NICE and Bariatric Surgery.

If memory serves me right, I think my last BMI test was 31 so am just outside the requirements for surgery if I am reading the paragraph correctly.

I feel so sorry for the morbidly obese folks. However, since the objective of the surgery is to force them to reduce their food intake, I think what they REALLY need is psychiatric support to help them to cut down. Otherwise, they risk their lives having surgery to reduce the risk to their lives of obesity.
On Thursday, I heard of a woman who has had surgery who has been known to liquidise "a MacDonald's" so she can still eat it. What did the surgery teach her?
Having said that, I took my Granddaughter to Mac Donald's on Friday for lunch. She had fish fingers, orange juice and a fruit bag. I had a salad bowl with chicken and a cup of tea.Neither a burger, nor a bun passed either of our lips.
I heard a chap on the radio, who has had the surgery and lost 7 stone and cured his T2 diabetes saying he was looking forward to having fizzy drinks when he's lost enough weight. What has he learned? How long will he keep the weight off?
Hana
And yes I buy my strips :evil: !!!!

hanadr said:

I heard a chap on the radio, who has had the surgery and lost 7 stone and cured his T2 diabetes

Click to expand...

So all type 2's have to do is lose weight and they will be cured?????????????????????

Why was I not told it was that easy?

Sorry Sid
I tthink the guy meant that the surgrery cured him. I'm sure I've read something like that somewhere before. He did say the T2 disappeared immediately.
Sorry to raise your hopes
Hana

I'm holding my hand up...I'm a bloater. Have lots of trouble controlling what I eat, although I have managed to cut out sugar and reduce Carbs to control my diabetes. But being as big as I am (BMI of about 47) I have got the doctor to refer me to St Georges Bariatric unit in Tooting and I have my first appointment on 2nd Feb.

It's not something that I even want to consider, but because I know I can't control my eating habits, hope they can help me. I think the theory is that in many cases, the removal of a length of intestine (which is what happens in a gastric bypass) actually knock the diabetes on the head immediately. I am however just concentrating on the weight loss which I know will be critical for me. Even at this weight I hold down a full time job and am active, but I know it's not good for me.

Giblet said:

I'm holding my hand up...I'm a bloater. Have lots of trouble controlling what I eat, although I have managed to cut out sugar and reduce Carbs to control my diabetes. But being as big as I am (BMI of about 47) I have got the doctor to refer me to St Georges Bariatric unit in Tooting and I have my first appointment on 2nd Feb.

It's not something that I even want to consider, but because I know I can't control my eating habits, hope they can help me. I think the theory is that in many cases, the removal of a length of intestine (which is what happens in a gastric bypass) actually knock the diabetes on the head immediately. I am however just concentrating on the weight loss which I know will be critical for me. Even at this weight I hold down a full time job and am active, but I know it's not good for me.

Click to expand...

How did you get on Giblet? I'm making an apointment tomorrow to try to persuade my Dr to refer me I have a BMI 36, (Fat chance (pun intended) I cant even get him to give me a single blood test strip! I have already lost 1 kidney through cancer and feel Bariatrics can really help. I
Iv'e read, that in the vast majority of cases, a lasting "cure" is available The BGL returns to normal within days- before any weight is lost! , so Its not about the weight loss, its about interfereing with some process which could be hormonal. The weight loss is a bonus and just as important health wise of course.

I'm really pinning my hopes on Bariatrics so Ill be following you closely -- into theatre hopefully

Just found this to add if anyone needs a bit of info ! although youre better seeing a professional than listening to google...............sometimes !

Hormonal (body chemistry) changes occur soon after gastric bypass surgery that lead to improved blood sugar control in diabetic patients. Type 2 diabetes mellitus resolves completely in about 85% of patients who have undergone gastric bypass surgery. Most patients are able to completely discontinue their diabetic medications soon after gastric bypass surgery, before dramatic weight loss occurs.

Patients who still need medications (including insulin) to control diabetes after gastric bypass surgery find they are able to gain better control of their blood sugars with smaller doses.

It is very important for diabetic patients to monitor their blood sugars daily after gastric bypass surgery, because blood glucose levels can become normal within a few days after surgery. Diabetic patients may be discharged from the hospital on insulin for the first week after surgery. No medical treatment for diabetes can achieve as complete and profound an effect as bariatric surger

Hi Guys

I have also been reffered to St Georges by my GP & am waiting to hear from my PCT if I can get funding. Very excited about it...

As much as I hope it works out for those of you who are doing/wanting to do this, I cant help but feel it is a bit extreme, if it were as simple as some make out, then the gp's would be recommending it to everyone who comes in as a t2 and a bit tubby....Im 20st, down from 21s 7lb, and ok its not been easy, and my bmi is 37 something, i wouldnt even dream of doing it, what about the risks that the general anaesthetic pose (i remember when i was pre t2, i was looking at an op, and the nurse said they wouldnt do it unless i was below 30 bmi)....it just doesn't sit well with me that you feel you have to cut part of you out just to stop you eating ****, i guess.

bufferz said:

As much as I hope it works out for those of you who are doing/wanting to do this, I cant help but feel it is a bit extreme, if it were as simple as some make out, then the gp's would be recommending it to everyone who comes in as a t2 and a bit tubby....Im 20st, down from 21s 7lb, and ok its not been easy, and my bmi is 37 something, i wouldnt even dream of doing it, what about the risks that the general anaesthetic pose (i remember when i was pre t2, i was looking at an op, and the nurse said they wouldnt do it unless i was below 30 bmi)....it just doesn't sit well with me that you feel you have to cut part of you out just to stop you eating ****, i guess.

