Today, nearly one-third of the world’s population is overweight or obese. In China, obesity is exploding. Currently about 43.6%, or 600 million Chinese, are overweight or obese. Obesity has become a major problem around the world, so what is the standard for obesity? How far are you from obesity? In clinical practice, obesity is diagnosed by body mass index (BMI), which is defined as weight divided by height squared (kg/m2). The following are the criteria for classifying BMI according to the physique of the Asian population and the characteristics of obesity-related diseases.
Obesity brings many complications and often coexists with diabetes
Many people do not pay attention to obesity even though they know they are already in the state of obesity. In fact, obesity is a disease that can lead to a series of complications or related diseases, such as diabetes, hypertension, coronary heart disease, sleep apnea, various tumors, reproductive system diseases, etc., which affect our life expectancy or lead to a decline in the quality of life. Obesity reduces life expectancy by an average of 6-7 years; severe obesity (BMI>40kg/m2) reduces life expectancy by 20 years for men and 5 years for women.
Among the many complications that may result from obesity, we find that obesity often coexists with diabetes. The proportion of Chinese adults with diabetes is 11.6%, or about 113.9 million people; and 41.5% of fat people have diabetes. Among people with diabetes, surveys show that 65% are overweight or obese, which is about 74.4 million people in China.
The dangers of obesity are terrible, but the dangers of obesity accompanied by diabetes are even more deadly. Diabetes has become one of the chronic diseases that seriously threaten human health. Diabetes can cause complications such as coronary heart disease, nephropathy, retinopathy and neuropathy, and these complications can cause death and disability to patients. Traditional treatments for diabetes have limited effectiveness, and there is an urgent need for a treatment that provides good control of diabetes and its complications.
The current traditional treatments include diet control, exercise, oral hypoglycemic drugs and insulin injections. type 2 diabetes is a progressive disease, and as the disease progresses, blood glucose tends to rise gradually, and the intensity of treatment to control high blood glucose will intensify. However, traditional treatment methods are difficult to fundamentally cure diabetes and maintain long-term stability of patients’ blood glucose, and cannot fundamentally stop the occurrence and development of various complications of diabetes. Strict dietary control and repeated blood glucose fluctuations cause continuous mental stress to patients and affect their quality of life. Therefore, diabetic patients are in urgent need of a treatment that provides good control of diabetes and its complications.
A milestone in the medical world – weight loss and diabetic surgery for type 2 diabetes
At the end of 2013, the prestigious Cleveland Medical Center announced the top 10 medical innovations of 2013, and weight loss surgery for diabetes topped the list.
In recent years, more and more obese patients are undergoing weight loss and diabetes surgery with good weight loss results. The surgery not only effectively reduces the patient’s weight, but also effectively improves the co-existing disorders of glucose metabolism in most patients. Some obese patients have achieved clinical remission or even complete clinical remission of their pre-existing diabetes after undergoing bariatric and diabetic surgery. Why is bariatric and diabetic surgery so effective in treating diabetes? How does bariatric and diabetic surgery work?
The main mechanisms of bariatric and diabetic surgery.
1. Reducing food intake and absorption, thus reducing energy intake and glucose metabolic load.
2.Reducing the patient’s weight and reducing insulin resistance due to fat accumulation from simple obesity.
3. altering the secretion of hormones in the gut-insulin axis after gastrointestinal reconstruction, thus improving glucose metabolism.
Benefits from weight loss and diabetes surgery.
1.It is an effective treatment for lasting and significant weight reduction of patients
2.Significantly reduce the incidence of type 2 diabetes in obese people
3.Relief of blood glucose in type 2 diabetic patients
4.Significantly resolve or improve type 2 diabetes and other obesity comorbidities, such as cardiovascular disease
5.Significantly reduce the use of drugs for type 2 diabetes and other comorbidities
6. Significantly reduce the risk of death in patients who undergo weight loss and diabetes surgery compared to those who do not receive surgery
7. Significantly reduce the length of stay and cost of hospitalization for patients undergoing bariatric and diabetic surgery compared to those not undergoing surgery
8. Patients who undergo bariatric and diabetic surgery experience varying degrees of improvement in overall health, emotional well-being, physical and social functioning, pain relief, and personal energy recovery compared to medication.