Current research based on the results of bariatric surgery in India has shown that patients who have undergone weight loss surgery (metabolic or bariatric surgery) have found freedom from type 2 diabetes. Weight loss surgery makes a big difference for people with type 2 diabetes. Blood sugar levels return to normal following surgery for most people. As diabetes is also treated, it means less or no lifelong medication. Weight loss surgeries like intragastric ballooning, gastric sleeve or sleeve gastrectomy, gastric bypass surgery, etc. have shown proven results in successfully reversing type 2 diabetes.
Diabetes and weight loss
More than 8 per cent of the world population suffers from type 2 diabetes. Amongst diabetic patients, about 90% of them have type 2 diabetes which is linked with obesity, poor physical activity, family history of the disease and old age. Having type 2 diabetes can cause damage to the eyes, kidneys and nerves, putting patients at higher risk of heart attacks and stroke. The condition cannot be cured but can only be managed by existing treatments, including diet, exercise, oral antidiabetic medications, and insulin.
The main goal of traditional diabetes treatment is to maintain a normal blood glucose level, avoid long-term complications such as eye and kidney disease, nerve damage and blood vessel injury. Strict blood glucose regulation reduces the risk of death, stroke, weakening of the heart, and other complications. For type 2 diabetes, the first-line treatment is weight loss, diet and exercise. Appropriate meal preparation consists of the right choice of healthy foods and the correct amount of food. Managing diet requires following a strict diet and a dedicated exercise regime. This can only be achieved by discipline, which is not quite easy for everyone, especially individuals with diabetes.
Weight loss surgery is the best option
Individuals who are overweight and obese find it extremely difficult to control portion, cravings or to restrict themselves from over-eating. Weight management is really difficult for such individuals and no diet or exercise has been able to provide any significant outcome.
That’s where weight loss surgery or metabolic surgery comes in the picture. A weight loss procedure can be restrictive, malabsorptive or a combination of both. It restricts the amount of food an individual can consume in a single sitting along with restricting the absorption of excess fat by the body. Malabsorption does not mean causing damage or harm to the existing bodily functions. Weight loss surgery has proven results in treating patients with severe obesity and obesity-related ailments. It can greatly improve the quality of life and also improve conditions like diabetes, sleep apnea, high blood pressure, etc.
In this video, HERE, Dr Jaydeep Pralap mentions how weight loss surgery not only bring about great results for patients with obesity but is also being recognised as a diabetes surgery. Dr Pralap elaborates on how even with malabsorption the patient does not feel fatigued or low on energy but has so much more energy to do several activities that he/she found it difficult to do before the weight loss surgery.
Metabolic surgery or weight loss surgery was previously only considered for individuals who are overweight or morbidly obese, but with the significant result the procedure has shown, in the recent years, weight loss surgery is being explored as a solution to curing type 2 diabetes for not just obese patients but also for moderately overweight or normal-weight patients.
A new study also showed that 84 per cent of those with Roux-en-Y gastric bypass (RYGB) had their type 2 diabetes completely reversed. Even before there is any significant weight loss, there can be a drastic improvement in levels of blood sugar and also dependency on diabetic medications is either completely stopped or radically reduced. So long so normal body weight is maintained, these effects are usually lasting for the rest of life. Bariatric procedures bear some risk, but potential problems are clearly offset by the huge benefits they provide.
All weight loss procedures show substantial benefits from ailments like diabetes, hypertension, etc. along with reducing weight. Since type 2 diabetes mellitus is a progressive disease defined by a relentless breakdown of the function of beta-cells, many endocrinologists favour aggressive approaches to weight loss early in the course of the disease. Bariatric surgery should be treated early because it can help retain beta-cell pancreatic function and slow the progression of microvascular and macrovascular risks.
To know about diabetes surgery or weight loss surgery and discuss your options, you can speak with our patient care manager by dropping an email to firstname.lastname@example.org or calling on +91- 9769516280.