Type 2 Weight loss surgery

Can't help you regarding the weight loss surgery but have you considered the Newcastle diet instead?

Having surgery to restrict the amount you can eat is a rather drastic step to take particularly when many people have gained good control of their blood glucose by reducing their carbohydrate intake.
I found that once I had reduced my blood glucose to normal that I lost weight without even intending to - I only realized when my clothes began to slide south.
There are thin type twos - and overweight people with no sign of diabetes, so I would urge you to try to get control of your blood glucose by changing your diet, before trying anything else.

Often just suitably modifying your diet to cut down on high carbohydrate foods, can make a big difference to your glucose leves - and weight. And many of us on the forum have gone this route with great success.

I believe that if you're overweight you have to go an a strict diet anyway pre surgery, so I think unless you a have a good medical reason for such a drastic step, there are other options you could try first. @ickihun is dieting pre-surgery so should have some useful information for you.

Robbity

lesleyJ1509 said:

Has anyone had weight loss surgery (gastric bypass or other) to assist with weight loss? Would you recommend it? What are the negatives and positives? Newly diagnosed a month ago and feeling desperate.

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Newly diagnosed is a huge positive point in maybe avoiding these kind of ops. However everyone is different.
@Rachox has lost huge weight by changing her diet to low carb. I've lost 3.5st but have regained some due to medication side effects and severe pain in walking (being investigated, a little) . I'm still planned to see my surgeon in a few weeks. I've passed the tier3 assessments. How much do you know about bariatric surgery?

Severe diet change is needed but I assure you it is delicious, it will surprise you as to what you can eat.
Can you give the low carb programme a try on this website? Or use the forum members to support your own attempt? What medication are you on for diabetes?

I feel optimistic for any newly diagnosed obese diabetic and a op should be a last resort. Have you other health problems which desperately need this kind of op?
I rater the tier3 part of the weight loss programme very helpful to nieve dieters thou and many lose on it and prevent the ops need too. So if offered it you could accept the nhs help and no longer need op if enough weight loss?
However it isn't low carb supported, not yet! Once I'm stronger I will make it my business to petition for that change. For even none diabetics.
To be honest their balanced diet is good enough for none diabetics (especially heavy beer drinkers) but carb cravings are the biggest post op cause of failure, from what i can see.
They have a great op but readd all their average 10st weight loss due to 'head hunger'. Carb cravings. I'm aware what's happening and will be relying my findings to the bariatric team. My endo has marked my notes as needing permanent metformin throughout op changes. But not everyone is the same.
This op is irreversible and some die of malnutrition when it goes wrong.
A very serious decision but not one you have to be 100% encouraged into.
Some people need the op to survive the next 5yrs. They are bedridden and dying. Can you walk or exercise?

Rather obvious question, but what amount of weight do you need to shed?

Like @Resurgam said your blood glucose has to be good first before any surgeons will agree to any op. So you have no choice but put any high bgs into good levels first. Which may be the only reason for your weigh gain?
I hope so.
So....... @lesleyJ1509 that's your first hoop to jump through. There are many for these kind of ops, on the nhs.

Welcome to the forum. I will tag @daisy1 for her welcome info. Please read. I often even reread as some excellent pointers.

I'm available if you need to divulge more but not on open forum, if too personal.. I dont judge but have some great support info if you need it.
We are all different.
Just the way I like it!

@lesleyJ1509

Hello Lesley and welcome to the Forum Here is the Basic Information we give to new members and I hope you will find it useful. Ask as many questions as you want and someone will be able to help.


BASIC INFORMATION FOR NEWLY DIAGNOSED DIABETICS

Diabetes is the general term to describe people who have blood that is sweeter than normal. A number of different types of diabetes exist.

A diagnosis of diabetes tends to be a big shock for most of us. It’s far from the end of the world though and on this forum you'll find well over 235,000 people who are demonstrating this.

On the forum we have found that with the number of new people being diagnosed with diabetes each day, sometimes the NHS is not being able to give all the advice it would perhaps like to deliver - particularly with regards to people with type 2 diabetes.

The role of carbohydrate

Carbohydrates are a factor in diabetes because they ultimately break down into sugar (glucose) within our blood. We then need enough insulin to either convert the blood sugar into energy for our body, or to store the blood sugar as body fat.

If the amount of carbohydrate we take in is more than our body’s own (or injected) insulin can cope with, then our blood sugar will rise.

The bad news

Research indicates that raised blood sugar levels over a period of years can lead to organ damage, commonly referred to as diabetic complications.

