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Type 2 diabedic: Which surgery do I pick?

Discussion in 'Diabetes Discussions' started by Marty G, Aug 8, 2016.

  1. Marty G

    Marty G Member

    Messages:
    13
    Trophy Points:
    8
    Surgery Type:
    RYGB
    Surgery Date:
    June 6, 2017
    Start Weight:
    295
    Current Weight:
    277
    Goal Weight:
    200
    Location:
    The Dalles, Oregon
    I just started my path of my pre surgery consultations by meeting with a Nurse Practitioner, nutritionists, and Physical Therapist at OHSU in Portland, Oregon. I have had type 2 diabetes for nearly 8 years (maybe longer undiagnosed), I do not take insulin, but know it is only a matter of time, I am on the max dose of metformin, and just increased to 8 mg of glimepiride after my last A1C was 9.2 I went into this thinking that Gastric bypass was the surgery that had the best chance at putting my Diabetes into remission, but after speaking with the NP, I am having second thoughts about Gastric Bypass and opting for Gastric Sleeve.

    The NP said she was not trying to influence my decision, but clearly seemed to be pushing me toward Gastric Sleeve due to fewer post-op complications and risks. She added that even though Gastric Bypass seems to show the best results in it's effects on Type 2 Diabetes, that is likely due to the number of years, patients studied, and number of studies done on gastric bypass as compared to gastric sleeve. she said not to make the decision just based on potential diabetes results.

    Also a friend of mine just had the Gastric Sleeve procedure, when I asked her why she chose the sleeve over the bypass, she said she knew four people who had serious, life threatening complications form the gastric bypass surgery.

    I'm just trying to make the best decision I can and want the surgery that will help me the most and give me the best chance to get off my meds and lose my extra weight. Any thought?
     
    HeidiRose05 and Douglas Naumann like this.
  2. Stephen Jacquindo

    Stephen Jacquindo New Member

    Messages:
    2
    Trophy Points:
    4
    Surgery Type:
    Roux-en-Y
    Surgery Date:
    Pending
    Start Weight:
    360
    Current Weight:
    350
    Goal Weight:
    Don't know yet
    Location:
    Philadelphia Pa.
    I am in the same boat as you (only I take insulin) and have been doing a lot of research and have come to the conclusion that for me and my diabetes the gastric bypass is the best option. the reason I say this is studies have shown a larger drop in A1C levels compared to the sleeve. the way I am looking at this surgery is I want the surgery that improves my diabetes the most. my suggestion is to ask you family Dr. or your endocrinologist to get their view from a medical side of it.
     
  3. Agim

    Agim New Member

    Messages:
    7
    Trophy Points:
    3
    Surgery Type:
    By pass
    Surgery Date:
    04/03/2017
    Start Weight:
    274
    Current Weight:
    274
    Goal Weight:
    160
    Location:
    Salem, il.
    Good read.helps me is a question I've been searching for an answer .goingbto have one or the other done.didnt know Which way to go
     
    HeidiRose05 likes this.
  4. Saska

    Saska Active Member

    Messages:
    54
    Trophy Points:
    25
    Surgery Type:
    gastric sleeve
    Surgery Date:
    1/30/17
    Start Weight:
    277
    Current Weight:
    234
    Goal Weight:
    160
    Location:
    San Jose, California
    Hi, I was diagnosed with diabetes late last year. I was told by my primary care doctor that both procedures are considered a cure for non-insulin dependent diabetes. My bariatric surgeon recommended the gastric sleeve for me and said that this would be the best option for the diabetes and fewer complications. He has been doing more gastric sleeves now in patients than the bypass as he is seeing better results with it (the weight loss is only about 5% less than the bypass, so it isn't a big thing to choose the sleeve over the bypass). It also helped make my decision that the doctor I chose to do the surgery is one that other physicians and nursing staff would elect to see over the 4 other surgeons in the area. That to me says a lot if medical professionals make this kind of recommendation. I would however discuss both with your doctor and consider other factors in addition to the diabetes. I chose the sleeve because it would give me the option in the future to take the occasional advil, and it doesn't have weakened areas where the bypass is grafted. Also I was hoping it would have fewer complications with malabsorbtion with nutrition. But again talk with your doctor about your choices that way any questions you have will be answered by the experts.
     
