RNY vs DS

Is there any way they can tell a person will become hypoglycemic after surgery? - No - I do not think so. But I see a lot of people long term post op that have it.

Also, does RH make it harder to keep the weight off? yes - the one post op RNY it makes is really hard.

if so, why? I always thought high blood sugars made it hard to keep weight off???  Post op RNY is to to excessive sensitivity to sugar and carbs, Most likely my body makes you much insulin, and when I eat some carbs or sugars my body makes too much insulin and puts the "blood sugar " into cells - like fat cells. With high insulin level - the blood sugar drops very rapidly - and the person needs to eat - and eats simple carbs to brink the blood sugar back to normal.  And then follow with proteins. 
That may be compared with diabetics on insulin - not enough insulin - the blood sugar is high - and will damage internal organs - but too much will cause fat storage and weight gain.

Check:
http://www.mayoclinic.com/health/insulin-and-weight-gain/DA0 0139
or
http://eatingplansforweightloss.info/jans-weight-loss-blog/i nsulin-and-weight-gain/

check this:


copy of article"

 

New Data on Weight Gain Following Bariatric Surgery

Gastric bypass surgery has long been considered the gold standard for weight loss. However, recent studies have revealed that this particular operation can lead to potential weight gain years later. Lenox Hill Hospital’s Chief of Bariatric Surgery, Mitchell Roslin, MD, was the principal investigator of the Restore Trial – a national ten center study investigating whether an endoscopic suturing procedure to reduce the size of the opening between the gastric pouch of the bypass and the intestine could be used to control weight gain in patients following gastric bypass surgery. The concept for the trial originated when Dr. Roslin noticed a pattern of weight gain with a significant number of his patients, years following gastric bypass surgery. While many patients could still eat less than before the surgery and become full faster, they would rapidly become hungry and feel light headed, especially after consuming simple carbohydrates, which stimulate insulin production.

The results of the Restore Trial, which were published in January 2011, did not confirm the original hypothesis – there was no statistical advantage for those treated with suturing. However, they revealed something even more important. The data gathered during the trial and the subsequent glucose tolerance testing verified that patients who underwent gastric bypass surgery and regained weight were highly likely to have reactive hypoglycemia, a condition in which blood glucose drops below the normal level, one to two hours after ingesting a meal high in carbs. Dr. Roslin and his colleagues theorized that the rapid rise in blood sugar – followed by a swift exaggerated plunge – was caused by the absence of the pyloric valve, a heavy ring of muscle that regulates the rate at which food is released from the stomach into the small intestine. The removal of the pyloric valve during gastric bypass surgery causes changes in glucose regulation that lead to inter-meal hunger, impulse-snacking, and consequent weight regain.

Dr. Roslin and his team decided to investigate whether two other bariatric procedures that preserve the pyloric valve – sleeve gastrectomy and duodenal switch – would lead to better glucose regulation, thus suppressing weight regain. The preliminary data of this current study shows that all three operations initially reduce fasting insulin and glucose. However, when sugar and simple carbs are consumed, gastric bypass patients have a 20-fold increase in insulin production at six months, compared to a 4-fold increase in patients who have undergone either a sleeve gastrectomy or a duodenal switch procedure. The dramatic rise in insulin in gastric bypass patients causes a rapid drop in glucose, promoting hunger and leading to increased food consumption.

“Based on these results, I believe that bariatric procedures that preserve the pyloric valve lead to better physiologic glucose regulation and ultimately more successful long-term maintenance of weight-loss," said Dr. Roslin.

http://www.lenoxhillhospital.org/press_releases.aspx?id=2106

It's great that you have family who have also had RNY and would be an excellent support system for you. I think it takes a lot more work to make sure vitamin levels stay within the correct range with the DS, which worried me. Do you have to lose all your excess weight to feel successful? If so, you probably would have a better chance of that with the DS. My highest BMI was 53 and now it's 21, so it can be done with RNY. It sounds like you have done your research and have made your decision. I think we should all get to decide what is best for us.

Laura

personal oppinion only If I had the choice with the surgeon I wanted (mine doesn't do DS) and my ins. covered it I would have opted for it over the RNY.

If I were you I would take the time from now til the dr appt to read up as much as you can on DS and go in with a list of questions. Listen to his opinion and than make YOUR own decision.

Good Luck!

 I can think of lots of reasons I'd have the DS over the RNY, but not the other way around.