Wow, Cheyenne and Linney have given you such good advice.
I went with the gastric bypass for two reasons:
1.) The procedure immediately controls diabetes. Prior to surgery I was on two or three diabetic meds and also using up to 90 units of Novolog fast insulin per day to control my sugars and keep my A1C in the 5s.
Right after the surgery I no longer needed any diabetic meds and my glucose was immediately controlled between 80 to 130 typically and my A1Cs continued to come in the 5s. Yes, you could still make your sugars go up and get high readings if you don't follow your new way of life. Yes, you can sabotage your surgery and go back to old habits eating the wrong foods and too much of them and restretch your stomach and defeat the purpos of the surgery. As Linney says the surgery is a tool and it gets you 1/2 there. It is up to you to take on the accountability and responsibility of taking better care of yourself by following the new program.
You will be on a "honeymoon" for the first year since the tool is quite effective in helping you lose weight in the early go.
2.) At the time of my surgery 11/4/2013 gastric bypass was the gold standard. Since then the sleeve has gained a lot of popularity. It is less complicated, etc., etc., The statistics of success are not in as yet. The data is being collected. It will be interesting to see the success rates 5 years out with the sleeve to compare to the gastric bypass. It will be interesting to see how well the sleeve controls diabetes, etc., etc
Now, the challenge is in for me and anyone that has gotten to their goal weight.
I acheived my goal by 7/2014. I made it to 199. Maintenance is for the rest of your life.
Do I have fun now? Do I eat what I want? Yes, but in limited quantities. Many folks and many nutritionists say you should not eat this or that EVER AGAIN. I don't necessarily agree with that myself unless of course that particular food or "goodie" is so strong a trigger that it would sabotage your new way of eating.
I have a method. I have set up three weight zones. I manage and react based on what zone my current weight is in. Your weight will fluctuate.
MY GREEN ZONE is <200. In this situation I pretty much have arrived at an ability and daily routine that makes sure I get my protein in each day and fluids and anything else I want; again in limited quantities with an intent to keep carbs low but not zero and keep total calories in the neighborhood of 1800 to 2000 calories per day (net calories). By net calories I mean actual intake minus exercise calories.
I monitor everything by using some useful calorie counter program.
MY YELLOW ZONE IS 200 to 205. Here I start to get a bit cautious. How did I get here? Well, perhaps too much fun over the weekend with goodie foods, exceeded the 2000 calorie barrier or whatever. I do enjoy my pineapple martinis over the summer. Alcohol tends to get me to retain fluids too much. So, at this point I start to keep calories around 1500 calories and gradually pull the weight back down to green zone. I do know how to lose weight and I certainly know how to celebrate and have fun.
MY RED ZONE IS >205 (by the way that is where I am now). I am at 207 right now. Too high. When this occurs I cut back all the way to 1200 to 1500 calories and initially the first few days down to 1200 and return to "week 1" disciplines going back to mostly liquid diet (protein shakes and glucerna) and make sure I am near 1200 calories until such time as the weight comes back down to the yellow zone and ultimately back to my goal weight of 199.
So this is something to think about for you. You have plenty of time to get used to a new way of life. You MUST strictly adhere to your new bariatric nutritional program to acheive the significant weight loss to goal that you desire. After that, the rest of your life is keeping your weight under control.
Best wishes,
Ralph