Weight Loss Surgery for Diabetes
Surgery to Reverse Diabetes
Did you know that.....
- People are dying globally due to T2DM related complications every 10 seconds.
- T2DM is among the top ten leading causes of death in the U.S.
- One out of every ten health care dollars is accredited to diabetics.
- Compared to non-diabetics, individuals with the disease have health costs that are close to 2.5 times higher.
- For those with T2DM, approximately 90 percent is thought to be caused by excess body fat.
- If trends continue, pre-diabetic and T2DM conditions could affect half of the adult American population by the culmination of the decade. This is based on research from the United HealthGroup, Inc.
- The number of diabetics is close to 9 percent for the U.S. populace but exceeds 25 percent among the morbidly obese.
- One of the most effective treatment methods for reversing T2DM for obese individuals is bariatric and metabolic surgery.
Type 2 Diabetes Mellitus (T2DM)
T2DM is one of the most common types and accounts for close to 95 percent of the cases. The primary cause for this form of illness is obesity. It could also lead to other health complications that include stroke, cardiovascular disease, kidney failure, blindness, depression, amputations, neuropathy, impotency, and the risk of death associated with specific types of cancer. Premature death related to T2DM is boosted by 80 percent and life expectancy reduction up to 14 years.
Lifestyle intervention in the form of diet, weight-loss and exercise are the primary T2DM therapies. With medical supervision and prescribed dications, patients can keep their blood sugar levels from skyrocketing. In time, T2DM can sometimes worsen. This would require the individual to take higher dosages of medication to keep their blood levels from reaching excessive rates.
Bariatric Surgery and T2DM
T2DM was once thought to be a disease that was irreversible or without an end. But with close to 38 percente of patients undergoing gastric bypass surgery and 25 percent gastric sleeve, patients found their blood levels below the target range of the American Diabetic Association. Researchers also found that many diabetics no longer needed the required medicines to control the problem.
Bariatric Surgery Can Improve T2DM and Place It Into Remission
Researchers at the University of Pittsburgh chose 61 individuals with T2DM to receive bariatric surgery to lose weight. Tracking them closely, they wanted to see if they could improve their condition and place it in remission. On average, the gastric bypass patients dropped approximately 25 percent of their body weight. They also saw the size of their waist shrink. Since this s the area where blood sugar is processed, this had an impact on their T2DM. The patients saw their fasting blood sugar and A1c levels drop significantly.
Three years after the surgery, 65 percent of the people who had undergone gastric bypass and 35 percent of the gastric band recipients no longer needed medication to lower their blood sugar.
Patients experiencing remission with their T2DM were just as impressive. Approximately 40 percent of the gastric bypass individuals and 29 percent of those having gastric band surgery showed signs of a complete or partial remission. Other health benefits included lower blood and better cholesterol levels from the bariatric surgery to lose weight.
Bariatric Surgery Types
The following are common types of bariatric surgeries performed throughout the U.S. Also included is their known T2DM effects.
Roux-en-y Gastric Bypass
Roux-en-y Gastric Bypass is a surgical procedure that alters an individual’s GI tract. The process causes food to bypass areas of the stomach and upper parts of the small intestine. Individuals can experience a significant loss of weight and T2DM to go into remission in 80 percent of the people who undergo the process. Another 15 percent of patients notice major improvements with the disease.
Whether it’s an improvement or the T2D is in remission, gastric bypass patients notice changes early on after the performed surgery and before they’ve seen significant amounts of weight loss. Hormone changes produced by the stomach at the culmination of surgery are the cause for the diabetic improvements.
Gastric sleeve, also known as vertical gastrectomy, is a minimally invasive procedure where a large section of the stomach is removed in order for patients to experience weight loss. The remaining stomach sections are narrow and leave a smaller area for food intake.
The surgery has also shown independent weight loss effects based on glucose metabolism. Gut hormone changes can prove favorable for diabetic patients who are looking for control of the disease. Remission rates for those who undergo the WLS surgery are also extremely high at 60 percent. Some studies show the surgery being comparable to the results seen after gastric bypass.
Mini Gastric Bypass
The Mini Gastric Bypass (also known as the Oneanastomose Gastric Bypass) is another restrictive and malabsorptive procedure for those looking to lose weight. It involves the surgeon reducing the size of your stomach, restricting the amount you can eat. The procedure also reduces absorption of food by bypassing up to 6 feet of intestines.
Remission typically occurs in close to 85 percent of patients undergoing this procedure, with significant improvements for the other 15% of patients suffering from T2DM.
The Duodenal Switch procedure is malabsorptive and performed on a less frequent basis compared to sleeve and gastric bypass. Although the process is complex, and the risk of complications greater, studies find it’s effective in improving T2DM. Whether it places the diabetes in remission or it shows significant signs of improvement, percentage rates can exceed 85 percent.
Benefits of Bariatric Surgery vs. Risks
Type 2 Diabetes is currently the leading cause of fatalities in the U.S. It’s also a contributing factor in diseases such as stroke, heart disease and kidney failure. Every year millions of people die from T2DM. But with the latest advancements in bariatric surgery, a great number of these individuals may be saved and enjoy an improved quality of life.
Bariatric surgery is a common procedure, especially for individuals who are overweight. Although it has some level of risk, the benefits are outweighed for diabetics. Life-long problems associated with T2DM are serious and can result in other health complications. Getting your weight under control through bariatric surgery can improve your overall health and wellness and lead to a longer life. To cut back on any surgical risks, a proper health evaluation is in order. This includes monitoring the severity of your disease along with any other health problems associated with obesity.
The skilled bariatric and metabolic surgeons of Bariatric Select regularly help patients with diabetes regain their livelihood and can do the same for you. Please call us today 888-857-3532 for a confidential and free consultation of how we may help you too.