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Medical Video: Preventing Pre-Diabetes
Believe it or not, fat removal surgery can make a big difference for people with type 2 diabetes. For some blood types, blood sugar levels can quickly return to normal blood sugar levels — sometimes a few days after surgery. This means that you will only need a little treatment or not at all.
The proof is that research shows progress in type 2 diabetics after weight loss surgery. A study examined about 400 people who suffer from type 2 diabetes and underwent bariatric surgery or stomach reduction. Six years after surgery, 62% showed no signs of diabetes. They also have good blood pressure, cholesterol, and good triglycerides.
In comparison, only 6% -8% of people take medicine but do not carry out operations that can show the same results.
If you are thinking of doing this operation, and you are ready to make a big change for you, you will get something good for yourself.
Are you a good candidate?
First, your doctor will consider two things:
- Is your body mass index 35 or higher?
- Have you ever tried to lose weight and live it without success?
If yes, the doctor will do a further examination and ask you a few questions, to see if you are ready for surgery and major changes that may occur mentally and physically. (You have to eat a little food and carry out a healthy diet, and exercise will be a part of your life forever).
Other doctors may also be involved, depending on what specific case you are facing. For example, if you have heart disease, you will need permission from your heart doctor.
What are the types of weight loss surgery?
There are several types of weight loss operations. Some of them help you lose weight by reducing the size of your stomach a little until you feel full after only eating small portions. Other types change the way your body absorbs calories, nutrients, and vitamins. Or maybe both.
Here are the types of weight loss operations you need to know:
- Gastric bypass (also called Roux-en-Y gastric bypass)
This operation aims to make a small stomach pouch, by dividing the upper part of the stomach into the other part. When you eat, these foods will go to the small stomach bag and pass through the upper part of the small intestine. The result: You will quickly fill up and absorb a few calories and nutrients.
Pro: 80% of people show no signs of diabetes after surgery. In addition, usually people who do this lose 60% - 80% of extra body weight.
Cons: Your body cannot absorb as many vitamins and minerals as before, as a result it can have an impact on health problems.
- Gastric sleeve (also called sleeve gastrectomy)
The purpose of this surgery is to remove many parts of your stomach. With a smaller room for food, you will feel full quickly. This operation also lowers the hormone ghrelin, a hormone that makes you feel hungry.
Pro: more than 60% of people who perform this operation show no signs of diabetes. Moreover, people usually lose 50% of their extra weight.
Cons: You cannot do an operation to restore it. The body cannot absorb as many vitamins and minerals as it used to, which can cause health problems for you.
- Adjustable gastric tape
This operation is done by storing a ribbon that can be inflated around the top of the stomach. This ribbon forms a small bag for food. This small bag will quickly fill up when you eat, so you feel full quickly.
Pro: Your doctor does not need to cut out the abdomen or move the intestines, like other operations. That is one reason why this surgery has a smaller complication level. A little extra, you can adjust the ribbon or throw it away later. 45% - 60% of people who undergo this operation are free from diabetes.
Cons: sometimes there is a problem with the bandage. The tape can slip or wear too long, so you need another operation to fix it. You will also lose weight with this operation greater than other surgeries (around 40% - 50%).
Another type of operation of the gastric bandage is called vertical gastric banding, not done as often as before because there are more effective choices.
- Change in Biliopancreatic Diversion with a small part of the intestine
This is not a common operation, because this operation is complicated. The doctor will remove a large part of the stomach and change the way food enters the intestine.
Pro: this is the most appropriate operation for diabetics. People who do this surgery usually lose 60% - 70% of extra body weight.
Cons: You will suffer from complications by performing this type of surgery. You will need several days in the hospital to recover. In addition, you will also get more digestive problems and calorie absorption than other operations, so this type can be said to be the type that will cause health problems.
All major surgeries, including weight loss surgery (also called "metabolic and barriatric surgery") have risks. These risks include bleeding, infection, and leak of the digestive system.
What can be done after surgery?
The best way to maintain weight loss is to stay on a diet and adhere to a sports plan. You will eat small amounts of food. Choose half to a cup of vegetables and protein-rich foods per serving. Try a slice of lean meat, fish, beans, low-fat cheese, and yogurt.
It's a good idea to work with a nutritionist when you change your diet, especially if your body doesn't absorb nutrients as well as before surgery. Make sure you get the vitamins and minerals needed.
After you lose weight, you might consider plastic surgery for saggy skin. This is a different procedure and must be considered with your doctor.
