Diabetes can now be treated with surgery. With the popularization and promotion of diabetes knowledge and the scientific knowledge and improvement of surgery by doctors and patients, it will become more and more common for diabetic patients to receive gastric diversion surgery to treat diabetes, and more and more diabetic patients will regain their health! Causes of diabetes 1. Autoimmune system defects Many kinds of autoimmune antibodies may be detected in the blood of diabetic patients, such as antibodies to glutamic acid decarboxylase and antibodies to pancreatic islet cells. These abnormal auto-antibodies can damage the insulin-secreting B cells of the human pancreas, making it unable to secrete insulin normally. 2, genetic factors Genetic defects are the basis for the development of diabetes, this genetic defect is manifested in the sixth chromosome pair of HLA antigen abnormalities. Research by Sina Chinese medicine scientists suggests that type I diabetes has a familial onset, and if parents have diabetes, they are more likely to develop the disease than people without such a family history. 3, environmental factors Environmental factors include viral infections, milk feeding during infancy, vaccination climate, geography, vaccines, toxins and stress, which can contribute to the development of type 1 diabetes. 4, viral infections may be the causative factor Many scientists suspect that viruses can also cause type I diabetes. This is because people with type 1 diabetes have had viral infections for some time prior to the onset of the disease, and the “epidemic” of type 1 diabetes often occurs after a viral epidemic. Gastric diversion surgery was first performed in 1885 by the Austrian surgeon Theodor Billroth.
In 1995, Pories completed a 14-year clinical observation of 146 obese diabetic patients and found that the rate of diabetes after gastric diversion was 80%. patients with type 2 diabetes be treated with surgery. The Chinese Medical Association Diabetes Branch officially included surgery for diabetes in the Chinese Diabetes Prevention and Control Guidelines in 2011, making gastric diversion surgery a new hope for patients with type 2 diabetes. Indications for gastric diversion surgery for diabetes: 1. meeting the diagnostic criteria of type 2 diabetes; 2. islet function in the compensatory phase (plasma insulin level > normal value); 3. history of diabetes not more than fifteen years, the islets still have some residual function, more than fifteen years islet function is very poor, the effect of surgery at this time is poor, often after surgery can not completely stop insulin; 4. no serious complications; 5. diabetes Medical history less than 15 years or age less than 70 years. 6, Type 2 diabetes mellitus with high obesity, BMI>=35kg/m2, surgery is preferred; BMI>=28kg/m2, unsatisfactory drug treatment can choose surgery. However, surgery should not be the last treatment choice for diabetic patients, but should be considered as one of the treatment choices in the earlier stages of obese diabetes treatment.