Anyone have Gastric Sleeve and then Roux-en-Y?

With type 2 diabetes and a sleeve already in place I would definitely look at the DS.  It has better statistics of resolving the diabetes as well as for weight loss and maintenance, although it does have more supplemental requirements due to the higher level of malabsorption.  Look at dsfacts.com for a surgeon that does the DS near you and see what they say.
I had a sleeve before my revision and had it made into a RNY pouch, for completely different reasons, and while it has worked out well for me I wish I had kept my pyloric valve so I wouldn't have to worry about reactive hypoglycemia.  I do dump, which isn't an issue because I avoid sugar anyway and wasn't planning on including it in my diet, but I have had it accidentally a few times and it is miserable.

Thanks I will research DS.

I am only 5' and had a BMI of 77 and also carry most of my weight in my tummy. I had lap RNY... with no complications. I guess it just depends on the surgeon.

 I also had a potential issue with scar tissue from a previous surgery, so that was part of the reason that my surgery was open, but, yes, it all depends on the surgeon.  Some will do lap surgery on very heavy individuals and some won't.  I was surprised, though, that TWO lap surgeries was considered preferable to one open (or potentially open) surgery.

Lora

I think age and other medical conditions are a factor.

Why on earth would you want to butcher a perfectly good stomach and make it into a man made pouch with malabsorption that will be GONE within 18 months.  You have a restrictive surgery now (VSG).  In my opinion, the RNY is mostly a restrictive surgery with only a little bit of malabsorption.  And that malabsorption stops at about 18 months.  You still have weight to lose, so you already know that a restrictive only surgery will not do it for you.  A DS would keep your VERY IMPORTANT pyloric valve and stomach in tack and will bypass a lot more intestines.  The malabsorption with the DS will not go away.  Yes, there are more vites that you have to take.  Yes, you have to get labs much more frequently to watch your levels and adjust supplements.  Yes, it is worth it, as far as I am concerned, for the scientifically proven higher rate of longterm successful maintanence and for the cure of Type 2 Diabetes.  It is not uncommon for RNY to redevelop diabetes over time. 

I would highly suggest that you visit dsfacts.com and also visit the site in my siggy.  Get all the info you can.  You really don't want to have to do another revision down the road.

You make some excellent points.  I will make sure I do as much research as possible before making any decisions.

Thanks.