In the treatment of diabetes, the concept of “five carriages” going hand in hand has been deeply rooted in people’s minds, and the concept of “diabetes is a chronic disease” is also deeply rooted in the hearts of many “old sugar lovers”. However, this concept is now being challenged, and surgery may be used as the “sixth carriage” to remove the cap for “sugar lovers”. Once back to wear the cap before As the first to eat crabs, the old Li do surgery is very determined. Before the surgery, he weighed 80 kg, had a waist circumference of 2 feet 8, and was growing at the rate of half an inch per year, and his BMI was as high as 30. In addition, his nearly 20-year medical history, the death of his parents due to diabetes complications, emotional changes and changes in lifestyle habits that made his blood sugar fluctuate constantly, and the recent discovery that his pancreatic function had gradually begun to decline, all of which made him suffer. Six months later, Lao Li’s weight dropped to about 60 kilograms, and it is still maintained at normal level without medication or injection, and the glycemic index and glycosylated hemoglobin index are also maintained within the normal range, finally, as Lao Li himself expected, he got rid of the pain of medication and injection. The pain of injections. An egg-sized stomach “Laparoscopic gastrojejunostomy is a minimally invasive surgery that first reduces the volume of the stomach to about 30 ml depending on individual circumstances, allowing the patient to reduce food intake, while changing the structure of the digestive tract by anastomosing the distal small intestine to the stomach, i.e., artificially causing a ‘short circuit ‘, reconstructing the intestinal sequence so that the absorption of nutrients is concentrated in the distal small intestine, thereby altering gastrointestinal hormone secretion, which may be related to altered levels of serum leptin, intestinal hyperglycemia, gastrin suppressing peptide, insulin-like growth factor-1 and glucagon-like peptide, or may be due to the regulation of altered levels of other unknown gastrointestinal hormones. Altered levels of secretion of multiple hormones can act to lower blood glucose concentrations.” ”The reduction in intake may bring a series of malnutrition complications such as osteoporosis, anemia, etc., so we ask patients to strictly follow medical advice after surgery and also make sure to cooperate with good follow-up.” . This is not a public carriage. In 2009, the American Diabetes Association, the world’s leading authority on diabetes treatment, even included this surgery in the Diabetes Prevention and Control Guidelines, establishing it as a routine treatment for diabetes. However, the indications for gastrojejunostomy bypass surgery are very strict in order to ensure the effectiveness of the surgery, which means that not all diabetic patients can receive this surgery. In China, based on the reference of European, American and Asia-Pacific surgical standards for weight reduction surgery, combined with the physical characteristics and features of Chinese people and the experience of surgical treatment of obesity, Chinese expert guidance was issued in 2010, and those obese type 2 diabetic patients with poor results after standardized non-surgical treatment can be considered for surgery as long as there is no obvious contraindication to surgery. However, the effect of surgical treatment for type 2 diabetes is related to various factors such as the duration of diabetes, islet cell function, and patient age. First, the patient’s body mass index should be ≥ 32 kg/m2; second, the duration of the disease should not be greater than 15 years to ensure that their islet reserve function is above 1/2 of the lower limit of normal and c-peptide is ≥ 1/2 of the lower limit of normal; in addition, the patient’s age should not be greater than 65 years. ”This is really just a form of diabetes treatment and is not a complete substitute for medication and insulin.” , if the patient himself does not have a strong will to operate, has poor islet function, or has developed related diabetic complications and has endangered the heart, kidneys, blood vessels, nerves and other organs and organs, has caused the corresponding organ insufficiency, surgery is not recommended. In addition, surgery is not recommended if the patient cannot strictly follow the postoperative diet control and follow-up.