Question from my wife

[jim1969]

My wife has seen the success of my DS and is now asking me questions about weight loss surgeries. She has a BMI of 32.2, High Blood pressure, type 2 diabetic, GERD, and high cholesterol. I know the DS would take care of most of her problems but is her low BMI to low to risk the surgery? I guess I am worried about her loosing to much weight. Have you herd of anyone this low having the surgery?

 

[Clematis]

@Soonerjoseph had a low BMI (I don't remember how low). He lost it on his own and then in a panic that he was gaining it back, got the DS w/ Esquerra. If I recall correctly, Esquerra gave him a long common channel.

 

[Charris]

@southernlady had a low Bmi. To me diabetes and high blood pressure are very serious conditions. To ME with just tthose to factors I personally would try for it. If I couldn't get it is wouldn't get an inferior surgery. Maybe a sleeve and then get switched later if need be but she probably needs the malabsorption to control the high blood pressure and the "Betes". (Lol) I think the big issue is getting insurance to pay because they usually require a bmi of 35 with Co morbids. But myself I would at least try for the DS. Hey sometimes the insurance people have a good day. Cigna required 50 bmi I only had like 43 and got approved.

 

[jim1969]

@Soonerjoseph had a low BMI (I don't remember how low). He lost it on his own and then in a panic that he was gaining it back, got the DS w/ Esquerra. If I recall correctly, Esquerra gave him a long common channel.

Nice to know, I hope he can chime in!

 

[jim1969]

@southernlady had a low Bmi. To me diabetes and high blood pressure are very serious conditions. To ME with just tthose to factors I personally would try for it. If I couldn't get it is wouldn't get an inferior surgery. Maybe a sleeve and then get switched later if need be but she probably needs the malabsorption to control the high blood pressure and the "Betes". (Lol) I think the big issue is getting insurance to pay because they usually require a bmi of 35 with Coolway morbids. But myself I would at least try for the DS. Hey sometimes the insurance people have a good day. Cigna required 50 bmi I only had like 43 and got approved.

Our insurance wouldn't pay for my surgery, So she would go to Mexicali. I think Southernlady was around 35 BMI. I agree with the blood pressure and diabetes. Would the sleeve make her Gerd worse?

 

[DSRIGGS]

It is also my belief that the body will find an equilibrium and it doesn't really matter the starting point. Channel lengths can be adjusted to help control loss, and if your wife it type 2 diabetic I hate to say it, but her BMI is going to be going up as she becomes more and more insulin resistant as time goes on. I had significant weight to lose but I had this to resolve my type 2 diabetes that was becoming more and more out of control. I would have been dead for sure within 10 years....of that I am sure.

Just my two cents

 

[Charris]

Yes,I believe it probably would

 

[DSRIGGS]

Our insurance wouldn't pay for my surgery, So she would go to Mexicali. I think Southernlady was around 35 BMI. I agree with the blood pressure and diabetes. Would the sleeve make her Gerd worse?

The sleeve alone will not do anything for diabetes. The diabetes resolution has nothing to do with the weight loss. My diabetes went in to immediate remission 3 days after my DS and I was still 335 pounds. It isn't losing the weight that made my diabetes go away, it was the switch.

Regarding GERD. A VSG has a smaller sleeve type Cally than a DS and it can cause GERD issues. Note I had GERD before my DS and it did not get any worse and it may have improved a bit.

 

[Clematis]

Obesity can cause GERD so it's a tradeoff. I had "silent reflux" before surgery so I really don;t know if I still have it until I go to a doc and let them stick a camera down my throat. (To alleviate GERD, I sleep on a bed wedge, never eat after 8pm and gave up caffeine, coffee and carbonated beverages.)

 

[Spiky Bugger]

Jim,

The switch has been performed...in Europe, I think...on non-obese patients...to control/cure diabetes.

The smart people here can tell you more about it.

Sue

 

[Spiky Bugger]

Like this:

http://www.ncbi.nlm.nih.gov/pubmed/15603651

 

[DianaCox]

@Munchkin - Patty's late husband had just the switch to control his diabetes. (His death was probably from heart disease - he'd been diabetic a LONG time, and getting it fixed sooner rather than later is something to think seriously about - some damage can't be undone.)

 

[jim1969]

Jim,

The switch has been performed...in Europe, I think...on non-obese patients...to control/cure diabetes.

The smart people here can tell you more about it.

Sue

I have read that.

 

[jim1969]

@Munchkin - Patty's late husband had just the switch to control his diabetes. (His death was probably from heart disease - he'd been diabetic a LONG time, and getting it fixed sooner rather than later is something to think seriously about - some damage can't be undone.)

Does the switch alone help with weight loss also?

 

[jim1969]

Like this:

http://www.ncbi.nlm.nih.gov/pubmed/15603651

I guess this answers my question to DianaCox.