Diabetes has become a serious health problem in China, with literature from 2013 indicating that 110-130 million people have diabetes in China, and more than 200 million have undiagnosed diabetes. Complications caused by diabetes become serious disabling deformities, renal failure, lower limb necrosis, cardiovascular and cerebrovascular pathology, and the consequences are irreversible. The treatment of diabetes has not received the attention it deserves, and there are far more undiagnosed diabetics than diagnosed ones. The treatment of type 2 diabetes in internal medicine is extremely ineffective, and the highest sample survey proves that only 27-35% of diabetics are able to control their sugar to meet the standard, and most of them are progressively aggravated. Diabetes is not only difficult to control blood glucose, but also brings great inconvenience to life, such as playing insulin, preserving and carrying insulin in the heat, and strict diet control, etc. In the words of our patients: there is no quality of life with diabetes, and death feels closer step by step, especially nowadays, the age of diabetes patients is moving forward, and more and more young diabetes patients are becoming the main force. How should diabetes be treated and prevented? The reason for the high prevalence of diabetes in China is actually closely related to obesity and lifestyle, with about 80% of patients being obese at the time of diabetes diagnosis. Since the 1990s, surgical treatment of diabetes has gradually gained attention, and with the efforts of endosurgery, type 2 diabetes has been recommended by endocrinologists worldwide. surgery) for the treatment of diabetes? The main reason why gastric bypass, sleeve gastrectomy and biliopancreatic diversion surgery from bariatric surgery are recommended by internists is twofold: internal medicine and lifestyle interventions cannot achieve the purpose of sugar control, and secondly, surgical treatment for sugar reduction is surprisingly effective, gastric bypass surgery can achieve complete remission in more than 80% of patients, getting rid of drugs and completely normalizing blood sugar, which is Since the New England Journal published two international randomized controlled studies in 2012, it has been proven that bariatric surgery, or metabolic surgery, is far superior to medical drug therapy. The basic situation of diabetic patients in China is different from that of Western populations, mainly in that Chinese diabetics are not as obese as in the West, Chinese diabetes is worse controlled, Chinese patients are less compliant, Chinese diabetics are more abdominally obese and have more severe complications. So you cannot follow the western indications for surgery. So what about those Chinese diabetics for whom surgery is appropriate? Physicians and surgeons in mainland China as well as in Taiwan and other Asian countries have conducted relentless exploration and research, which is now combined with the release of China’s 2014 guidelines for the surgical treatment of obesity and diabetes, and summarized in the literature as follows: For Chinese patients with diabetes: if your weight meets the criteria for obesity (BMI = weight kg / height m squared) > 30, and you have poor glycemic control, it is recommended that you If your BMI is 27.5, your islet function is good and your blood glucose is not well controlled, then it is also recommended that you have surgery, and of course your doctor will evaluate your islet cell function before surgery. In the weight loss at the same time to lower blood sugar and blood lipids, completely avoid the complications of diabetes, what are you waiting for? Surgery for diabetes is called a hot spot and the technology has matured. Most of the large general hospitals take laparoscopic minimally invasive surgery, which is less traumatic, faster recovery and less complications.