Many patients ask me, “Why do I have diabetes when I don’t feel anything? How much do you know about diabetes? Is surgery good for diabetes? Symptoms: 1. drinking more, urinating more, eating more and losing weight The typical “three more and one less” symptoms appear when you have severe hyperglycemia, mostly seen in type 1 diabetes. When ketosis or ketoacidosis occurs, the symptoms of “three more and one less” are more obvious. The symptoms of fatigue and obesity are most often seen in type 2 diabetes. type 2 diabetes is often preceded by obesity, and if not diagnosed in time, weight loss will occur. But in fact, not all people with diabetes will have the symptoms of three more and one less, so what should be done in the face of diabetes? What is the effect of having surgery? What is gastric diversion? Gastric diversion surgery was first used in bariatric surgery. Westerners have been consuming high fat and high calories for a long time, and their weight has been rising, many people accept this kind of bariatric surgery in order to pursue beauty and make themselves healthy again. After several years of clinical practice, doctors accidentally found that this kind of surgery can effectively treat diabetes, thus gastric diversion surgery, which brings a new gospel for diabetic patients. One comprehensive analysis of 22,094 patients showed that 84% of type 2 diabetes was completely reversed after the procedure, and most patients stopped taking oral medication or insulin therapy before being discharged from the hospital. In the United States, the American Diabetes Association (ADA), the world’s leading authority on diabetes treatment, officially included gastric diversion surgery (GBP) in the Diabetes Prevention and Control Guidelines, identifying it as a routine treatment for diabetes. In Europe, the 45th Annual Meeting of the European Society for the Study of Diabetes on September 29, 2009 confirmed that diabetes has become a surgically curable gastrointestinal disease. In China, the Chinese Medical Association, the Chinese Medical Association, the Chinese Medical Continuing Education Center and other authorities have made gastric diversion surgery a key promotion program for three consecutive years. The selection of obese patients with coexisting type 2 diabetes for gastric diversion surgery is a clear indication for surgery. Patients with type 2 diabetes who are not obese can also be treated with gastric diversion surgery. It should be clear in the preoperative examination that the patient’s serum insulin and C-peptide values are elevated or at normal values to make gastric diversion surgery suitable. If these two indicators are reduced, it often indicates islet insufficiency or failure, which should be the diagnosis of type 1 diabetes or late transformation of type 2 diabetes into type 1 diabetes, and these conditions are contraindications to gastric diversion surgery for diabetes.