The good news

People on the forum here have shown that there is plenty of opportunity to keep blood sugar levels from going too high. It’s a daily task but it’s within our reach and it’s well worth the effort.

Controlling your carbs

The info below is primarily aimed at people with type 2 diabetes, however, it may also be of benefit for other types of diabetes as well.

There are two approaches to controlling your carbs:

• Reduce your carbohydrate intake
• Choose ‘better’ carbohydrates

Reduce your carbohydrates

A large number of people on this forum have chosen to reduce the amount of carbohydrates they eat as they have found this to be an effective way of improving (lowering) their blood sugar levels.

The carbohydrates which tend to have the most pronounced effect on blood sugar levels tend to be starchy carbohydrates such as rice, pasta, bread, potatoes and similar root vegetables, flour based products (pastry, cakes, biscuits, battered food etc) and certain fruits.

Choosing better carbohydrates

The low glycaemic index diet is often favoured by healthcare professionals but some people with diabetes find that low GI does not help their blood sugar enough and may wish to cut out these foods altogether.

Read more on carbohydrates and diabetes.

Over 145,000 people have taken part in the Low Carb Program - a 10 week structured education course that is helping people lose weight and reduce medication dependency by explaining the science behind carbs, insulin and GI.

Eating what works for you

Different people respond differently to different types of food. What works for one person may not work so well for another. The best way to see which foods are working for you is to test your blood sugar with a glucose meter.

To be able to see what effect a particular type of food or meal has on your blood sugar is to do a test before the meal and then test after the meal. A test 2 hours after the meal gives a good idea of how your body has reacted to the meal.

The blood sugar ranges recommended by NICE are as follows:

Blood glucose ranges for type 2 diabetes

• Before meals: 4 to 7 mmol/l
• 2 hours after meals: under 8.5 mmol/l

Blood glucose ranges for type 1 diabetes (adults)

• Before meals: 4 to 7 mmol/l
• 2 hours after meals: under 9 mmol/l

Blood glucose ranges for type 1 diabetes (children)

• Before meals: 4 to 8 mmol/l
• 2 hours after meals: under 10 mmol/l

However, those that are able to, may wish to keep blood sugar levels below the NICE after meal targets.

Access to blood glucose test strips

The NICE guidelines suggest that people newly diagnosed with type 2 diabetes should be offered:

• structured education to every person and/or their carer at and around the time of diagnosis, with annual reinforcement and review
• self-monitoring of plasma glucose to a person newly diagnosed with type 2 diabetes only as an integral part of his or her self-management education

Therefore both structured education and self-monitoring of blood glucose should be offered to people with type 2 diabetes. Read more on getting access to blood glucose testing supplies.

You may also be interested to read questions to ask at a diabetic clinic.

Note: This post has been edited from Sue/Ken's post to include up to date information.
Take part in Diabetes.co.uk digital education programs and improve your understanding. Most of these are free.

• Low Carb Program - it's made front-page news of the New Scientist and The Times. Developed with 20,000 people with type 2 diabetes; 96% of people who take part recommend it... find out why
  
  
• Hypo Program - improve your understanding of hypos. There's a version for people with diabetes, parents/guardians of children with type 1, children with type 1 diabetes, teachers and HCPs.
  

I think it would depend on how long someone has been obese enough to need to consider by pass surgery. If they have tried all types of diets that did not really work for them for long term weight loss. Have they got to the stage where diet just does not work anymore at all this happens to many obese people they get to the point that what they eat and however little they just do not loose any more weight and then a reason for a surgeon to consider weight loss surgery for them . Low carb is good for loosing weight but it will not necessarily work for those who have got to that stage

Hi Lesley, as @ickihun says I have lost loads of weight since eat low carbs, over 5 stone since May ‘17. I have been overweight/obese since before I was pregnant with my son, he’s now 22!
At my first appt at Diabetes diagnosis my GP said that at a BMI of 44 I qualified for bariatric surgery under the NHS, I flatly refused, I thought it far too radical a solution. I set about lowering my carb intake instead, to control my blood sugars and lose weight. Within around 10 week’s I had lost nearly 25kg (over 3 1/2 stone) which took my BMI too low to qualify for the surgery anymore. The limit is that you have to have a BMI of over 35 (40 for non diabetics).
I find the low carb approach an easy diet to stick too, I rarely feel hungry and when I do i have a no carb drink and I remind myself of the good it’s doing for my health. I have tried all sorts of diets over the years, low cal, fruit diet, milkshakes etc... with some degree of initial success but I couldn’t maintain them. Low carb is a winner for me and I’m so glad I didn’t go straight into surgery.

