With the improvement of people’s living standard, especially the change of diet structure, diabetes has become a serious health problem in China. Although people are no stranger to diabetes, they are not nearly aware of its dangers! In particular, diabetes is more likely to be overlooked because there is no significant discomfort until there are obvious complications. Complications caused by diabetes become serious disabling deformities, kidney failure, lower limb necrosis, cardiovascular and cerebrovascular lesions, and all with very serious consequences! So who is suitable for diabetes surgery to treat it? The prevalence of diabetes is increasing The treatment of diabetes is not receiving the attention it deserves, and there are far more undiagnosed diabetics than diagnosed ones. The treatment of type 2 diabetes in internal medicine is extremely ineffective, and the highest sample survey proves that only 27-35% of diabetics are able to control their sugar to meet the standard, and most of them are progressively aggravated. Diabetes is not only difficult to control blood sugar, but also brings great inconvenience to life, such as playing insulin, preserving and carrying insulin in the heat, and strict diet control, etc. In the words of our patients: there is no quality of life with diabetes, and it feels like death is approaching step by step, especially nowadays, the age of diabetes patients is moving forward, and more and more young diabetes patients are becoming the main force. Weight loss surgery has become a way to treat diabetes How should diabetes be treated and prevented? The high prevalence of diabetes in China is closely related to the way people live their lives, says Wu Liangping, director of bariatric metabolic surgery at Youdao Physicians Group. 80% of patients are obese at the time of diabetes diagnosis. Since the 1990s, surgical treatment of diabetes has gradually gained attention, and type 2 diabetes has been recommended by endocrinologists worldwide. Both the ADA in the United States and the International Diabetes Federation IDF as well as various national diabetes organizations have recommended surgery for suitable diabetic patients, so why is surgical treatment of diabetes recommended when there are traditional five horsemen? The main reason why gastric bypass surgery, sleeve gastrectomy and gastric bypass surgery are recommended by internal medicine doctors is that internal medicine medication and lifestyle interventions cannot achieve the purpose of sugar control, and surgical treatment for sugar reduction is surprisingly effective, gastric bypass surgery can achieve complete remission in more than 80% of patients, get rid of drugs, and completely normal blood sugar, which is not achieved by internal medicine! This is something that internal medicine cannot achieve! Who is suitable for surgical treatment? In China, diabetic patients have poorer diabetes control and compliance, and Chinese diabetics have more abdominal obesity and more serious complications, so they cannot follow the Western indications for surgery. So, which diabetic patients are suitable for surgical treatment? At present, combined with the release of China’s 2014 Guidelines for the Surgical Treatment of Obesity and Diabetes, it is summarized as follows: As one of the developers of the 2014 Guidelines for the Surgical Treatment of Obesity and Diabetes, Wu Liangping suggested that if you have type 2 diabetes for less than 15 years and still have some insulin secretion function, fasting serum C-peptide is greater than 1/2 of the lower limit of normal value, BMI is greater than 27.5 or waist circumference less than 90 cm for men and less than 85 cm for women, age 16 to 65 years, and no other contraindications to surgery. It is recommended that you consider surgical treatment for diabetes. In general, 80% of patients will have their blood sugar completely stabilized after weight loss surgery, get rid of glucose-lowering medications, and in addition to that will greatly improve blood lipids, blood pressure and other complications!