New hope for obese diabetics

Diabetes is a chronic disease which progressively damages all the body's organs.

OddNaari OddNaari Nov 25, 2013


Diabetes is a chronic disease which progressively damages all the body's organs. Most often, even though sugar levels may be controlled, organ damage may continue. Obese people with a Body Mass Index (BMI = weight in kilograms/ height in metre square) of over 35, with coexisting medical conditions like diabetes, are ideal candidates for metabolic surgery. However, recent guidelines by the International Diabetes Federation (IDF) state that metabolic surgery is a treatment option for any overweight patient with a BMI of more than 30 with co- morbidities like cardiovascular disease risk factors; uncontrolled diabetes, hypertension, hyperlipidemia and obstructive sleep apnea.

Metabolic surgery has been found to resolve or reverse diabetes in more than 80% cases. According to the American Heart Association, "Surgical intervention leads to significant  improvements in decreasing excess weight and co-morbidities that can be maintained over a long period of time."

Metabolic surgery not only resolves overweight issues, it also frees the patient from a restrictive regime of constant sugar level monitoring, any possible side-effects of drugs and daily insulin injections.

Due to the surgery, there is a change in the digestive system: certain hormones are released because of the surgery, which favorably affect insulin secretion and insulin resistance, and which alter the way of glucose metabolism in the body.

It is generally considered a safe surgery and in-patient time is found to be not more than a single day in most cases.

"Patient compliance with the long-term lifestyle changes are required to maximize success of surgery and minimize complications. " "… remission of diabetes, even if temporary, will still lead to a reduction in the progression to secondary complications of diabetes (such as retinopathy, neuropathy and nephropathy), which would be an important outcome of … surgery," as per The Endocrine Society. Dr Atul NC Peters, Director, Advanced Centre for Weigh Loss & Metabolic

Surgery, Fortis C-DOC Centre of Excellence for Diabetes, Metabolic Diseases & Endocrinology & Fortis Hospital, Shalimar Bagh, Delhi says: "Though bariatric surgery has stood the test of time as a weight loss surgery, until recently, it was considered primarily for weight loss. Recent studies have shown it to be beneficial in type II diabetes as a stand-alone procedure. Few modifications in the surgical techniques have shown to be very effective in resolving Diabetes, and hence the term was changed to 'Metabolic Surgery for Diabetes'. In selected patients we have seen close to 80% resolution! What a breakthrough! A cure for a disease like diabetes which is as deadly as cancer! Imagine someone suffering from diabetes and taking insulin shots daily and living with a fear of all the complications related to diabetes is told that you are a free man and now no longer a diabetic!"

Dr Anoop Misra, Chairman, Fortis C-DOC Centre of Excellence for Diabetes,Metabolic Diseases & Endocrinology, says:"In patients with diabetes who are obese and at risk for multiple complications, bariatric surgery, for the first time, provided the option of a cure of diabetes. It should be
discussed with all such patients as a treatment option."



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