Sleeve or RNY?

 i was prediabetic as well before surgery my blood sugar was pretty high im 2 weeks out of surgery and last time i checked it my blood sugar was at 114 down from about 160. im with everyone else i personally didnt like the idea of malabsobtion or the rerouting of my intestines or dumping syndrome. either way u go u still losse the weight and by eating less and changeing ur diet u should be able to get ur diabetes under control.. good luck to ya

Thank you all so much. I was leaning towards the sleeve but doctor told me to do rny due to pre-diabettes and the amount of weight I had to loose I should do rny. he said that the sleeve is for people with bmi of 35 - 45. I am 5'3" and 240 lbs with a bmi of about 45-46. So, I still felt that the sleeve was a good fit but he's the doctor.  My hubsand wants me to follow the doctors advice but I think the sleeve is going to be a better fit.  Thanks for all your feedback.

 I am having the sleeve done because I take several non-weight medications. I was concerned about the malabsorption of a RNY. I feel that DR.s sometime recommend what they are comfortable doing. I am a nurse and know that Dr.s like to do what they are used to doing. It is sometimes they are not even conscious of that fact. You research, research, research !!! Do what is best for you, not your surgeon (and there are other surgeons out there that will be happy to do what you want. Research your surgeon and make sure he is very familiar with what ever option you take.

                                                                      Good Luck !!

One thing to recognize with your doctor's advice is that it is often colored by liability concerns - it's called defensive medicine and is part of why our healthcare is so expensive. In this case, while the VSG is showing good results in resolution of diabetes related issues, particularly the less severe cases like pre-diabetes/insulin resistence/metabolic syndrom or whatever they're calling it this week, it does not have the extensive documented track record that the RNY has (not to mention the DS, which typically has better results than the RNY in this regard.) With any of these procedures (including the DS, which sees diabetes resolution numbers in the 98% area) there will be some patients for whom the diabetes will not resolve, so from a liability perspective, your doc is somewhat obligated to recommend the procedure that has the best documented chance of resolving your symptoms, even if it may not be the one he would choose for himself under those same cir****tances.

So, do consider his advice, but also consider those non-medical, legal/CYA factors that may color his advice as well. It sometimes helps to personalize things a bit, and ask him specifically, what would he do if he or a close family member were in the same cir****tances.

For me, I never considered the RNY for the variety of reasons that are commonly mentioned in this forum - the DS was the primary alternative had I felt the need for something stronger than the VSG. Even with whatever statistical advantage the RNY may have over the VSG on the diabetes front, it is a very expensive procedure from the lifestyle and medical treatment limitation perspective relative to the VSG which offers very similar performance in weight loss and regain resistence, while the DS does a better overall job on than either on all three fronts (weight loss, regain resistence and diabetes resolution) at a similar side effect/limitation cost to the RNY, if not a somewhat lower cost.