Surgery for the treatment of Diabetes allows good long-term results. However, it is not indicated in all diabetics. Currently, patients with Type 2 Diabetes with obesity (Body Mass Index> 30) and poor control of diabetes (Glycated Hemoglobin> 7.5%) are operated.
Diabetes in a disease with a high incidence and is caused by a lack of insulin production by the cells of the pancreas and / or by a resistance to the action of insulin in the cells. Until now, their treatment was carried out with an adequate diet, physical exercise, oral antidiabetic and / or insulin. This improves blood glucose levels, but in some cases, especially in those patients who have poor control of their diabetes, they do not avoid the devastating complications of diabetes such as lower limb amputation, renal failure, blindness, myocardium, decreased defenses, among others.In recent years it has been seen that bariatric / metabolic surgery is an alternative to these patients with diabetes, mainly the poorly controlled.
Scientific Bases for the Treatment of Type 2 Diabetes with Surgery
The International Diabetes Federation declared in 2011 that "there is sufficient evidence that the health of obese people with type 2 diabetes can benefit from metabolic surgery". Metabolic surgery has been shown to achieve good glucose control without the need for insulin and oral antidiabetics compared to the best intensive medical treatment. These figures were even better if insulin use were taken into account, as more than 90% of patients undergoing metabolic surgery were able to keep their sugar levels at bay without the need to inject insulin. This good glycemic control is related to weight loss, which occurs after surgery, but mainly because of hormonal factors, which are related to changes in the digestive tract during surgery. In addition, metabolic surgery leads to a reduction in triglyceride levels and an increase in good cholesterol levels in diabetic patients, in addition to an improvement in quality of life.
Long-term outcomes of treatment of Diabetes with Surgery
Patients undergoing surgery have been followed for years and it is confirmed that metabolic surgery is superior to medical treatment, with a high percentage of diabetes cure without the need for antidiabetics and / or insulin. Looking at the quality of life, diabetes metabolic surgery helps to have a healthier and happier life, getting to lose more weight, take less medication, better control diabetes and improve the quality of life, when compared to the best medical treatment .
Can all diabetics be operated?
Treatment of Diabetes with surgery is not indicated in all patients. It has to be valued by its endocrinologist, who will determine if it advises the surgery. Currently, patients with Type 2 Diabetes with obesity (Body Mass Index> 30) and poor control of diabetes (Glycated Hemoglobin> 7.5%) are operated.
Safety of the intervention
He has gained a lot of experience with obesity surgery, which is the same one that is done in diabetes. If the surgeon has extensive experience in obesity surgery and laparoscopy, it is very safe, with very low complications.
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