Was Anyone Else Thinking About RNY Or Band?

I don't think that was ever a question for me b/c i'm a light weight. My A1C didn't start out that high, but it is now. Simply out of control now. This is something that my surgeon and I will definitely be discussing on the 8th. But I have heard of some ppl diabetes going into remission after being sleeved, and also with RNY.  where are you now with your A1C level?

Since three days after my VSG my sugars have been normal and A1C has been 5.1-5.6 also. I need to go in for fresh labs in January. But yeah, it has worked for me so far. Lightweights also get DSs. Check on the lightweights forum, plenty of DSers there who had a BMI between 35 and 40 going in. I would seriously fonsider the DS.

Okay, Thanks so much for letting me know that. I will definitely talk to my surgeon about this. If light weights can have this surgery, then that's what I'll look into. It may be best for my diabetes. 

At first I wanted the RNY and I spent ages on these boards reading that forum. After reading more I more I realised that cost/benefit ratio of getting the RNY over the sleeve - in terms of adjustments to live vs the extra weight loss that the RNY might give me just wasn't worth it.

I'm 31, and at the moment no arthritis or anything - but I plan on having a lot of years of life ahead of me. I hated the idea that my options for pain relief would be paracetamol or opioid based. Not being able to use non steroid anti inflammatory medication was a huge push for me towards the sleeve. Who knows what health issues I might face in the future?!

Another push for me was knowing that I am pretty bad at keeping to meds. I hate taking huge pills, and I would quite quickly get over stressing about all my vitamins.

Additionally, the idea that once you get the RNY they can't easily convert it to another surgery seemed a bit final.

For someone who doesn't have much weight to lose it seems like cracking a walnut with a sledgehammer. Yes it'll do the job, but so will a nut cracker, or a simple hammer. Why not try those first?

Thanks Daxxy, I'm torn between the two but the sledgehammer idea makes a lot of sense. After my upcoming Dr's visit, I should know exactly which way to go. Deep in my mind I never wanted RNY and I believe that's the reason I've pondered over the surgery for so long. Now since being told that my insurance will pay for it, all I can do is think about being sleeved and researching it.

I had the Lap Band 10 years ago. Total waste of time, money, and pain. A bariatric nurse from Johns Hopkins recently told me that the band does not work for 60% of patients who get it.

I considered RNY, but my surgeon told me that because of my need to take a low dose of prednisone, which often causes ulcers in RNY patients, I needed to get the sleeve instead.

Haven't yet gotten the sleeve, so I can't tell you if I'll have any regrets. I very much doubt I'll have many.

Good luck with your sleeve.

psychoticparrot

Two years ago, when my PCP talked to me about needing WLS, I assumed I would get the lap band.  I had not heard the problems but she said that I needed to lose too much weight and that I would need the gastric bypass.  In Jan 2014, when I met with my surgeon for the first time, that is what was scheduled.  Luckily, due to work issues, I could not have the surgery until April and that gave me plenty of time to do research.  I scheduled another meeting in February and I asked about the sleeve.  He told me I could do either one and would be successful with either.  I ended up choosing the sleeve.  While it is considered permanent, I liked the fact I would still have a relatively normal stomach, just 80-85% smaller.  Plus, I too did not relish the idea of having intestines re-routed.

One thing I wished I had considered was the DS.  I did not really learn about this procedure until after I had my VSG.  Somehow I missed it in my research.  But, I am not sure if my insurance would have covered it or if my surgeon even offered it.  I don't think he does as it is in none of his literature in the office or online.  I don't know if I would have chosen the DS especially now that I am being successful with the VSG.  I do wonder about the long term success of the DS vs VSG.

I was diabetic for about 2 years with an A1C that topped out at about 8.5.  I was off metformin the day I left the hospital.  My A1C in October was 5.1.

Thanks Satxvsg, This is encouragement to me also. Just knowing that there are others out there with diabetes and have gotten the sleeve and doing great with there A1C is helping me to take this route.

well i went to my surgeon's program thinking of the band.  had never heard of the sleeve until then. but once i understood it i knew it was for me.  considered rny because my insurance would not cover sleeve. decided i had to have the sleeve.  fought my insurance company and won.  that was five years ago and i love my sleeve still. get educated about all options but when you do, i am betting you will choose the sleeve.    diane

Thanks Diane, You may be right b/c I'm leaning that way now.