Newly diagnosed diabetics have huge success rates in reversing their diabetes longterm with bariatric surgery. More than people like me who have had diabetes longer than 11yrs (40+yrs for me). Im now diagnosed for 16yrs with no diagnosed complications.

My personal opinion is newees should be offered low carb eating before bariatric surgery. The weight loss programme which i'm on under the nhs is giving me space to lose weight very much on my own. Which ive lost more without the pressure.

Weight gain started for me at 6yr old.

ickihun said:

Newly diagnosed diabetics have huge success rates in reversing their diabetes longterm with bariatric surgery. More than people like me who have had diabetes longer than 11yrs (40+yrs for me). Im now diagnosed for 16yrs with no diagnosed complications.

My personal opinion is newees should be offered low carb eating before bariatric surgery. The weight loss programme which i'm on under the nhs is giving me space to lose weight very much on my own. Which ive lost more without the pressure.

Weight gain started for me at 6yr old.

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Where do you get "11 years". Is that the limit of time a person has had diabetes after which they cannot reverse it even with bariatric surgery? Do you know of any statistics on this and have you a link I can follow? Thank you.

I just pulled on my new large size leggings and am feeling very smug.
The same brand and size XXL when I was diagnosed.
Having been working on increasing muscle and lowering carbs a bit recently, not even bothering to weigh myself - I'm going to wait until my birthday in April and do a full measure to see how far backwards I have gone - that is in the age I feel and the size I am. Such a serious undertaking as weight loss surgery would never cross my mind as being necessary now I have a very good reason to ignore standard dietary advice for good and ever.

Resurgam said:

I just pulled on my new large size leggings and am feeling very smug.
The same brand and size XXL when I was diagnosed.
Having been working on increasing muscle and lowering carbs a bit recently, not even bothering to weigh myself - I'm going to wait until my birthday in April and do a full measure to see how far backwards I have gone - that is in the age I feel and the size I am. Such a serious undertaking as weight loss surgery would never cross my mind as being necessary now I have a very good reason to ignore standard dietary advice for good and ever.

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Its great when that happens.

Tannith said:

Where do you get "11 years". Is that the limit of time a person has had diabetes after which they cannot reverse it even with bariatric surgery? Do you know of any statistics on this and have you a link I can follow? Thank you.

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Have a look in diabetes news section in this forum. All you need to know there. Do search for 'weightloss op' should bring something up.
I havent saved every document I've read. Ive remembered whats relevant to me.
Not sure enough for you. Best if you research for yourself.

I found an old belt today. I used to have to use it on the largest hole. I put it round my waist and there isn’t a hole where I’d need it now! I’d need one about six inches further in from the tightest hole!

I have a whole bag full of belts - good quality leather and suede with nice heavy buckles, and I am within two inches of being able to fasten them around me.
I also have some really good quality garments of leather and suede - but as the skirts are rather short I doubt that I'll wear them again even if I eventually fit into them - they will probably make good handbags if I get around to dismantling them.

Rachox said:

I found an old belt today. I used to have to use it on the largest hole. I put it round my waist and there isn’t a hole where I’d need it now! I’d need one about six inches further in from the tightest hole!

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I cannot wait for weight loss again. Maybe next 10days of low carb and no infection will help me out. 2 new meds for digestion problem and associated pain are sugar coated. Humf!
More obstructions but.... you know me. I still expect weightloss from my body. Must get blood test done soon too.
Normality always helps. How is resumed walking panning out?

Resurgam said:

I have a whole bag full of belts - good quality leather and suede with nice heavy buckles, and I am within two inches of being able to fasten them around me.
I also have some really good quality garments of leather and suede - but as the skirts are rather short I doubt that I'll wear them again even if I eventually fit into them - they will probably make good handbags if I get around to dismantling them.

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What a fantastic idea! I might do the same or at least cut the pieces for a friend to sow them. My full length leather coat lining can be used too. Brilliant idea.
I might make a patchwork bed cover from my oversized suit trousers.
I love them. Especially the light quilt filled ones. If I get the time to sit without pain.
Love it.

ickihun said:

I cannot wait for weight loss again. Maybe next 10days of low carb and no infection will help me out. 2 new meds for digestion problem and associated pain are sugar coated. Humf!
More obstructions but.... you know me. I still expect weightloss from my body. Must get blood test done soon too.
Normality always helps. How is resumed walking panning out?

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Hope you get your digestion sorted soon x
I’ve been walking as much as the weather has allowed! Snow has all but melted here today so back to more serious walking tomorrow, and my step machine indoors has been invaluable during the snow but still killing my thighs!