I have been considering having bariatric surgery, most specifically the sleeve rather than Rue N Y. I can't seem to lose weight although I have been dieting and under the doctor's care and she is pleased with my blood sugar readings and I am losing inches but not pounds. In fact, she has decreased my insuline intake twice in two months. What do you think of having the bariatric sleeve surgery? Will it be helpful for me as a diabetic?

Dr. David Erani


Bariatric surgery has become increasingly common over the past several years. More recently, it has been considered as a treatment for type 2 diabetes. A recent article published in the New England Journal of Medicine reported the results of a study comparing the effects of intensive medical therapy, Roux-en-Y gastric bypass, and sleeve gastrectomy on glycemic control among people with type 2 diabetes. Patients in each of the surgical groups had better glycemic control and required fewer anti-diabetes medications than those in the medical treatment group. That said, the decision to undergo surgery should not be taken lightly. With any surgery there is risk of complications and adverse effects, not to mention pain, discomfort, and time away from work. You say that your doctor is pleased with your blood glucose readings. If your diabetes is well-controlled already, you would not need bariatric surgery to get it under control. In that case, you would have to consider what other medical conditions you have and how they could be improved by the effects of bariatric surgery.

June 2, 2014 at 5:12 pm

12 replies

hotaki2017 2017-06-23 07:32:30 -0500 Report

is it possiabe to control diabetes t2 without meds for long time i blieve that eveything should go naturaly

suecsdy 2017-03-24 21:42:21 -0500 Report

Late last year it was also suggested to me that I consider bariatric surgery, not because I am that overweight (60 lbs), but because in spite of 2 yrs on a low carb diet, I still did not lose weight. I cried over this every day for 2 weeks, not because it had been suggested to me (I know what I look like), but because of what I knew of the lifestyle after surgery. I even went to the orientation meeting. I thought that surely what I thought was not accurate so I started researching. It was every bit what I thought and more. I decided I could not live like that for the rest of my life. I felt like it was some bizarre punishment for having gotten overweight. I consulted with 2 of my drs and they were non committal; saying only that given how I adapted to the diabetes, I would probably do well. I finally got in to see my pcp and she said the magic words I wanted to hear.."you don't have to". Even though I haven't lost a lot of weight, I don't regret not having the surgery. I'd rather live with diabetes. I'm controlling that very well, and even when it gets worse, I will still not regret my decision.
All that being said, it's a BIG decision. Consider it very carefully and make sure you know what you're getting into. I was told that being a diabetic, they would probably do a bypass and not the sleeve, which leaves very little of your stomach and reroutes your small intestine. It is not reversible.
These are my own thoughts and opinions and not meant to influence you one way or the other. There are many people that have done this and are very happy with their results. It just wasn't for me.

timmer1950 2017-03-23 21:31:18 -0500 Report

I retired on 12/31/2016. I'm now on social security and I purchased a supplemental drug policy with Mutual of Omaha. I previously used the insulin pen for years. They now cost more than triple compared to my group plan while I was working.Some people have told me to find another company that has better drug coverage. My question is where do you look? They all love our money.

sharonbar 2017-02-01 11:01:37 -0600 Report

I was recently diagnosed with type 2 How do I find a nutritionist or dietician locally I have a script from the DR my PCP but they did not know either I have Medicare and a supplement I have kidney issues too so I need to know what to eat. I recently lost 34 # after my husband passed in September they are concerned about that

Karenlc2 2016-12-28 18:44:50 -0600 Report

I had weight loss surgery and lost 100 pounds. My blood sugars came down, my cholesterol was down, I was doing well. HOWEVER…unless you make the change to eat healthy the rest of your life, you will gain it all back (like I did) . I was hoping for a magic solution, and for several years, I was doing fine, but I got lazy, let my old eating patterns and favorite foods creep back in and now I'm right back to where I started.

Anonymous 2016-08-17 18:14:44 -0500 Report

I am a type 1you can not do nothing about that be to hear the same thing over and over I need some one to come and get it out my body it will not go away at all I do not like talking about it people that have 2 it can go away but not for me I am 49 years old 28 years a long time for nothing the doctors do not say nothing to me I no what they are going to say when I go see the doctor I say OK were the man at I am ready were is the people that can help type 1

Grandmama16 2014-12-31 11:36:41 -0600 Report

What is, exactly, bariatric surgery and how does it help type 2? Would it help type 1? I'm type 2, grandson 26 is a very active, healthy type 1.

letashia 2014-11-11 17:08:01 -0600 Report

hi I have been a diebetic for 19years im 35 im on a insulin pump plus my dr. put me on pioglitazone/metformin 15/500 tablets 2xday I have been on these pill for almost a year my hair has become very thin in the front and my stomach cant take the pills I have a upset stomach ever time I take them if I miss a dose im fine told dr. about this they don't seem to think its the medicane so I have taken my self off the medicane but now im having problems with blood sgars

husker01 2014-07-19 16:31:10 -0500 Report

I have been diabetic for 7 yrs. I am on Metformin, and slowly my right big toe has sharp pain in it, now the left big toe seems to have it. Then my feet feel the tingly asleep feeling, but painful. I have been dieting and blood sugars have always been under control. I almost feel better if I ate something to raise the blood sugar than having this feeling. I was prescribed a cream to rub on the toes which was made just for me, a compound, If i keep blood sugars down am I still a candidate for neuropathy? I just moved here 2 yrs. ago, and finding a descent dr. for my diabetes is impossible. I think I should have a nerve conducting test. I feel when someone touches my foot, etc. Very concerned with the latest symptoms and Dr. does not suggest any testing to find what neuropathy I may have. One foot Dr did not tell me I could get diabetic shoes,, My best endo was in CAlif. do I need to have some tests done??