Click to expand...

My problem hasn't been losing the weight its been keeping it off... although since being diagnosed & following a low carb lifestyle I feel like this is something I feel I can maintain better but am fully aware that I am still very much in the honeymoon period of low carbing & dealing with T2. I had looked into this procedure before I was diagnosed b'coz I couldn't maintain... probably because I was told to eat low fat & then craved carbs even more.

I'm not sure its about cutting out a part of you to stop eating ****.... I've never eaten **** I eat too much of what I was told to eat.

Its not a decision that suits everyone & certainly something I never thought I would consider but I will do anything to be healthier, be around my kids for as long as possible & enjoy the years that I have left.

Linzi. xxx

bufferz said:

As much as I hope it works out for those of you who are doing/wanting to do this, I cant help but feel it is a bit extreme, if it were as simple as some make out, then the gp's would be recommending it to everyone who comes in as a t2 and a bit tubby....Im 20st, down from 21s 7lb, and ok its not been easy, and my bmi is 37 something, i wouldnt even dream of doing it, what about the risks that the general anaesthetic pose (i remember when i was pre t2, i was looking at an op, and the nurse said they wouldnt do it unless i was below 30 bmi)....it just doesn't sit well with me that you feel you have to cut part of you out just to stop you eating ****, i guess.

Click to expand...

Extreme Buffs?

I'd consider gambling my legs Kidneys eyesight etc a bit extreme to be honest. Not to mention the heart problems- I already suffer from claudication. I'm terrified of the other complications and dread their arrival. Maybe they wont ever arrive but when Bariatics can give me up to a 70 or 80% chance of stopping this diabetes in its tracks I'm sorry but I dont see that as extreme. As I say I am down to one kidney already, simple maths tells me I can only take half the damage a 2 kidney diabetic can,
As well as a huge op under general (radical open nephrectomy) I've had my gallbladder removed, so aneasthetic holds no fear for me. (I was almost 21 stone then too)
Weight loss would be a side effect for me. Bariatrics or no Bariatrics I intend to shift my excess weight and Im working hard on it.
Personally I think this surgery is a lifeline. Not just by weight loss and its benefits, but for 70 odd percent, as a "cure" for diabetes . It takes more than the op,I know that, but a lasting cure is there within our reach and by god I am going to reach for it.

If I have to (and I suspect I will) I will max out my credit cards and go private. Its going to hurt us hard financially, it may even break us, but I'm guessing not as hard as my being a burden on my wife and kids, or having them plant me in a plot before my time because of coronary issues
T2 Diabetes might or might not be my own fault. It may or may not shorten my life. If I can have some control and some chance -any chance of reversing a chronic degenerative disease by having bariatric surgery then I will.

One thing I can be sure of is that my cure will definately be my own fault.
I didnt ask for diabetes to arrive but I can ask it to leave.

Sweet enough said:

Giblet said:

I'm holding my hand up...I'm a bloater. Have lots of trouble controlling what I eat, although I have managed to cut out sugar and reduce Carbs to control my diabetes. But being as big as I am (BMI of about 47) I have got the doctor to refer me to St Georges Bariatric unit in Tooting and I have my first appointment on 2nd Feb.

.

Click to expand...

How did you get on Giblet? I'm making an apointment tomorrow to try to persuade my Dr to refer me I have a BMI 36, (Fat chance (pun intended) I cant even get him to give me a single blood test strip! I have already lost 1 kidney through cancer and feel Bariatrics can really help. I
Iv'e read, that in the vast majority of cases, a lasting "cure" is available The BGL returns to normal within days- before any weight is lost! , so Its not about the weight loss, its about interfereing with some process which could be hormonal. The weight loss is a bonus and just as important health wise of course.

I'm really pinning my hopes on Bariatrics so Ill be following you closely -- into theatre hopefully

Just found this to add if anyone needs a bit of info ! although youre better seeing a professional than listening to google...............sometimes !

Hormonal (body chemistry) changes occur soon after gastric bypass surgery that lead to improved blood sugar control in diabetic patients. Type 2 diabetes mellitus resolves completely in about 85% of patients who have undergone gastric bypass surgery. Most patients are able to completely discontinue their diabetic medications soon after gastric bypass surgery, before dramatic weight loss occurs.

Patients who still need medications (including insulin) to control diabetes after gastric bypass surgery find they are able to gain better control of their blood sugars with smaller doses.

It is very important for diabetic patients to monitor their blood sugars daily after gastric bypass surgery, because blood glucose levels can become normal within a few days after surgery. Diabetic patients may be discharged from the hospital on insulin for the first week after surgery. No medical treatment for diabetes can achieve as complete and profound an effect as bariatric surger

Click to expand...

Hi there I think it was just because I have a BMI of 47 and I really have tried and tried to lose weight. As far as Nice are concerned I think you qualify because you have a BMI of 35 or more and another Co-Morbidity (Diabetes) I think that's right I'm sure someone will correct me if I'm wrong. you obviously have to be fit for surgery but the surgeon will make that call. Just insist at your GP that you get referred. Let me know how you get on. Have you joined the Weight loss surgery site yet? WLS.