't see any of these problems. But discuss it with your doctor, and he or she will help you make the decision for what is best for you and your situation. Best of luck!

[Daisee68 2,493]

My surgeon recommended RNY because of my diabetes and acid reflux. My diabetes is in remission now without meds. They took me off in the hospital and I have not had to take it since. You will get a lot of different opinions on this and only you will really be able to decide, but definitely take surgeons' opinion under strong consideration.

[Cupcake 801]

I had the option of either or and I selected the rny and I have not regretted it, I would discuss it with my surgeon to see what is the best option for you .This surgery save my life and I am thrill you got this and good luck .

I had the option of either or and I selected the rny and I have not regretted it, I would discuss it with my surgeon to see what is the best option for you .This surgery save my life and I am thrill you got this and good luck .

I had the option of either or and I selected the rny and I have not regretted it, I would discuss it with my surgeon to see what is the best option for you .This surgery save my life and I am thrill you got this and good luck .

I had the option of either or and I selected the rny and I have not regretted it, I would discuss it with my surgeon to see what is the best option for you .This surgery save my life and I am thrill you got this and good luck .

I had the option of either or and I selected the rny and I have not regretted it, I would discuss it with my surgeon to see what is the best option for you .This surgery save my life and I am thrill you got this and good luck .

[DaisyAmy 561]

My diabetes was controlled with 850 mg metformin 2x day and glipizide 1x day prior to sleeve surgery. I've been off all meds since and am in remission.

[Cupcake 801]

I had the option of either or and I selected the rny and I have not regretted it, I would discuss it with my surgeon to see what is the best option for you .This surgery save my life and I am thrill you got this and good luck .

[Cupcake 801]

I had the option to select either one , I say to talk to your doctor before making the final decision . I love my decision I selected the rny because I did not to have ut one surgury . You got this .

[Waler 330]

either one will help you, this is where you and your doctor need to decide which is best for you.

[CowgirlJane 14,260]

Either will help, but there is strong evidence that the rny is more likely to "cure" type 2 diabetes. That doesn't mean that the sleeve won't bring your blood sugar to normal levels, but the odds are likely better with the RNY

I say this as a 4 year sleever-believer veteran - they are both good procedures but I think it is smart to look at the studies and evidence over large populations. Talk it over with your surgeon and focus on that 3-10 year horizon, not necessarily what happens in the first year post op (in my opinion)

[Jessica Ellison-Correa 66]

I have both type 2 diabetes and pcos and I am going with rny I know my surgeon is skilled and my team is awesome so I trust them completely

[RickM 1,750]

Overall, it's a coin toss, and which procedure is best suited to your personality - both the sleeve and bypass show diabetes remission rates of around 85% - some practices will show marginally better results with one procedure than the other and vice versa. One thing to consider is that most bariatric surgeons are most experienced and comfortable doing bypasses, as the sleeve is relatively new to them, and they tend to recommend what is most comfortable for them to perform. Look at the positives and negatives of both procedures, if possible talk to surgeons who specialize in each, then decide which fits you best, and choose a surgeon who is most experienced with that procedure.

An additional note - if diabetes is your primary concern (as it usually should be,) then also take a look at the Duodenal Switch, which typically shows diabetes remission rates of around 98-99%. It is a more complex procedure, which is why most bariatric surgeons don't offer it (it takes time and resources to develop, and most particularly maintain, the necessary skills,) but it is the best available for addressing the diabetes problem, and should at least be on the radar of any diabetic looking at WLS.

[jnt1 37]

The research all shows an excellent result in complete reversal of type 2 diabetes with the mini gastric bypass. Lots of dats showing some people showed no more signs of diabetes as little as 3 days after bypass surgery. You should discuss this with your surgeon.

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