Bariatric surgery was initially developed to achieve weight loss, but its application accelerated after its effects on sugar metabolism were seen. Metabolic surgery was also found to be effective in non-morbidly obese type 2 diabetics.
Type 2 diabetes; kidney damage, heart attacks, amputations, blindness, such as many other diseases, leading to death and disability.
Diabetes is tried to be controlled by diet, exercise and medication. In most diabetics with drug therapy, the intended goals are not achieved, and many patients are lost due to organ damage due to this disease.
Metabolic surgery is strongly recommended in morbidly obese and obese patients with lower body mass index who cannot control diabetes with drug therapy.
The American Diabetes Association recommends metabolic surgery for diabetics with a body mass index below 35 and metabolic syndrome. In studies, metabolic surgical methods are much superior to controlling type 2 diabetes than drug therapy.
80-85% of morbidly obese patients undergoing bariatric surgery get rid of diabetes completely. The remaining 15-20% is controlled by oral antidiabetic drugs. Metabolic changes occur in the days and weeks before significant weight loss after surgery.
Obesity surgery has also begun to be applied to less overweight patients with diabetes, as it corrects diabetes regardless of weight loss. In studies, it was observed that metabolic surgery passed diabetes in the group with low body mass index with diabetes, similar to that in the group with morbidly obese with diabetes.
Metabolic Surgery has been observed to correct diabetes in the group with low body mass index, without leading to excessive weight loss and eating disorders.
In patients undergoing Metabolic Surgery, metabolic results were much better in procedures in which the small intestine was bypassed. In studies, gastric bypass is three times more successful in controlling diabetes than tube stomach.
Obese patients with Type 2 diabetes with C-peptide levels below 3ng/ml should not apply sleeve gastrectomy. Diabetes is only 14% in patients in this group, because the tube is applied to the stomach. Gastric sleeve operation is more successful in Type 2 diabetics with C-peptide levels above 6 ng/ml.
Although Ideal interposition controls type 2 diabetes, it is not much preferred because the rates of complications after surgery are high.
Every 10 seconds in the world, a person dies due to diabetes-related organ damage. Among morbidly obese patients, the incidence of diabetes is over 25%. The most effective treatment of fat people with Type 2 diabetes today is metabolic and bariatric surgery.
About 80% of Type 2 diabetics who undergo bariatric or metabolic surgery get rid of the disease without taking medication. The International Diabetes Federation (IDF) recommends bariatric surgery to patients with diabetes with a BMI >35 and a BMI of 30 -35 whose diabetes cannot be controlled by existing drugs.
Ghrelin hormone levels increase in patients who try to lose weight with diet. For this reason, the feeling of hunger increases and the basis for diabetes is prepared. Because the feeling of hunger increases, the diet becomes unsustainable after a certain point.
A severe decrease in ghrelin levels occurs after gastric bypass and sleeve gastrectomy. Ghrelin level and response do not change in gastric band application.
The hormone PYY is secreted from L cells of the intestine along with GLP-1.PYY hormone restricts food intake by reducing hunger; it also corrects insulin resistance with direct effect. PYY hormone increases after gastric bypass and gastric sleeve surgeries.
The fight against obesity is also the fight against diabetes. There is a strong causality between obesity and diabetes. First, the patient undergoes a general check-up tan. The person is examined by anesthesia, internal medicine, cardiology and psychiatry units.
Stomach endoscopy is performed with it. If there is no obstacle to the operation, the operation can be performed. After surgery, the patient’s hospitalization for an average of 3 days is considered appropriate.
At the end of 3 days, if there are no problems, the patient is discharged. After surgery, the healing process continues until excess weight is given and side diseases disappear.
As much as the success of the operation, it is very important in the post-operative process. A person can reach their goal much faster when they fit into eating patterns that are considered appropriate by a dietitian and play sports.
In addition, a person’s motivation is also of great importance for achieving targeted success. With weight, you can achieve anything if you have a reason.
Table of Contents
Can you get rid of diabetes?
Diabetes is a chronic disease and there is no definitive cure. But keeping blood sugar levels at normal limits is important to minimize the effects of the disease.
For this reason, patient education, control of the patient’s own blood sugar, proper nutrition and adequate exercise are of great importance for reducing the risk of complications that occur in the long term.
In addition, in order to reduce the risk of high cardiovascular disease caused by diabetes, it is necessary not to smoke and to keep blood pressure and cholesterol levels under control.
How does bariatric surgery treat diabetes?
Bariatric surgery, which is used to treat diabetes, is evaluated by diabetes-specific criteria. It is possible to treat diabetes with bariatric surgery. Even some data indicate that diabetes is completely cured.
About 90 percent of type 2 diabetes mellitus (T2DM), the most common form of diabetes, is caused by obesity, that is, excessive body fat. Metabolic and bariatric surgery for the treatment of diabetes caused by obesity is the most effective form of treatment today.
After treatment, improvement is observed in almost all patients, and the symptoms of diabetes disappear. Diabetes can be cured by controlling the disease with diabetes surgery techniques. Bariatric surgery, that is, obesity surgery, has many positive effects on type 2 diabetes disease.
It is able to lower blood sugar, reduce the required dosage and type of medication, and helps to cure health problems associated with diabetes. Various methods of treatment can be used in bariatric surgery.
How Does Bariatric Surgery Help Type 2 Diabetes?
People who are severely overweight or obese are often good candidates for bariatric surgery, which can eliminate the need for insulin. While this surgery will result in long-term weight loss, it will also have some impact on the endocrine system, the network of glands in the body responsible for producing and releasing hormones.
These hormones are involved in many aspects of our lives, including our energy balance, growth, and response to stress. Various types of bariatric surgery are available and the risks of each vary.
The results of the SOS study show that patients with type 2 diabetes have lower incidences of hypertension, hyperuricemia, and glycemia than their non-obese counterparts. This study also found lower rates of hypertriglyceridemia and hyperinsulinemia, as well as lower risk of cardiovascular disease.
There was no clear cut-off for the BMI that would predict a positive outcome. Moreover, there are still a lot of unknowns and questions about the long-term effects of this procedure.
Fortunately, there are several advantages of bariatric surgery. Patients with type 2 diabetes have lower blood sugar levels and a lower need for medication. Furthermore, after 15 years of bariatric surgery, almost one-third of patients were in remission.
The surgical procedures include gastric band, gastric bypass, and sleeve gastrectomy. While these procedures are effective, they do carry risks. In addition to complications, patients may experience a complication called dumping syndrome.