Currently most diabetic patients should still be controlled by diet, exercise and medication; only obese patients with type 2 diabetes are better candidates for gastric diversion surgery. So how to control diabetes: is gastric diversion surgery effective?
How to control diabetes?
I. Implement your diabetic diet treatment plan.
1. Eat healthy foods. Such as fruits and vegetables, fish, lean meats, skinless chicken, legumes and cereals, and low-fat or skim milk.
2. Maintain portions of fish and lean meat and poultry at 100 grams (2 taels), baked, grilled or roasted.
3.Eat foods with low fat and salt content.
4.Consume foods with high fiber. Follow the food variety, cereal-based, coarse and fine mix.
5.Adjust the total amount of food according to the blood sugar level.
Second, maintain a healthy weight through food choices and more exercise.
3. If you feel low, ask for help.
Your doctor, family or friends will listen to your concerns and help you feel better. And learn to cope with stress. Stress can raise your blood pressure. Although it is difficult to eliminate stress from your life, you can learn to control it.
Fourth, quit smoking.
Five, even if you feel good, you should take your medication.
Six, check your feet daily for cuts, blisters, redness and swelling.
For any pain that will not go away, contact your doctor immediately.
Does gastric diversion surgery work?
Gastric diversion surgery was first performed by Austrian surgeon Theodor Billroth in 1885 for the treatment of patients with gastric cancer, and evolved into a bariatric procedure in the 1950s. In 1995, Pories completed a 14-year clinical observation of 146 obese diabetic patients and found an 80% attainment rate of diabetes after gastric diversion, and after decades of development and improvement In March 2011, the International Diabetes Federation issued a statement: Surgery is recommended for patients with type 2 diabetes in the early stages of the disease. In March 2011, the International Diabetes Federation issued a statement recommending surgery for patients with type 2 diabetes in the early stages of the disease. In 2011, the Chinese Medical Association Diabetes Branch officially included surgery for diabetes in the Chinese Diabetes Prevention and Control Guidelines, making gastric diversion surgery a new hope for patients with type 2 diabetes.
Principle of surgery.
The gastrointestinal tract is the largest “endocrine organ” in the human body. In terms of physiological functions, in addition to digestion and absorption, the gastrointestinal tract also performs the function of an endocrine organ, i.e., gastrointestinal hormones are involved in regulating the homeostasis of blood glucose levels, and the physiological role is to regulate the dynamic balance of islet proliferation, proliferation and re-birth of apoptosis. Our preliminary research has shown that the dysfunction of gastrointestinal hormone regulation of islets is one of the pathogenesis of diabetes, which means that the patient first develops the dysfunction of gastrointestinal hormone regulation mechanism, resulting in the decrease of islet cells and the increase of apoptosis, and finally the phenomenon of elevated blood glucose level, and the diagnosis of diabetes is established. On the contrary, after surgery, the islet regulation mechanism is improved, and the mechanism of islet cell proliferation, proliferation and regeneration is activated, and eventually the islet function is improved and diabetes is cured
After gastric diversion, diabetic patients can get
1, weight loss, gastric diversion is originally a weight loss surgery. Therefore, patients with obesity (diet and exercise are difficult to reduce weight) and type 2 diabetes are the indications for gastric diversion.
2.Insulin resistance disappears, theoretically curing type 2 diabetes.
3.No longer need to take all kinds of tiresome glucose-lowering drugs, and can also be away from insulin syringes.