Battling Diabetes with Bariatric Surgery

The twin epidemics of obesity and type 2 diabetes continue to rise, especially in the United States. Lifestyle intervention programs with diet therapy, behavior modification, exercise programs, and pharmacotherapy are widely used in various combinations to treat obesity. Unfortunately, with extremely rare exceptions, clinically significant weight loss is generally very modest and transient, particularly in patients with severe obesity. The failure rate for those programs is around 95% at 1 year. Many are turning to bariatric surgery as a way to increase their life spans.

Did you know?

  • Someone in the world dies from complications associated with diabetes every 10 seconds.
  • Diabetes is one of the top ten leading causes of U.S. deaths.
  • One out of ten health care dollars is attributed to diabetes.Complications of Obesity
  • Diabetics have health expenditures that are 2.3 times higher than non-diabetics.
  • Approximately 90 percent of type 2 diabetes mellitus (T2DM), the most common form of diabetes, is attributable to excessive body fat.
  • If current trends continue, T2DM or pre diabetic conditions will strike as many as half of adult Americans by the end of the decade. (according to the United HealthGroup Inc., the largest U.S. health insurer by sales).
  • The prevalence of diabetes is 8.9 percent for the U.S. population but more than 25 percent among individuals with morbid obesity.
  • Metabolic and bariatric surgery is the most effective treatment for T2DM among individuals who are affected by obesity and may result in remission or improvement in nearly all cases.

Many years ago, the resolution of type 2 diabetes was observed as an additional outcome of surgical treatment of morbid obesity. Moreover, it has been shown unequivocally that diabetes-related morbidity and mortality have declined significantly postoperatively, and this improvement in diabetes control is long lasting. Studies have shown that return to euglycemia and normal insulin levels occurs within days after surgery, long before any significant weight loss takes place. This fact suggests that weight loss alone is not a sufficient explanation for this improvement.

Read more on this topic at: http://www.ncbi.nlm.nih.gov/pubmed/17709879

If you are in the Las Vegas area and are struggling to control obesity and type 2 diabetes, schedule an appointment with Dr. Heidi Ryan to see how she can help.

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