Minimally Invasive Metabolic Surgery for Diabetes
Bariatric surgery formerly used only for treating obesity, is now a well established modality for curing Type 2 diabetes not only in obese patients but also in normal weight and moderately overweight patients.
In fact, weight loss following bariatric surgery in obese non diabetic patients , decreases their likelihood of developing diabetes by 60 percent.
85% of patients who underwent gastric bypass experienced complete reversal of their type 2 diabetes.
Rapid improvement in blood sugars and reduction or elimination of diabetic medications is often seen within the immediate period following bariatric surgery , even before significant weight loss.
The results typically persist for the ones rest of life, as long as normal body weight is sustained.
Patients having a milder form of diabetes for less 5 years. And who achieve greater weight loss after surgery are more likely to achieve complete resolution of diabetes mellitus.
Link between weight and diabetes
One of the most important factor for the development of diabetes is obesity. Class I or slightly obese patient has double the risk of developing diabetes whereas severely obese patient has ten times the risk of developing diabetes.
The link between obesity and diabetes is so strong that 80% of diabetic patients are obese.
Candidate for metabolic surgery for diabetes
- Patients suffering from type 2 diabetes and are obese
- aged between 18 to 65 years
- duration of diabetes > 3 years and < 20 years
- not losing weight in the past 1 year
- stable diabetes in the past 3 months
- post prandial serum C – peptide levels > 0.9 ng/ml
- BMI ≥ 30 kg/m2
- For non-obese Indians (Normal weight – BMI < 23 kg/m2, Overweight – BMI ≥ 23 kg/m2 and < 25 kg/m2) we do metabolic surgery after taking detailed informed consent and taking ethical committee approval. Even in such patients cure from diabetes is quite high.
Types of surgeries offered by our team If the patient is obese and diabetic, the different types of surgery offered by our team:
- Sleeve Gastrectomy
- Roux en y Gastric Bypass
- Mini Gastric Bypass
- Laparoscopic duodenal jejunal bypass
- Sleeve gastrectomy with duodenal transposition
There are approximately 20% of patients who are normal weight but diabetic. The types of surgery offered by our team for such patients:
What you can expect to lose and gain
Most of our patients lose between 50 and 80 percent of their excess body weight during the 18 to 24 months following surgery. • Better control or remission of your diabetes tends to occur even before significant weight loss. • Approximately one-third of patients do not require any further diabetes medication immediately after the surgery and 85 percent of patients have remission of their diabetes (normal glucose off all diabetic medication) within 6 months of surgery. • Many patients with diabetes also suffer from high blood pressure and elevated cholesterol, which significantly increase the risk of heart attacks and strokes. Bariatric surgery improves or resolves high blood pressure and cholesterol in most patients, decreasing these risks.
Advantages of Habilite Clinics
Our team of surgeons works closely with endocrinologists to treat patients with diabetes and develop a program tailored to suit their needs. Carefully researching your options is an important step in your search for the best diabetes and weight management program. We are confident that you will discover how our team excels in so many ways and how the program is right for you. Our team has a comprehensive program providing you with personalized attention as you work toward your goals of diabetes resolution and weight loss.
The operation results in significant weight-loss and causes remission of T2DM in 80 percent of patients and improvement of the disease in an additional 15 percent of patients. In obese patients, both standard gastric bypass and mini gastric bypass produce excellent results in diabetes remission.
While conventional bariatric procedures work in obese patients, ileal transposition is a procedure for non-obese diabetic patients. This procedure produces excellent results and we perform this procedure laparoscopically. Ileal transposition increases the sensitivity and even the production of insulin by causing hormonal changes.
IBariatric and metabolic surgery results are affected by the duration of diabetes. Higher the duration of diabetes, lesser are the chances of complete resolution. Increased glucose levels due to diabetes slowly causes premature death of Beta cells in pancreas. These Beta cells produce insulin in our body. Therefore, longer is the duration, higher is the chance of irreversible damage to beta cells. Surgeries performed before irreversible death of these cells can cause complete resolution of diabetes.
We Indians are prone to central obesity or pot belly stomach. It means we have lean and thin arms and legs but excessive accumulation of fat around stomach. This condition is very bad for health and is often a cause of Metabolic syndrome. It is a spectrum of diseases including central obesity, diabetes, high blood pressure and rise in bad cholesterol levels. Metabolic surgery completely or almost cures metabolic syndrome.