Polycistic ovary syndrome.

I think your primary doctor and/or surgeon should assist you in whatever appeal process there is for your insurance.  If they can make the case for why medication is not appropriate for you, but surgery is, you might be able to get the decision reversed.  However, I think that documentation is going to have to come from a medical professional in order to be persuasive.  Do you meet the criteria for surgery because of other factors (bmi, co-morbidities, etc.)?

I agree with the poster above and also want to recommend investigating getting the RNY instead of the VSG.  It changes the metabolism of some sugars.  If your body is still producing insulin, then the RNY might even cure your diabetes.  If you no longer produce insulin, then the RNY will reduce your need for insulin drastically but won't cure you. Your endocrinologist can do a blood test to determine whether you still produce your own insulin.

I was a Type II diabetic for years and years and finally the medications like metformin stopped working for me. I ate so much sugar and my pancreas produced so much insulin that I basically worked my pancreas to death.  I had the lap band years ago and it didn't help my diabetes or curb my sugar cravings at all.  It slipped (failed) and I had RNY about 5 months ago.  The carb cravings are much better and I use much less insulin than before, but if I eat any carbs, I still need at least a few units.  So I'm not cured but it sure is better. 

Good luck with your journey to the loser's bench!

Hello

I am 4 weeks post op and I still had to take my metaformin after surgery even though my sugars came down, though they did take me of the Diamacron I was taking. You have to crush the
metaformin and it tastes wonderful!

Thanks
StaceyP

Maybe I missed the bashing.. but if there is no problem with any surgery then why are there different types? Surely there is a reason and a medical indication for one type over another for each patient. For diabetes, the DS seems to have the best stats for resolution, remission, whatever you want to call it. It may not be the right surgery for us all (I am getting the VSG for instance.. DS is not right for me and I am taking my surgeon's advice on that) but it does have the best stats for diabetes in particular. And no reactive hypoglycemia. This is pretty much fact, not bashing. And you are right about putting in the work for weight loss and maintenance. That's something that is as true and good as motherhood and apple pie. If we put in the work for weight loss and maintenance without surgery it is great too. Diabetes unfortunately does not go away in this manner. It may be vastly improved but it will not go away. It is a genetic and intestinal disease and without some hormonal impact of surgery - whichever surgery you have - the remission from weight loss alone will not be forever. DS (without the restriction) is performed on non obese patients just for the purposes of resolution of diabetes. No RnY nor VSG is ever performed just for diabetes resolution.. so to me the connection is obvious. Again, not bashing any surgery - and certainly not the RnY.