mobius
I'm 59 with every co-morbidity known to man. When I was younger I always said that someday I would lose weight and get in shape. When I was 52 I had a triple bypass, got in shape, but gained even more. It's now the time for change.
In September of 2003 my wife had a very successful RNY with few complications. Her life became miserable for a few months or so, but she became substantially healthier and more active. I actually became jealous that her BMI qualified her and mine didn't. Four years ago I built a major addition on my home and the forced exercise improved my health for a period. When I finished the addition the weight piled back on and my Type 2 Diabetes Mellitus (T2DM) became the controller of my life. High blood glucose led to neuropathy, depression and a crappy attitude. In the mean time I needed a nissen fundoplasty for my reflux and a cholecystectomy for my gall stones. My surgeon suggested that a more effective solution for the reflux was a Roux-en-y. My insurance company disagreed. My BMI was around 34 and they required a 35. Current research shows that comorbidities are often reversed at a BMI of 30, but MEDICA hasn't quite caught up.The insurance company suggested that I go through the routines and then apply again. So, I did counseling, diet, dietary consultation, education and so on. The dietitians work and mine led to a better diet but I actually gained weight. For years I had been skipping breakfast or lunch and when I went to three squares a day I gained weight. The depression didn't help either. Net result is that six months later, having met all of the requirements, I was above a BMI of 35 and received immediate insurance approval in a week. Since the approval I've been working hard to drop the weight prior to surgery, but I continue to maintain weight and struggle with my T2DM.
I am now scheduled for 9/9/09 and am grieving the lose of my freedom.. the loss of Diet Coke, steak, chewing, ice cream......
Some of my comorbidities that might be helped by WLS
Metabolic Syndrome
Excess Abdominal Fat
High Blood Pressure
High Triglycerides
Low HDL
Impaired glucose tolerance
Diabetes
Atherosclerosis
Cholycystitis
Coronary Artery Disease
Congestive Heart Failure
Joint Pain
Depression
Reflux
Obstructive Sleep Apnea
Secondary concerns that might be helped
Elevated glucose exacerbates painful periodic limb movement and restless legs
Neuropathy