Weight loss/ gastric bypass

By Maggielynne Latest Reply 2013-06-22 14:06:56 -0500
Started 2013-06-18 16:17:33 -0500

I'm a type 2 diabetic who has struggled with weight issues all my life. I am now at the heaviest I've ever been and starting to worry about all the complications it can cause. It certainly isn't good for the diabetes . I was wondering what people thought about gastric bypass. Ive heard some diabetics have come off their meds after having the surgery.It kinda scares me but I m having trouble losing weight any other way. I would like to hear some pros and cons about this surgery please. I'm 43 now and feel that if I were to get it done it should be before I get much older. Any advice, opinions or stories about gastric bypass would be much appreciated.

21 replies

Nshawk4 2013-06-22 14:06:56 -0500 Report

In a recent Diabetes Education class the RN was explaining why some people are no longer diabetic after gastric bypass. She stated it was because when the bypass is done the duodenum is passed during this process. What does the duodenum do: The duodenum is largely responsible for the breakdown of food in the small intestine, using enzymes. The villi of the duodenum have a leafy-looking appearance, a histologically identifiable structure. Brunner's glands, which secrete mucus, are found in the duodenum only. The duodenum wall is composed of a very thin layer of cells that form the muscularis mucosae. The duodenum is almost entirely retroperitoneal. It has three parts and each parts has its own significance.

The duodenum also regulates the rate of emptying of the stomach via hormonal pathways. Secretin and cholecystokinin are released from cells in the duodenal epithelium in response to acidic and fatty stimuli present there when the pylorus opens and releases gastric chyme into the duodenum for further digestion. These cause the liver and gall bladder to release bile, and the pancreas to release bicarbonate and digestive enzymes such as trypsin, lipase and amylase into the duodenum as they are needed.
This is now believed to be the reason for the "cure" for their diabetes. They are thinking this can now be by-passed with out doing a full gastric bypass, which probably would not help in weight loss but would help smaller people who do not need to lose weight.

ShaeNB 2013-06-21 20:05:08 -0500 Report

I had Gastric Bypass in 2005 for medical complications related to my diabetes , medications and weight. I lost 135lbs and gained back my health and a quality of life I hadnt had for many years. I've never regretted it. I'm still on meds for my diabetes but a fraction of what I was on before. Every case is different and you have to do whats best for you. It's not a magic solution. Many people gain the weight back but they didnt change their habits. It was the best decision for me.

The lapband allows to lose at a slower rate in a less invasive way. Medically I had to get it off faster so my doctors advised the bypass. I know of a couple people who've had the lapband and it didnt work much for either of them..again because they didnt change their habits. All I can advise is research, research, research and talk to your Dr in depth about it.

locarb 2013-06-21 23:09:42 -0500 Report

Interesting. Until recently, I wasn't aware that you had to actually modify your behavior as well. I know someone who had their second lap band/ gastro surgery. She's thin but has in my opinion eating disorders now. She eats micro amounts and is physically immediately thereafter.

I work hard at exercising and monitoring what I eat, but I would never criticize anyone who chose a different route and had success with it.

ShaeNB 2013-06-22 11:29:05 -0500 Report

Hi locarb. Modifying bahavior needs to be a part of everyone's journey to a healthy life style. It's the people who have success then go back to their old behaviors that find themselves sliding backwards, no matter the method they used to lose it.

I had the surgery on the advice of my endocrinologist. The surgery has a stigma attached to it but everyone needs to make informed choices with their Drs. Medically it was the smartest move I made at the time. It hasnt been a magical solution for me but it certainly extended my life and the quality of life. I've gone from 186 units of Insulin a day to 8. I'm also on oral meds and was Insulin free from late 2005 until just 3 months ago. My diabetes was never just weight related (as many non-Diabetics think) and now I struggle to keep my levels steady and my weight maintained like everyone else. I'll post a before and after pic on my profile. I eat roughly 1500 cals a day and try to track consistenly on MyFitnessPal.

