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Type 2 Bariatric surgery

I was offered it on diagnosis when my BMI was 43.5. My answer when asked if I wanted it was an emphatic “no”! So in answer to your question I thought about it for a split second, I wasn’t sure what I’d do instead at the time but thought it was a drastic measure without exploring alternatives. That night I found this forum and using low carb eating to control my blood sugars I have lost weight and my BMI is now 28.9, so too light for surgery. What have you tried to lose weight? Have you tried low carb?
 
Absxx said:
Has anyone thought about bariatric surgery as a way of helping type 2 diabetes?
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A few have. A few success stories. The concensus is the least time you've had your diagnosis the better the success rate for remission.
How long have you been diagnosed?
Prediabetics have a far better success rate and the results I've seen are due to bariatric bypasses in the UK and US.
Bands are proving to be not a successful way to keep weight off, currently.

Bypasses are a way to stop the hunger whilst eating far far less calories. Calories in and expenditure out is its technique.

In my pass I've used milkshakes successfully. I'm on them again under medical supervision due to taking insulin.

Weight loss does help with control/maintenance for a majority of the overweight/obese or morbibly obese type2s.
Sometimes no matter how your BMI is it doesn't remove type2.
I believe type2 is more about Insulin Resistance with liver performance and insulin pathways.
Hormonal influences can be huge.
So bypasses cannot fix the cause if the cause isn't weight gain only.

Myself I'm working on diet, stress levels and taking the correct amount of insulin units. In good practice for after my bypass op in February'19
 
Mike D said:
A last resort so think wisely
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A severe plan, for sure. Sometimes though only extreme can fix something so out of control. It is extremely overweight people's last resort before the possibility of their weight risking their mortality and it becomes fatal. Some only become diabetic in those dangerous years.
 
None of my doctors has ever accepted that I do not over eat and would put on weight due to the high carb content IF I ate 'normal' foods.
The surgery is designed to limit the size of meals and the body's ability to absorb the nutrients from it, but that has never been my problem, so I know it would be a dangerous procedure for me, firstly because it is a big operation done under general anesthetic, and they have been known to go wrong - plus the HCPs would be under the misapprehension that I eat too much and could easily make mistakes in their treatment with that in mind.
 
One of the draw backs is the need for vitamin and mineral supplements needed for lifetime after Roux en Y surgery. Apart from the irreversiblity of the procedure. A decision not to be made lightly and certainly not before exploring and exhausting all other avenues.
 
I think any thin person would tell you they watch what they eat.
They don't get carb cravings or they are curbed so they don't add too much weight. Some vomit to avoid the calories but get the pleasure from the eating.
There are a few ways to keep thin.

Many reversed diabetics watch what they eat, too. They have to otherwise they risk coming out of the hba1c level that deems none diabetic range.

Bariatric surgery is no different. You have to watch what you are eating...... and how much.
Many agree to bariatric ops thinking it's the easy solution. No.
Its the most guided/supported diet on the nhs.
Slimming clubs can do similiar without the expense. For some. Some have reversed their diabetes on WW or Slimming World. Not all reversed type2s reverse on low carb eating.
We are all different.

Your discovery into finding out what works for you... Starts now @Absxx. :)
The nhs won't let you start with a bariatric op. It's a last resort for the medics to save your life.
 
Guzzler said:
One of the draw backs is the need for vitamin and mineral supplements needed for lifetime after Roux en Y surgery. Apart from the irreversiblity of the procedure. A decision not to be made lightly and certainly not before exploring and exhausting all other avenues.
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Totally.
May I add I haven't had my op and I'm on vit, mins and iron for life.... without op. The diet for me to lose hasn't enough in it to sustain my huge body. I lose on extreme diets only. Bypass makes that permanent which takes a huge stress away for me. My body will soon be doing this without the huge effort I have to put in..... long term stressful effort and no deviation from low eating. I just need that help to get back to a healthy weight.
I'm not ashamed of needing that help. Help which is available.

Some people have already tried everything though. Unfortunately. Sad but true.
Also the nhs are not in a habit of paying for major operations that patients don't need. Losing diabetes is a luxury. Staying alive to enjoy longevity is a bariatric operations main aim. Not to lose type2 or prediabetes.

I'm sure you already understand all the above but it seems not everyone. Not yet. :(
 
ickihun said:
Totally.
May I add I haven't had my op and I'm on vit, mins and iron for life.... without op. The diet for me to lose hasn't enough in it to sustain my huge body. I lose on extreme diets only. Bypass makes that permanent which takes a huge stress away for me. My body will soon be doing this without the huge effort I have to put in..... long term stressful effort and no deviation from low eating. I just need that help to get back to a healthy weight.
I'm not ashamed of needing that help. Help which is available.

Some people have already tried everything though. Unfortunately. Sad but true.
Also the nhs are not in a habit of paying for major operations that patients don't need. Losing diabetes is a luxury. Staying alive to enjoy longevity is a bariatric operations main aim. Not to lose type2 or prediabetes.

