genevive57
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Diabetes and gastric sleeve op
- Thread starter genevive57
- Start date
Hi, I was diabetic but not insulin dependant. I had the sleeve op 14 weeks ago. Within 1 week of the op I was told I was no longer diabetic and my blood sugars were down to normal and have had no problems since. Still have bouts of nausea and solid food is harder to get used to again than I thought it would be but getting there. Nearly 9 stone in weight lost now so no regrets!!! Hope this helps 
Sharonimo
Sleeve to Bypass
Hi Genevive,
I am Type 2 Diabetic but not insulin dependent, diet controlled sometimes with the assistance of Glicliazide (in preference to Metformin).
I believe the sleeve resolves Type 2 Diabetes in about 65% of cases and the RNY bypass resolves Type 2 Diabetes in up to 85% of cases.
I have (personally) chosen to have a sleeve rather than the RNY as I wanted the slightly less drastic surgery ..... and I am taking the gamble that because I am not insulin dependent, that surgery will be enough to resolve my "mild" Diabetes.
However, my surgeon has told me it is a (slight) gamble and that if my Diabetes was any worse, or if I was insulin dependent he would be arguing very strongly for the RNY bypass as there is some anatomical reason why the bypass op does resolve diabetes better than a gastric sleeve (someone has written about it on this forum somewhere).
I am Type 2 Diabetic but not insulin dependent, diet controlled sometimes with the assistance of Glicliazide (in preference to Metformin).
I believe the sleeve resolves Type 2 Diabetes in about 65% of cases and the RNY bypass resolves Type 2 Diabetes in up to 85% of cases.
I have (personally) chosen to have a sleeve rather than the RNY as I wanted the slightly less drastic surgery ..... and I am taking the gamble that because I am not insulin dependent, that surgery will be enough to resolve my "mild" Diabetes.
However, my surgeon has told me it is a (slight) gamble and that if my Diabetes was any worse, or if I was insulin dependent he would be arguing very strongly for the RNY bypass as there is some anatomical reason why the bypass op does resolve diabetes better than a gastric sleeve (someone has written about it on this forum somewhere).
Very Big Chris
New Member
I had my sleeve last June. My last BM was 4.7. I have not used Metformin since it was stopped by the nurse when she first put me on the milk diet. My last HbA1c was 5.2.
I believe that in the USA some people are having a sleeve as the prefered treatment for Type II diabetes, see:- Laparoscopic sleeve gastrectomy for diabetes treatme... [Surgery. 2010] - PubMed - NCBI
I believe that in the USA some people are having a sleeve as the prefered treatment for Type II diabetes, see:- Laparoscopic sleeve gastrectomy for diabetes treatme... [Surgery. 2010] - PubMed - NCBI
OOnion
New Member
Hi Jan - with my Diabetic Nurse hat on...
As you are a type 2 you may well get back to just oral medications, it all depends on how much insulin you are producing yourself, this can be found out by a c- peptide blood test under the diabetic team if needed, once you are post op.
Remember though although they like to say your diabetes is reversed, you are still at a higher risk than others of developing the complications of a diabetic and you must make sure you still go for your annual blood tests at the GP surgery.
A large amount of post ops seem to end up on greatly reduced medications, it's wise to stay on metformin as it gives you cardiovascular protection also.
Good luck
xxx
As you are a type 2 you may well get back to just oral medications, it all depends on how much insulin you are producing yourself, this can be found out by a c- peptide blood test under the diabetic team if needed, once you are post op.
Remember though although they like to say your diabetes is reversed, you are still at a higher risk than others of developing the complications of a diabetic and you must make sure you still go for your annual blood tests at the GP surgery.
A large amount of post ops seem to end up on greatly reduced medications, it's wise to stay on metformin as it gives you cardiovascular protection also.
Good luck
xxx
genevive57
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genevive57
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genevive57
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genevive57
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vikkib
New Member
how did you get on with your diabetes when you had to do your pre op diets??? xHi, I was diabetic but not insulin dependant. I had the sleeve op 14 weeks ago. Within 1 week of the op I was told I was no longer diabetic and my blood sugars were down to normal and have had no problems since. Still have bouts of nausea and solid food is harder to get used to again than I thought it would be but getting there. Nearly 9 stone in weight lost now so no regrets!!! Hope this helps
That's an interesting point re the metformin, I was a type 2 only on metformin, I was told that post bypass I need not take metformin any more, my bloods are normally between 4.6 & 5.6, although tonight they where 6.0.
I will be seeing my GP in a couple of weeks for a full review of my post op medication, should I be asking him to keep me on metformin.
Thanks
Paul
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TracyBee
New Member
You'll be advised after surgery most likely, as I was. I was on 4 a day pre-op, then the hospital put me down to 3. Less than a week later I had to see my GP as I couldn't take that many as my blood was regularly dipping below 3.
I'm now on 2 slow release which is better for me and I have to have my HbA1C repeated next month with a view to a further reduction.
