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One of the cardinal consequences or associations of obesity is type 2 diabetes Mellitus. These results from a decrease in sensitivity of body cells to the effects of insulin - referred to as increased resistance of body cells to insulin. \nSee more: https://www.metabolicsurgeryistanbul.com/\n
One of the cardinal consequences or associations of obesity is type 2 diabetes Mellitus. These
results from a decrease in sensitivity of body cells to the effects of insulin - referred to as
increased resistance of body cells to insulin. Over time, it leads to a decrease in insulin
production by the cells of the pancreas.
Diabetes Mellitus is a chronic metabolic condition, characterized by a high blood glucose
level. It is due to an absolute or relative insulin deficiency and is associated with defects of
carbohydrate, protein and fat metabolism. Diabetes Mellitus is a progressive disease with
long term complications. Management modalities include lifestyle modifications, dieting, oral
hypoglycemic agents and insulin.
It has been found out that diabetic individuals who were overweight or obese and had
undergone bariatric surgery for weight loss were also noticed, in addition to achieving weight
loss, had better blood glucose control and with time and did not require insulin to manage
their condition anymore. Many were even observed to have gone into remission.
It is a surgical procedure which makes use of bariatric techniques such as ileal interposition
and transit bipartition. These methods are very effective in achieving rapid weight loss in
obese individuals and help to improve other metabolic conditions such as diabetes and
hyperlipidemia. These benefits have led to it being referred to as metabolic surgery, diabetes
surgery or weight loss surgery.
The effect in modifying metabolic conditions while achieving weight loss is very beneficial
in helping diabetic individuals who were overweight come off insulin and achieve remission
in the long term. Some research studies have reported as high as 80% of obese diabetics who
underwent Bariatric achieved remission over a decade. The exact mechanism to explain this
phenomenon has not exactly been identified; however, many explanations exist as to how this
occurs. Some of these include
Effect of this surgery on hormones produced in the gut. Bariatric surgery affects the level
of certain gut hormones. These play a role in increasing insulin secretion, increasing
sensitivity of body cells to insulin and increasing satiety with smaller meals thus
decreasing caloric intake.
Achievement of rapid weight loss leads to a decrease in resistance and increased
sensitivity of body cells to the effects of insulin which drives glucose into cells.
These help diabetic individuals to better regulate their blood glucose levels and in the long
run, decrease dependence on insulin and eventual weaning off insulin in the long term. This
can lead to clinical remission of the disease.
This effect of helping diabetics come off insulin over the long term makes bariatric surgery
an effective treatment option for obese individuals who are also diabetic. It is advisable to
contact your physician today to know whether or not you meet the criteria for this surgery
and which of the options best suits you.
Halaskargazi Cad. Etfal Hast. Sokak Kent Pasaji