Prevention and Reversal of Type 2 Diabetes. Bariatric Surgery for Type 2 Diabetes
Nearly 60,000 bariatric operations are performed every year in the US. Primary goal of bariatric operations is reducing complications associated with clinically severe obesity. Clinically obese people are ripe for onset of Type 2 diabetes. Clinically severe obesity is defined as a body mass index (BMI) greater than 40 kg/m2 or BMI greater than 35 kg/m2 in the presence of a serious comorbid condition such as difficulty breathing, snoring (sleep apnea), sugar diabetes, musculosceletal dysfunction, cardiomyopathy, or high blood pressure (hypertension). In simple words it means that being 100 pounds above ideal body weight or more than 200 percent of ideal body weight is clinical obesity. People with clinically severe obesity have between 1 in 10 and 3 in 10 chance to develop Type 2 diabetes or impaired glucose tolerance. Good news is that a weight loss of 50 percent of excess body weight in people with clinically severe obesity can result in a 30-fold less chance in the development of Type 2 diabetes. Just process this! 3-fold risk reduction if the person get rid of one half of excess weight. While you contemplating this powerful message please pay close attention to the very selective advertisement on this page that I hope will help you further.
Top requested bariatric surgery for prevention and reversal of Type 2 diabetes is the roux-en-Y gastric bypass. This bariatric surgery produces weight loss by restricting caloric intake because it reducing stomach capacity. The roux-en-Y gastric bypass induces anorexia or early satiety. Study and numerous observations show that gastric bypass surgery may reduce baseline weight for 40 percent and this reduction can be maintained for 10+ years after the bariatric surgery.
After successful bariatric surgery the majority of individuals with Type 2 diabetes will experience normalization of A1C, blood glucose levels, and insulin levels. Bariatric surgery for clinically severe obesity provides a potential for cure in people with Type 2 diabetes and highly advisable in all severe obese people affected with sugar diabetes.
Severe obese person may get rid of Type 2 diabetes after successful bariatric surgery of gastric bypass. The roux-en-Y gastric bypass may result in significant weight loss in a matter of 6 to 9 month with gradual restoration of normal A1C levels. The exact mechanism for improvement in blood glucose levels after the gastric bypass surgery in unknown.
The cure of diabetes after gastric bypass bariatric surgery is not tied solely to weight loss but getting rid of belly fat seems to play big role in it. It is known that people with Type 2 sugar diabetes are glucagon-like peptide-1 deficient. Incretin hormone glucagon-like peptide-1 (GLP-1) released from the small intestines in response to a mealtime stimulus and act to reduce blood glucose levels. But after the gastric bypass bariatric surgery people with Type 2 diabetes may normalize glucagon-like peptide-1 levels which improving beta-cell response to an oral glucose.
In case of severely obese adolescents, bariatric surgery should be reserved as a last resort. Severely obese adolescents affected by Type 2 diabetes usually respond to behavioral therapy quite well and their weight should be managed with diabetic diet and vigorous exercise regimen.