What is the effect of gastric bypass surgery to reduce weight and sugar? Since she started working, Zhang started to gain weight, 1 meter 55 meters tall, weighing more than 200 pounds, tried many ways to lose weight but has not lost weight, more than 30 years old has not found a boyfriend. What’s even more striking is that a year ago Xiao Zhang was also diagnosed with diabetes. After the diagnosis, Zhang has been taking medication to control diet and exercise every day, but blood sugar control is not good, and weight loss is not significant. Then Xiao Zhang heard that he could treat his diabetes through surgical weight loss surgery – gastric bypass surgery – and wanted to try to have the surgery, but he was worried about the results. In fact, patients like Xiao Zhang are not uncommon, and as gastric bypass surgery continues to be promoted, social awareness of gastric bypass surgery is becoming more common. So how effective is surgical weight reduction? Can surgery really cure diabetes? In terms of weight loss outcomes, a UK study published in PloSMed in 2015 showed that patients who underwent gastric bypass surgery lost weight at a rate of 6.56 kg/month in the first 4 months after surgery. Follow-up results showed that weight loss continued over the next 4 years, with an expected weight loss of 38 kg on average at 4 years. For most people, “surgery for diabetes” is a bit of an “unbelievable” statement, but in fact, surgery has been used for more than 30 years for glycemic control in patients with diabetes in Western countries and has been shown to be effective, in one of the earliest reports In one of the earliest reports, of 146 adult patients with obesity and diabetes who underwent the procedure, 121 remained glucose normal 14 years after the procedure. After more than 30 years of clinical studies, 80% of patients with obese type 2 diabetes treated with surgery achieve complete remission within 3-5 years. What is complete remission? It means that with lifestyle interventions alone, without any medications, the patient’s fasting glucose, postprandial glucose, and glycated hemoglobin all have normal indicators and can be considered clinically cured of type 2 diabetes. In an article published in Annual Review of Surgery, 1160 overweight individuals with type 2 diabetes were followed for up to five years after undergoing gastric diversion surgery, showing that 83% of patients had normalized fasting blood glucose and glycated hemoglobin concentrations, and another 17% had significant improvements in their diabetes. In 2013, Cleveland Hospital, a leading medical institution in the United States, ranked “weight loss surgery for diabetes control” as one of the top 10 medical innovations of 2013. In addition, the danger of diabetes lies in its complications, which can lead to retinopathy, cerebral infarction, coronary heart disease, kidney failure, amputation, and even death. Gastric bypass surgery can significantly reduce the long-term complications in diabetic patients. Firstly, it greatly reduces cardiovascular events, such as microvascular and macrovascular risks can be reduced by 1/2-1/3; secondly, 60-80% of diabetic patients can be relieved of diabetes-related hypertension, hyperlipidemia, sleep apnea syndrome, polycystic disorganization syndrome and fatty liver disease through surgery; furthermore, it can also reduce the risk of 13 malignant tumors, such as lung cancer, breast cancer, colorectal In addition, it can reduce the risk of 13 types of malignant tumors, such as lung cancer, breast cancer and rectum. Millions of diabetic patients worldwide have benefited from gastric bypass surgery, with approximately 140,000 diabetic patients recovering each year in the United States alone. The American Diabetes Association officially adopted gastric bypass surgery as one of the conventional treatments for diabetes, and in 2004, this technique was introduced to China, and since then, the field of surgical treatment of “sugar” in China has embarked on a new journey. In addition, we have observed in the clinic that gastric bypass surgery is not only effective in treating obese type 2 diabetes and is less likely to recur, but also has better efficacy for patients in the early stages of diabetes. It seems that the key to cure diabetes by gastric bypass surgery is early, and only early treatment can curb the damage of diabetes to various target organs.