When it comes to diabetes treatment, the first thing that comes to mind is controlled diet, increased exercise, glucose-lowering drugs and insulin. For those who have been suffering from diabetes for a long time, a cure is still a distant thought. World Diabetes Day is celebrated every year on November 14.
In 2011, the International Diabetes Federation issued a statement recognizing bariatric surgery as an appropriate treatment for obese patients with type 2 diabetes who have poor glycemic control. Many hospitals in China have also carried out diabetes surgery, which makes many sugar lovers full of expectations, but whether surgery for diabetes is suitable for all diabetes patients, and whether it can completely cure diabetes? Today, we will give you the answer.
Weight loss and metabolic surgery is also known as “diabetes surgery”, which actually refers to surgery that can improve the metabolic function of the body. It has been proven that obese patients who have undergone weight loss surgery have experienced significant weight loss and good control of their blood sugar levels.
In 1991, the National Institute of Health (nationalinstituteofhealth) introduced the concept of body mass index (BMI), giving a clear definition of obesity. Body mass index (BMI) is the weight (kg) / height (m) squared. bmi is usually between 20 and 70. For example, an adult with a height of 1.72 m and a weight of 75 kg would have a BMI of 75/1.72/1.72 = 25. The criteria for performing gastric bypass surgery are: BMI greater than or equal to 28 or BMI greater than or equal to 25 with one or more hypertrophy-related conditions (e.g., diabetes, heart disease, etc.). One more condition is one more risk, and it is better to treat it when it first develops!
The efficacy of diabetes surgery is based on 3 main principles: 1. Shrink the stomach to reduce the intake and absorption of energy, use the excess energy reserves in the body, and maintain internal balance.
2, reduce weight, after surgery, most patients can lose about 30% of their body weight, insulin resistance caused by obesity will also be reduced, and blood sugar gradually return to normal.
3.After gastrointestinal reconstruction, it can play the role of regulating the level of intestinal secretion of pro-insulin, so that the level of pancreatic secretion will be improved and blood sugar will be gradually normalized.