If you have been approved for the RNY gastric bypass, does that mean you are also approved for the mini bypass?

Story
When seeing my Endo 1.5 years ago, I had wicked high insulin levels 93 (non-diabtic was 0-9 and diabetic was 9-27). A1C 6.0.  I had gained about 140 pounds in 14 years... and of that I gained 100 pounds in 4 years.  College scholarship athlete use to be very active.

Through the 1.5 years I have worked with her I have managed to get it down to a 27.3 and a a1c of 6.1

I have been on Byetta and Metformin watching carbs.  I managed to loose 25 pounds and keep it off during that time.  I was 350 now 325 and am 5'7 tall.  Unfortunately, I am starting to have adverse reactions to the byetta and my doctor has now taken me off that med.

Which concerns me as this is the first time *ever* I was able to loose any weight and keep it off.

It is also the first time ever I have realized that 70% of my cravings for certian types of food and being hungry did *not* stem from emotional eating.

As I went off the meds and as I write this even though I had breakfast an hour ago I am feeling freakin hungry, shelly and jittery....  The struggle to no eat is back...

And I am worried I am going to gain my weight back not from eating but because of the excess insulin in my body and how that promotes weight gain.

I have blamed myself my entire life.  I realized I was only really 1/3 of the problem.

Questions
With that said, I have read some about the ROUx-en-y procedure and the mini gastric procedure.  The major difference I see is that one does a pouch and the other does a tube as the stomach.

the one thing I am trying to find out is if the Mini procedure still by-passes the upper small institine.

for people with type 2 diabetes or insulin resistance they are realizing through the by passing of the upper institent that it reverses the issue of insulin insentivity.

Does the mini to by pass that area?  I went to a site clos.net they had a video for comparison but it said I was not allowed to watch it because I was not a friend of someone's on Youtube.

I watched the video about the Mini but they aren't labeling portions of the stomach/instinal areas...

Anyone with Type 2 or insulin resistance care to comment as well?  Did you do full remission with this type of surgery?

Many Blessings,

Angela Law

Hi,

I would contact Dr Rutledge's staff at http://clos.net and find out the status on insurance coverage and surgery locations.  It's a great procedure and worth every penny if they don't take insurance.  They have a couple incentive programs that you may fall into but you will need to check with them.  Good luck!

Hi,

Yes there are patients in Canada.  I suggest you start from their website http://clos.net and talk to the staff.  There is a great email list you can join and talk to many folks who are in various stages of their journey.  I am nine years postop.  With any weight loss surgery, you need to learn to eat healthy and keep active.  This will be a big plus in your success.  Lots to read on the website so give yourself time. 

Hi,

If I were you, I would call Dr. Rutledge on his cell phone (http://clos.net) and get his opinion.  Don't leave a message.  Just call until he answers per his staff. He is the master of this procedure and he may have some suggestions for you.  I would be a little nervous taking the advice from a surgeon who is not familiar with this procedure.  And, yes, if you were to get a reversal, you would probably gain it back unless you have established a very healthy and strong relationship with food and healthy eating habits.