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Post by brendalou on Jun 2, 2012 23:13:30 GMT -5
Please help me decide! here is my story. I am have a BMI of 36.1 and GRED and Diabetic. i have been told if i loose 50 lbs my diabetes should be under control may be gone so i went to see my dr because i wanted the sleeve. that will put me in a normal BMI so i went to see the Dr. about WLS and he was talking about i could do a DS or a Sleeve ins will pay for both. with the DS he would not bypass as much of my small intestine do to my low BMI. or i could just to a sleeve. i am afraid with just the sleeve i will not loose enough wt to help my diabetes but the DS make me nervous that i might loos to much wt. any thoughts out there my WLS doctor is Dr Stewart in Texas.  |
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Post by goodkel on Jun 3, 2012 4:08:02 GMT -5
"Sometimes" diabetes is controlled by weight. Sometimes it is not. If it is hereditary/genetic, it may be just a symptom of age rather than weight. And the VSG won't help you. The long term weight loss maintained by the VSG is unknown because, as a stand alone procedure, it is too new to tell.
The intestinal portion of the DS has been frequently done in Europe to resolve diabetes in normal weight individuals. i personally know of one in the US.
There are plenty of "lightweights" who have been very successful with the DS and did not lose too much weight.
But, if you have pummeled your metabolism over the years with yo-yo dieting, the DS might be your only hope for a normal life.
I was light-ish as 41.5 and I have stabilized at a mid-low normal BMI.
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Post by angelcake on Jun 3, 2012 5:52:31 GMT -5
You should also check if you're allowed a second procedure should you not lose enough with the VSG alone or resolve your diabetes (some policies only permit one WLS per lifetime).
DS is your best option for resolving diabetes.
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Post by goodkel on Jun 3, 2012 15:38:39 GMT -5
You should also check if you're allowed a second procedure should you not lose enough with the VSG alone or resolve your diabetes (some policies only permit one WLS per lifetime). DS is your best option for resolving diabetes. Excellent point! Even if they didn't pay for the first surgery, some insurance companies are now adding one bariatric surgery per lifetime exclusions. Unless you have the means to self-pay for a revision, make your choice carefully. Compared to other weight loss surgeries, the DS has the highest percentage of excess weight lost and the highest percentage of excess weight loss maintained long term. Think twice, cut once. |
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Post by Deleted on Jun 3, 2012 15:48:22 GMT -5
Brendalou, I was a very lightweight lightweight...my BMI going into my surgical consult was a 35.2 and day of surgery was 34.9. Most surgeons will adjust your common channel if you are really worried but to be honest, I wish mine were shorter. I have a 175 cc and I wish it were no longer than 150.
My am a type 2 diabetic, WAS on an insulin pump and metformin pre-op and my a1c was still an 8.2. Last a1c was 5.4 and I am no longer on insulin or metformin.
Liz
Liz
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