My Diabetes has returned after being in remission for 10 months – Please help

Question Below Submitted By:  

Kerry (a patient from Joricahannesburg South Af)

I am 18 months post op (Roux en Y gastric bypass) and have been craving carbs and sugar. My fasting glucose levels have slowly increased and so has my weight.

I lost 31Kg in the first 6 months post op and have put on 5Kg since then.

My surgeon has recommended a revision to a BPD which would involve a complete reversal of the original surgery. My medical insurance will not pay for the revision so it will be a huge expense for me.

My eating behaviour is almost back to pre op disordered eating. I am really feeling apprehensive about the revision. My surgeon feels that she can attain total remission from diabetes with the revision.

I am so undecided – any one got any advice?

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Expert Responses to the Question Above

Surgeon Response to "My Diabetes Has Returned After Being in Remission for 10 Months"

by: John Rabkin, MD

Kerry,

The Duodenal Switch (DS) (which is frequently called and/or confused with the Biliopancreatic Diversion (BPD)) is often the revisional procedure recommended to address the lack of suitable weight loss that you've experienced with the Roux-en-Y Gastric Bypass (RGB). Furthermore, it has the best opportunity to cure you of your diabetes mellitus (DM). Many studies of the DS demonstrate near universal resolution of DM which is maintained long term. The DS also provides the most durable weight loss of any of the weight loss procedures available today,

Revisonal bariatric surgery is more complicated than initial weight loss surgery and carries with it a higher complication risk than the initial surgery did. You should discuss this thoroughly with your surgeon. However, if you're able to obtain the resources to cover the procedure, I would highly recommend it for you.

John Rabkin, M.D.
Pacific Laparoscopy

(click here for Dr. Rabkin's full bio & contact info)

DISCLAIMER: This educational advice is based on the depth of your question and the details provided. The above should never replace the advice of your local physicians as they have the ability to evaluate you in person.

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