I'm sure you already understand all the above but it seems not everyone. Not yet. :(
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Was this comment aimed at me? I did not mention 'needless surgery' or your particular struggles with weight loss. It is my understanding that it can take a long time to go through all the steps before bariatric surgery actually goes ahead so I understand that the NHS are committed to helping those patients who prove that their post surgery lifestyle changes are fully understood.
 
Guzzler said:
Was this comment aimed at me? I did not mention 'needless surgery' or your particular struggles with weight loss. It is my understanding that it can take a long time to go through all the steps before bariatric surgery actually goes ahead so I understand that the NHS are committed to helping those patients who prove that their post surgery lifestyle changes are fully understood.
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No not aimed but I wanted to continue along your comment regarding how things are personally.
I felt I needed to explain more to all who would be reading. Along your lines.
Like I said "totally" then added more.
I would never be so confrontational as to denounce your wise comments. Comments you always make from your own personal experiences.
I know you haven't said but by posting on such a subject I'm sure it's a subject you have looked into, at least. Or was asked to face? A subject you have knowledge of, I'm convinced.
 
ickihun said:
No not aimed but I wanted to continue along your comment regarding how things are personally.
I felt I needed to explain more to all who would be reading. Along your lines.
Like I said "totally" then added more.
I would never be so confrontational as to denounce your wise comments. Comments you always make from your own personal experiences.
I know you haven't said but by posting on such a subject I'm sure it's a subject you have looked into, at least. Or was asked to face? A subject you have knowledge of, I'm convinced.
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Sorry lass, my mistake. All I have learned about bariatrics has been just in passing but I do know about the need for research whenever such major surgery is countenanced even when it is elective surgery. I have refused surgery on two occasions because the risks imo outweighed the possible benefits, just to be clear the procedures I was offered/advised to have had nothing to do with Diabetes or weightloss.
 
Absxx said:
Has anyone thought about bariatric surgery as a way of helping type 2 diabetes?
Click to expand...

Absxx - I have never been heavy enough to be offered or seriously consider weight loss surgery of any kind. I have observed a couple of people who have had procedures, with a very mixed success rate.

Whilst it might seem like a beguiling solution to a very frustrating issue, it isn't without risks.

The attached document outlines most of the potential complications, and the timeframes when they are usually experienced. There are rather a lot of my personal liking. Of course potential complications don't necessarily come to fruition, but anyone considering drastic surgical intervention should do so with their eyes well and truly open.

Of course, it's easy for me to say all this, as a wiry old bird, but, in my view, it needs to be said nevertheless.

Good luck with whatever you decide.
 

Attachments

I personally won,t have bariatric surgery. My gp and psych both said I would not cope with major surgery because of my mental state. They both said that if I did have it, them and myself agree that I would cheat after the op.
I know two people have had the op. One lost huge amounts of weight and ended up having stomach and bowel removed which docs say resulted from the op. The second one has barely lost any weight and she regrets having the op
 
ickihun said:
Totally.
May I add I haven't had my op and I'm on vit, mins and iron for life.... without op. The diet for me to lose hasn't enough in it to sustain my huge body. I lose on extreme diets only. Bypass makes that permanent which takes a huge stress away for me. My body will soon be doing this without the huge effort I have to put in..... long term stressful effort and no deviation from low eating. I just need that help to get back to a healthy weight.
I'm not ashamed of needing that help. Help which is available.

Some people have already tried everything though. Unfortunately. Sad but true.
Also the nhs are not in a habit of paying for major operations that patients don't need. Losing diabetes is a luxury. Staying alive to enjoy longevity is a bariatric operations main aim. Not to lose type2 or prediabetes.

I'm sure you already understand all the above but it seems not everyone. Not yet. :(
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I have been offered bariatric surgery and it was an easy process, I was told that it’s cheaper in the long run for the NHS to do the op than to cope with the diabetes and weight problems. I’m about 70% sold on the idea of a gastric bypass. I had no problems whatsoever being referred from my Gp. I also want infertility treatment as I’m 39 and they won’t touch me till me bmi is a lot less
 
Absxx said:
I have been offered bariatric surgery and it was an easy process, I was told that it’s cheaper in the long run for the NHS to do the op than to cope with the diabetes and weight problems. I’m about 70% sold on the idea of a gastric bypass. I had no problems whatsoever being referred from my Gp. I also want infertility treatment as I’m 39 and they won’t touch me till me bmi is a lot less
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Have you tried changing your diet to be lower carb?
 
Absxx said:
I have been offered bariatric surgery and it was an easy process, I was told that it’s cheaper in the long run for the NHS to do the op than to cope with the diabetes and weight problems. I’m about 70% sold on the idea of a gastric bypass. I had no problems whatsoever being referred from my Gp. I also want infertility treatment as I’m 39 and they won’t touch me till me bmi is a lot less
Click to expand...
Do you take metformin?
 
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