    HeidiRose05 likes this.
  5. dancinbr

    dancinbr Bariatric Guru

    Messages:
    1,821
    Trophy Points:
    32
    Surgery Type:
    Gastric By-pass
    Surgery Date:
    11/4/2013
    Start Weight:
    288
    Current Weight:
    220
    Goal Weight:
    Under 200
    I am post op 3+ years.

    I was taking up to 90 units of fast insulin a day to control my diabetes.

    I had the gastric bypass. The very next day after the operation, I know longer needed any diabetic meds; went right to not needing anything immediately.

    Diabetes is a killer. A whole lot worse than the surgical risk of having the gastric bypass.

    The key to a successful operation is finding a doctor who is one of the best as I did as well as going to a hospital that is a "center of excellence" bariatric surgery hospital.

    Also, today the operation is done laproscopically. Probably spelled that wrong.

    So, the risk is way down.

    Hope I helped

    Best wishes,

    Ralph
     
    HeidiRose05 and Keith Wells like this.
  6. Jackie1017

    Jackie1017 Active Member

    Messages:
    19
    Trophy Points:
    11
    Surgery Type:
    Sleeve
    Surgery Date:
    May 15,2017
    Start Weight:
    317
    Current Weight:
    297
    Goal Weight:
    175
    Location:
    Cape Neddick, Maone
    I'm diabetic. On Metformin WE 2,000mg daily, glimepiride 2mg daily, and Trulicity weekly. The Trulicity has helped lower my A1c from 8 to 6.8 in just a couple months.
    I'm scheduled for the sleeve surgery to be done May 15th.
    Best of luck with your decision.
    I'm looking forward to this journey to a healthier me.
     
  7. Cjprebypass60

    Cjprebypass60 Member

    Messages:
    17
    Trophy Points:
    9
    Surgery Type:
    Gastric Bypass
    Surgery Date:
    May 4/17
    Start Weight:
    206
    Current Weight:
    181
    Goal Weight:
    130
    Location:
    Central MN
    I am diabetic, have been for 20+ years. I was leaning towards the sleeve first, but after talking with my surgeon I am having the bypass. His reasons for wanting me to have the bypass include 90% success rate of remission of diabetes , GERD gone, HBP gone, and High Cholesterol gone. He told me with the sleeve, the gerd will come back in 3-5 months more severe than it was. I choose to believe him as he has the numbers in his practice to prove it. Closest thing to a cure for me that I will ever get, so I am going for it. I've known lots of people who have had the sleeve also, however their weight loss slowed down rapidly after 3 months. He has told me the weight loss will come off faster in the 1st year with the bypass. I'm a little nervous of the dumping syndrome that could possibly come with it, but if I follow the diet, as I will, It should not become a problem. Just my thoughts on it. Good luck on whatever you decide. :)
     
  8. Keith Wells

    Keith Wells Bariatric Guru

    Messages:
    273
    Trophy Points:
    59
    Surgery Type:
    Bypass
    Surgery Date:
    Feb 14th
    Start Weight:
    298
    Current Weight:
    210
    Goal Weight:
    180
    Location:
    Richlands, NC
    Yes I to have known someone that has had issues with the bypass but it was doctor error. I had the Gastric bypass in Feb of this year and I no longer take any meds for my type 2. in fact my A1c has dropped into the normal levels... The study's of the Gastric Bypass is less then 1% of having and issue.... It is your choice, I just wouldn't want you to decide on the fact that some others may have had issues.. Ask you doc how many time he has seen issues or had people have issues... I did and felt good with my doc doing the bypass...
    I know people that have had both surgery's and are having good results, the one that had the bypass has lost more, but the bypass limits you on never being able to have things again.... with the sleeve you are not as limited.... I just felt I would be more tempted to fall back into old habits like drinking soda or eating sweets... Good luck on your choice... My doc recommended the gastric bypass or the switch for the issues and my goal. and all have been great... The switch if you don't know is basicly the sleeve that bypasses like the gastric by pass... Instead of a small pouch you have the sleeve and then the intestines are moved like in the bypass... I hope this helps
     
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