Can type 2 diabetes be treated surgically? Is there a standard of care?

  Nowadays it is too easy to suffer from diabetes, some people think it is an unusual disease, but if the death rate of diabetes is no different from that of cancer, do you still think it is something very unusual?  When it comes to type 2 diabetes, there are many people who say that even if you pay attention to this disease, you have to take medication for the rest of your life, it’s hopeless and you might as well not care. This is before we face the situation of type 2 diabetes can not be cured, only through the five carriage of medical treatment to stabilize and control the patient’s blood sugar situation, but this treatment does not solve the root cause of diabetes, but also can not stop the occurrence of complications, patient compliance is generally very poor, so most type 2 diabetes patients are trapped in a variety of complications.  Is there really no cure?  Actually, no. In the 1980s, weight loss metabolic surgery has been widely used in the treatment of severe obesity. Pories, an American surgeon, is one of the many surgeons who have performed this type of surgery. During his post-operative follow-up of patients, he found that an obese patient with combined type 2 diabetes, who had undergone bariatric surgery, had a significant drop in blood glucose levels until all glucose-lowering medications were discontinued. This led to more follow-ups of medical records being carried out afterwards, which confirmed that bariatric surgery can indeed significantly reduce blood glucose in diabetic patients, that surgical treatment is significantly better than traditional medication, and that it can significantly reduce the occurrence of macrovascular and microvascular complications in diabetes, and that this surgery is now officially included as one of the diabetes treatment modalities with excellent results.  Some friends want to know if all diabetes can be treated surgically?  No, it has strict indications for surgery.  The Chinese Guidelines for the Surgical Treatment of Obesity and Diabetes (2014) stipulate: Type 2 diabetes mellitus of ≤ 15 years duration, and the pancreatic islets still have some insulin secretion function, fasting serum C-peptide ≥ 1/2 of the lower limit of normal value. BMI (body mass index) ≥ 27.5 kg/m2. When the waist circumference of men ≥ 90 cm and women ≥ 85 cm, the recommended grade of surgery can be increased as appropriate.  The recommended age for surgery is 16~65 years old.  We hope that all sugar lovers will be aware of the danger of diabetes and seek medical treatment as soon as possible, and also learn about the surgical treatment and determine whether they can be treated by this surgical method.