Currently, there are more than 150 million individuals in the world who have diabetes, and the number is increasing quickly. Most of these people have the type 2 diabetes type, that is associated with overweight and obesity, old age, family history, and insufficient exercise.
Unlike in patient with type one diabetes where the pancreases produce less insulin the type two patients have their pancreases producing enough insulin for no reason. Diabetes leads to strokes, blindness, blood vessel and heart disease, amputations, kidney failure, and nerve damage. Therapies such as diet, oral anti-diabetic drugs, exercise, and insulin do not cure this disease always.
Obesity is the potential risk factor for developing and progressing type 2 diabetes and losing weight is the component for managing this disease. The results of bariatric surgery are usually remission and weight loss in many patients. After this surgery, glycemic is put under control by combining an enforced caloric restriction, increasing insulin secretion, and enhancing insulin sensitivity. If your BMI (Body Mass Index) is 35 kg/m2 and above, it is necessary to consider undergoing this surgery to assist in curing diabetes.
However, data relating to the effects of the surgery on type 2 diabetes come from observational studies which lacked appropriate group controls, and the antagonistic medical antidiabetic therapy vs. relative benefits of the surgery. Randomized trials need to be put in place for those patients with mild obesity. You can argue that different procedures of treating diabetes vary from patient to patient because of the only existent evidence point to hormonal alterations, better insulin sensitivity, and weight loss as the solutions to this ailment.
Why Bariatric Surgery?
Severe obesity is a critical stage when you have diabetes. You might find yourself in a struggle against weight and feel being in the weight gain cycle trap.
Additionally, you will have put in place diet monitors, but they fail making your weight to continue increasing.
More than ten years ago, the National Institute of Health (NIH) made a report that those people affected by unadorned obesity have resistance to conventional therapies that maintain weight loss like consuming fewer calories, commercial weight-loss programs, and increasing exercise. This institute recognized the bariatric surgery as the only treatment that can combat obesity and maintain long-term weight loss.
Bariatric surgery combined with a comprehensive treatment plan can be a useful tool for providing long-term weight loss and helping in increasing the quality of your health. This medicine has been helping in improving and resolving obesity-related conditions like heart diseases, type 2 diabetes, and high blood pressure. In most cases, those individuals that improve their weight will find themselves reducing their medication and treating obesity-related conditions.
How Does This Surgery Work?
Bariatric surgery like the gastric sleeve, gastric bypass, and laparoscopic adjustment banding, work by altering your gastrointestinal tract anatomy or by causing various physiological changes to the body which improve your fat metabolism and energy balance. Despite the bariatric surgery procedure, you will settle on with your surgeon; it will be imperative to mind that this surgery is your health tool and you need it for healing diabetes. Losing weight will also depend on complementary factors like behavior modification, exercise, nutrition, and much more.
By changing the gastrointestinal anatomy, some bariatric procedures will affect intestinal hormones production that will in some way reduce appetite and hunger, increasing feelings of satisfaction. This will result in the reduction of eating desires and the eating frequency. Fascinatingly, the surgically-induced hormonal changes are directly opposite to those dietary weight loss produces. Below are some of the differences in hormones produced by the dietary weight loss and surgery.
i. Hormonal Changes and Bariatric Surgery
Hormonal changes after the bariatric surgery improve weight loss by enhancing and maintaining energy expenditure. As a matter of fact, various operations usually increase energy expenditure concerning the body size. Therefore, unlike the dietary weight loss, weight loss from surgery has higher lasting changes as a result of creating appropriate energy balance.
ii. Hormonal Changes and Diet
In diet-based weight loss, expenditure of energy reduces to lower levels than it would reduce by changes and weight loss in the body composition. The unbalanced energy change in most cases will lead to weight gain.
Losing weight can be associated with several other shifts in the body that help in reducing fat metabolism defects. As weight loss increases, you will engage yourself in more physical activities. Those people that find themselves in weight loss trends always participate in activities like walking, swimming, biking, and more. Furthermore, increased physical activities in conjunction with weight loss will improve your body’s capability to burn fat, decreased stress levels, thus leading to a positive attitude. Mass weight loss resulting from bariatric surgery reduces hormones like insulin and cortisol, which improves production of several factors that reduces the storage and uptake of fats in the fat storage depots. It is very imperative to engage in physical activities for combating weight loss.
Bariatric surgery usually improves biological actions and other conditions for reversing obesity progression. According to studies, about 90% of bariatric surgery patients have the ability to maintain the long-term loss of weight by almost 50% of their weight. This surgery is a useful tool for helping you break the rancorous weight gain cycle helping you to achieve weight loss and improving the quality of your health and life.
Effects of Bariatric Procedures in Controlling Diabetes
After undergoing this surgery, many patients lose more weight as compared to the traditional methods. Those patients with type 2 diabetes achieve better glucose control that leads to requiring fewer antidiabetic medications and achieving standard glycemic control.
However, not all bariatric measures will have a similar effect on diabetes and weight loss. There are two major types of bariatric procedure namely intestinal gastric procedures and restrictive gastric procedures.
i. Intestinal Bypass Procedures
Also, called biliopancreatic diversion, these systems restrict caloric intake just the way vertical gastroplasty and gastric binding do. However, since the small intestines are shortened, they possess an additional component of malabsorption for nutrients and fats. After intestinal shortening, patients will experience type 2 diabetes remission than in Restrictive gastric operations, even in patients with long-term diabetes and those using insulin.
Therefore, you will experience different results from various procedures. The rate at which this disease reduces with the use of malabsorptive vs. restrictive procedures differs. After biliopancreatic gastric bypass, it takes a few days for diabetes to remit, even before the patient loses a lot of weight. The extreme loss in this procedure does not take place in restrictive gastric procedures.
ii. Gastric Restrictive Procedures
This method is also called the laparoscopic adjustable gastric binding, vertical gastroplasty, and sleeve gastrectomy. It limits the gastric volume, thus reducing calory intake by inducing satiety. After this surgery, the patient loses up to 20% of their weight.
Several studies show that remission of type 2 diabetes takes place with vertical gastroplasty but not with the conventional medical therapy. The primary effect is mediated by loss of weight and improved sensitivity to insulin, which occur months after the surgery.
Benefits of the Bariatric Surgery
i. Improved Longevity
According to studies, those individual with obesity that undergo this surgery have a lower risk of death that those with obesity and those with obesity and do not undertake the operation. These studies show that more than 89% of patients who went for the surgery survived death over a period of five years. Another report states that deaths related to type 2 diabetes reduced by 90 % and 50% from heart diseases. Mortality rate with this surgery is remarkably low because people with obesity have poor health and complementary conditions at the time of surgery.
ii. Improved Psychological Status and Quality of Life
Besides improved longevity and health, weight loss from this surgery enhances the quality of life. The measure you can use to know that your life has improved are mobility, social interactions, work, and sexual functions. Unemployment, disability, anxiety, depression and singlehood is reduced significantly.