Here's a development to keep your eye on: Bariatric surgery performed on a small group of morbidly obese type 1s led to considerable weight loss, improved glycemic control, and improved metabolic profiles up to three years later.
The statements from august medical authorities were grand and sweeping. This was important news, they said. This would change everything. Pay attention, patients, they said. The experts have spoken, and their word should be taken as final.
Bariatric surgery, which alters or blocks portions of the digestive system, has produced long-term remission of diabetes symptoms in many type 2 patients. However, a small study of obese type 2 patients who underwent bariatric surgery shows that the longer they had diabetes, the greater the chances that their disease recurred after surgery. The retrospective study, conducted by Yessica Ramos, MD, at the Mayo Clinic Arizona, found that patients who had had diabetes for five years or longer were nearly four times as likely to experience a recurrence of the disease after the remission brought on by the surgery.
In two recent head-to-head year-long trials, one testing gastric bypass surgery versus lap band surgery and another pitting gastric bypass surgery against sleeve gastrectomy, gastric bypass came out ahead with regard to resolving the symptoms of type 2 diabetes. Both studies were published in the February issue of the Archives of Surgery.
In order to undergo gastric bypass surgery, you must have a BMI of at least 35. If you have type 2 diabetes and would like to undergo the surgery to alleviate your diabetes symptoms, you are out of luck unless you are also morbidly obese. A few less weighty type 2 patients have taken matters into their own hands by deliberately gaining enough weight to qualify, but now there is a less drastic way to qualify for the operation.
A controversial New York doctor is poised to begin surgical trials on non-obese diabetes patients in an attempt to reverse their disease with gastric bypass surgery. Dr. Francesco Rubino, the chief of gastrointestinal surgery at New York-Presbyterian/Weill Cornell Medical Center, believes that because gastric surgery has been shown to be highly effective in remitting diabetes symptoms, the procedure should now be allowed among non-overweight type 2s.
Fifty science and medical diabetes experts, representing 22 international organizations*, have issued a consensus statement that calls for bariatric surgery to be used as a treatment for type 2 diabetes. The statement, published online November 23 in the Annals of Surgery, is seen by attendees at the recent Diabetes Surgery Summit in Rome as the precursor to the establishment of a new medical discipline, "diabetes surgery."
A recent and contentious meeting of diabetes experts at the European Association for the Study of Diabetes in Vienna, Austria, has continued the intense international debate over whether bariatric surgery should become a treatment for type 2 diabetes or continue to be reserved only for the extremely obese.
In gastric bypass surgery, the surgeon basically lops your small intestine in two and then hooks it back up again in such a way that it's much shorter than before. With the first section of your small intestine out of commission, food flows directly from your stomach to the middle of your small intestine. When less intestine is available to absorb food, less food is absorbed, not surprisingly. It works, but it's not pretty.
Two large studies, both published in the New England Journal of Medicine, have just confirmed that if you're obese, weight loss surgery can make you live longer. A Swedish study tracked about 4000 obese people, about half of whom had undergone gastric bypass or lap band surgery.
Bariatric Surgery isn't just for weight loss anymore. It's been shown to be possibly curative of type 2 diabetes even in the absence of major weight loss following the surgery. Here's the rundown on how it works.
A type of weight-loss surgery called the LAP-BAND has been successful in putting type 2 diabetes in remission, according to researchers in Australia. Doctors from Monash University in Victoria found that the majority of people with type 2 diabetes who were treated with the stomach-reduction surgery achieved better blood-glucose control one year afterward. Results of the study were published in the February 2002 issue of Diabetes Care.
For the first time in years, I bought something from the Misses Department, not the plus sizes!" exclaims Sue Felton, a woman of 43 who's been battling obesity and type 2 diabetes for the past five years.
A group of Brazilian researchers say bariatric surgery (stomach stapling) is the most effective therapy for extreme obesity. Their recent studies show that glucose control can also improve with the surgery.
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