I was so happy to find this website and meet people like yourself who live the same challenges as me. I hope to learn from everyone elses experiences and if in some small way I can help someone else too .. awesome!

fwanny46 2013-06-20 19:52:24 -0500 Report

I had the Roux-N-Y in 1993 at the age of 56. I lost about 95lbs. I too had heard that some were able to come off diabetes meds, but it didn't happen for me. Not until about two months ago when I got the Paradigm 523 insulin pump plus the Continuous Glucose Monitor Sensor have I finally gotten a hold on controlling my diabetes. I am a Type I diabetic. People talk about the "band." I know a lady who had the band put on, but it slipped off, and she began to throw up everything she ate. She just got the Roux-N-Y and is able to eat. I haven't had "problems" with mine, but I have gained and lost weight after I had it done.

denipink 2013-06-19 17:07:44 -0500 Report

As for the excess skin — i lost the 75 lbs as i said but for some reason i did not have much excess skin. Very little really. It was not even an issue for me. I think it depends on the person, how much weight they lose and what their body type is. Anyway, if you want the bypass for health reasons i think that is a GOOD reason to do it. I spoke online thru groups with lots of people that regained their health after they had their bypass. Mind you keep in mind i also talked to those that got very sick AS A RESULT OF the bypass. There is no way to tell how you would do with the bypass until you do it.

pria keslinger
pria keslinger 2013-06-19 15:01:17 -0500 Report

In my opinion I would due the lap band over the gasstric bypass if your going to have the surgery. The band is less invassive and less risks involved. This procedure has the same result just at a slower and more steady pace. Less likely to have excessive skin because you can tone your body as you go.. with gastric most of the weight loss is so rapid that by time you know it you have alot of excess skin and most insurances wont pay for the removal of skin. Hopefully this helps

Maggielynne 2013-06-19 17:07:13 -0500 Report

Thank you for replying to my question. Still not sure about it but I will do more research , ask more questions and go from there. Thanks for your time.

Lady G8R
Lady G8R 2013-06-19 13:45:24 -0500 Report

This just MY opinion & MY own experiences. I, too, was scared and it took me two (2) years to make up my mind. Also, my BFF had the Bypass done six (6) months before me, and I went with her when she had her surgery.
I had the gastric bypass surgery April 9th of this year. It was the best thing i could have ever done.I am 66 yrs. old female. So far, I have lost 55 pounds and my blood sugar is coming down. I used to be in the 130-140 with major spikes,now I am 120 and less. Also my surgeon took me off most of my Meds. I went from 20 Rx/nonRx to 8 Rx/nonRx, what a joy that has been.
Check to see if your insurance will pay for it. One of the ways of deciding is compute your BMI. Google "Bariatric" there is a lot of information on the internet. Ask people you know. You may be surprised to find out who has had the surgery.
WHEN you decide to have the surgery, if you qualify, be sure to use a doctor who several people have recommended. Several of my co-workers had had the surgery & I used their doctor. Could not have been more pleased.
And again this is just MY opinion & MY experiences. I hope what I shared is helpful. I am available, if you have any questions.
Yes, "after" surgery you have to change your eating habits. I eat 4-6 small meals/day. Some of which are a "nutrition" shake which I use through out the day.

Maggielynne 2013-06-19 16:51:48 -0500 Report

Thank you for sharing your story. I would most definetly qualify for the surgery. I think I will do some more research about it. Thanks again for taking the time to help me out.

Maggielynne 2013-06-19 16:51:41 -0500 Report

Thank you for sharing your story. I would most definetly qualify for the surgery. I think I will do some more research about it. Thanks again for taking the time to help me out.

denipink 2013-06-19 11:11:54 -0500 Report

Hi ML, i had a bypass in '89 and lost 75 lbs. You could say i was a success but i ended up gaining that weight back in the long run. My stomach just stretched and inch by inch, i was able to gobble up more and more food.

I am a large lady on a 5'2" frame so my joints yell at me all the time to get the weight off. I am walking regularly now and that is my start.

I was very scared about the bypass surgery, as well, but, felt i had nothing to lose. I was not confident i could lose the weight on my own so i was willing to take the risk. I heard from others that had success with their surgery so i know it can work. Some, like me, did not do so well so you need to think about that possibility, too.

I suggest you join a bypass surgery group and ask lots of questions. You will meet those there that are willing to share their story with you.

All the best in what you decide to do! Either way, remember that you are beautiful and wonderfully made. There is no other like you :) PS— if you want help finding a group give me a holler.


Nick1962 2013-06-19 10:58:49 -0500 Report

Like you I had been overweight/obese all my life. Bariatric surgery was discussed shortly after I was diagnosed – not to control my diabetes, but to lose weight primarily. The fact that this is invasive surgery (and I’ve had enough of that already), the aftercare, restricted diet for the rest of your life, and possible complications made me say no.

Some here have had it (or similar surgery like lap band) done successfully, but I have yet to see anyone who is going through less of a hassle than just sticking to a good diet to begin with. With a decent diet you can cheat every now and then, but with this type of surgery you can’t.

Of course you may have issues (like a chemical imbalance) that absolutely prevents you from losing weight and this is the only viable option, but from what I’ve researched and read here, this should be just an absolutely last resort. Just my 2 cents for what it’s worth. Here’s a couple links for further reading




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