Recent Posts

Lacey S.
on 1/4/12 12:30 pm - OR
Topic: RE: double diabetic
 I have decided to put the DS back on the table as an option.  My main concern, after possibly reversing the type 2 diabetes of course, is which one will be better in the long run since I will still be at risk for complications with the type 1.  I also don't want to end up with issues of going too low so much that I make my health worse of just in the other direction.  Ugh, it all gives me a headache lol.  
Lacey S.
on 1/4/12 12:21 pm - OR
Topic: RE: double diabetic
 From what I can tell it looks like DS is better for those with a bmi of 50 or more and riskier for people under that.  I am at 38 right now.  I see also that it is a bigger pouch, which kinda makes me think it would be more practical, but at the same time that mentality can be my down fall if I get into the habit of allowing myself to think I can get away with eating more...especially without the dumping issue.  I don't know though I had ruled it out, but,enough people have mentioned it that now I have put it back on the table.  DS and RNY, besides the band, are the only ones my insurance will cover so it's just between those.  At least I still have a lot of time to figure it out and all this gives me things to ask the bariatric team about on Monday.  Thanks.
Lacey S.
on 1/4/12 12:13 pm - OR
Topic: RE: double diabetic
 good to know, thanks. It helps to kinda know what to expect and come up with questions for the surgeon for when I see him.
funkyphillygirl
on 1/4/12 6:03 am
Topic: RE: double diabetic
Just another point of clarification - those of us with LADA/Type 1.5/Double Diabetes cannot achieve "cure" from ANY type of bariatric surgery.  We have features of both types of diabetes.  So, the more classic Type 2 symptoms can be improved with WLS.  However, the Type 1 - insulin dependent diabetes is not changed.  It's possible that we need less insulin because our body weight decreases, but we are still diabetics that need insulin.

If your diabetes "goes away" after surgery, you are not a LADA/Type 1.5. 

I'm jealous of all you straight Type 2's - gotta say!  :-)  But, still very happy with my surgery and the improvements I'm saying
Sher Bear Mama
on 1/4/12 5:34 am, edited 1/4/12 5:34 am
Sher Bear Mama
on 1/4/12 5:24 am
Topic: RE: double diabetic
 "The RNY has proven to cure type 2's.. the only thing that has been proven to cure it. "


You are absolutely incorrect. The articles below show that the Duodenal Switch cures Diabeties as well or BETTER than the RNY.  Just read the conclusions and you'll see.

1.    " Bileopancreatic Diversion with Duodenal Switch Lowers Both Early and Late Phases of      Glucose, Insulin and Proinsulin Responses After Meal."

   http://www.dsfacts.com/Type-2-Diabetes-Cure.html


2.  Duodenal switch provides superior resolution of metabolic comorbidities independent of weight loss in the super-obese (BMI > or = 50 kg/m2) compared with gastric bypass.
Prachand et al. Feb 2010
PubMed Abstract 

OBJECTIVE: Increased body mass index is associated with greater incidence and severity of obesity-related comorbidities and inadequate postbariatric surgery weight loss. Accordingly, comorbidity resolution is an important measure of surgical outcome in super-obese individuals. We previously reported superior weight loss in super-obese patients following duodenal switch (DS) compared to Roux-en-Y gastric bypass (RYGB) in a large single institution series. We now report follow-up comparison of comorbidity resolution and correlation with weight loss.

METHODS: Data from patients undergoing DS and RYGB between August 2002 and October 2005 were prospectively collected and used to identify super-obese patients with diabetes, hypertension, dyslipidemia, and gastroesophageal reflux disease (GERD). Ali-Wolfe scoring was used to describe comorbidity severity. Chi-square analysis was used to compare resolution and two-sample t tests used to compare weight loss between patients whose comorbidities resolved and persisted.

RESULTS: Three hundred fifty super-obese patients [DS (n=198), RYGB (n=152)] were identified. Incidence and severity of hypertension, dyslipidemia, and GERD was comparable in both groups while diabetes was less common but more severe in the DS group (24.2% vs. 35.5%, Ali-Wolfe 3.27 vs. 2.94, p

Sher--the bear mama

  
greatmomof2
on 1/4/12 4:55 am - CA
Topic: RE: anyone dealing with diabetic neuropathy?
I had started feeling the tingling even i would feel hot spots in my feet...i had mentioned to my endocrinologists and he suggested to take alpha lipoic(herbal supplement). You can get from any health food store or vitamin shop....i took it and it worked just after a few weeks...i hope it works for you
Psyche
on 1/4/12 4:48 am
Topic: RE: double diabetic
My Type 2 went into remission after the DS. (I will never say cure... Murphy's Law and all.) The success rates were one of reasons I went chose that surgery.
SW 280 / GW 150 / CW 128.8

Reconstructive surgery, under construction!

Lower Body Lift - 12/14/2011 - Atlanta VA Medical Center
Brachioplasty & Mastopexy w/Augmentation - 03/14/2012 - Dr Marisa Lawrence

(deactivated member)
on 1/4/12 1:14 am - Woodbridge, VA
Topic: RE: insulin resistance
Insulin resistance is not normally considered a comorbidity. Full-blown type 2 diabetes is. But the only way to know for sure is to check with your specific insurance provider.
(deactivated member)
on 1/4/12 1:12 am - Woodbridge, VA
Topic: RE: double diabetic
On January 1, 2012 at 9:58 PM Pacific Time, mysterymonkey6 wrote: The RNY has proven to cure type 2's.. the only thing that has been proven to cure it. 


Just a point of clarification/correction - the RNY is not a proven type 2 diabetes cure in that it does not work 100% of the time and is not always a PERMANENT cure. It's also not the "only" proven cure. The DS has a higher success rate at resolving type 2 diabetes than the RNY plus has better long-term statistics for keeping the diabetes in remission (or cured or whatever word you want to use).

More info available in my profile and right here:
 http://www.obesityhelp.com/forums/diabetes/3751535/If-you-ar e-Type-2-and-considering-WLS/
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