Research indicates that surgery can put diabetes into remission, and it’s safe and cost-effective
. Despite these sorts of dramatic clinical observations, surgery at that time was not considered a primary treatment option for Type 2 diabetes. It was also assumed, Rubino says, that any diabetes improvements were caused exclusively by reductions in body weight. “But it always seemed to me like the magnitude of improvement was too much just to be the byproduct of weight loss,” he says. In some cases, a person’s diabetes improvements would come even before they’d lost significant weight.
Here, Le Roux and other experts discuss the latest in bariatric surgery for Type 2 diabetes, including the benefits and risks, the procedures themselves, and how combining surgery with medication may ultimately provide the best long-term results.It’s the million-dollar question. And it has more than one correct answer.
The most common bariatric procedures for people with Type 2 diabetes are Roux-en-Y gastric bypass surgery and sleeve gastrectomy. Both procedures involve shrinking the size of the stomach, either by removing a portion of it or dividing it into two sections and connecting the smaller of the two portions to the small intestine . “It’s clear that the stomach and the intestine are not just a digestive organ, but also an endocrine organ,” Rubino says.
Apart from hurdles surrounding insurance coverage, Kraftson says that other factors may be preventing metabolic surgery from really taking hold as a treatment for diabetes. Obesity is a stigmatized disease, he says, and some people may have an aversion to undergoing a surgical procedure that was traditionally performed only on those with severe obesity. “Also, people focus on the one person they know who had [the surgery] and regained all the weight,” he says.
Finally, metabolic surgery requires major lifestyle adjustments. Following the surgery, people must adopt a specialized diet and exercise regimen to maintain health and facilitate weight loss. Eating too much or too quickly can cause symptoms such as gut cramps, pain, and. Also, things a person once loved to eat—even healthy foods—may not taste the same or provide the same pleasure. Alcohol is initially off limits. Even after full recovery, people have to be very careful with how they drink.
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