If you’ve just been diagnosed with Type 2 Diabetes or have been on treatment for some time and have a BMI over 30 you must read this:
- Bariatric surgery can be a powerful solution for those suffering obesity and diabetes
- Recently published guidelines recommend bariatric surgery for certain diabetes patients (BMI over 30)
- The best outcomes are related to how long you’ve had diabetes and whether you’ve started insulin
In 2016, following the Second Diabetes Surgery Summit (DSS-II), an international consensus conference endorsed thus far by 45 international professional societies, published new guidelines for offering bariatric surgery to patients with type 2 Diabetes. (1)
Bariatric Surgery & Type 2 Diabetes
The new guidelines (1) say surgery to reduce the stomach and induce weight loss should be recommended to treat all diabetes patients whose body mass index (BMI) is 40 or over, regardless of their blood glucose control, as well as those with a BMI of 30 and over whose blood sugar levels are not being controlled by lifestyle changes or medication. (calculate my BMI )
Reinforces Earlier Recommendation
This builds on an earlier recommendation from the International Diabetes Federation In 2011 which finally recognised the legitimacy of bariatric surgery in a position statement which declared: “bariatric surgery… can be considered an effective, safe and cost effective treatment for people with T2DM and obesity not achieving recommended treatment targets with medical therapies, especially in the presence of other major co-morbidities.”
Powerful Solution
Bariatric surgery has been consistently shown to be the most powerful solution to the combination of obesity and diabetes (Di-obesity) which is reaching epidemic proportions in Australia. 100,000 new diabetics are diagnosed each year. According to Diabetes Australia, many more go unrecognised.
Bariatric surgery will restore 60-70% of all patients to normal Blood sugar levels and targets and off all medication usually within a few days of surgery. In the remainder there is nearly always significant improvement in their control.
It is recognised that over time most diabetics will require increasing layers of therapy as their rising insulin poisons their pancreas and then finally they will need to be on injectables and insulin. The most effective process that can turn this around is the significant weight loss and metabolic changes that Bariatric surgery delivers.
Other Benefits
In addition, the weight loss from bariatric surgery can potentially improve fatty liver (2), kidney function (3), diabetes (4), sleep apnoea (5), life expectancy (6) and quality of life (7).
There are few other operations that in just one hour can produce such a profound and beneficial impact on so many body systems. Contact us for details.
The key to this powerful management is speed
The likelihood of a beneficial outcomes relates to how long you have had diabetes and whether you have had to start Insulin.
Insulin is a powerful growth hormone. Most patients who have to start insulin experience inexorable weight gain. By the time they are on insulin it is much harder to drag them back to a chance of cure because their own pancreatic production of Insulin may be exhausted.
Mercy Bariatrics Perth
If you have Type 2 Diabetes and a BMI over 30 you should talk to your doctor now to find out if this life changing and lifesaving surgery is appropriate for you.
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1. Metabolic Surgery for Type 2 Diabetes: Changing the Landscape of Diabetes Care – William T. Cefalu, Francesco Rubino and David E. Cummings. Diabetes Care June 2016.
2. Hsueh W, Shope TR, Koch TR, Smith CI. Bariatric Surgery for the Treatment of Nonalcoholic Fatty Liver Disease: Is Vertical Sleeve Gastrectomy the Best Future Option? Journal of Gastroenterology and Hepatology Research 2016; 5(2)
3. Effects of bariatric surgery on diabetic nephropathy after 5 years of follow-up. Heneghan HM1, Cetin D, Navaneethan SD, Orzech N, Brethauer SA, Schauer PRSurg Obes Relat Dis. 2013 Jan-Feb;9(1):7-14. doi: 10.1016/j.soard.2012.08.016. Epub 2012 Oct 12.
4. Bariatric Surgery Does Not Exacerbate and May Be Beneficial for the Microvascular Complications of Type 2 Diabetes.Alexander D. Miras, MRCP, BSC1,2Ling Ling Chuah, MRCP1,Gerassimos Lascaratos, MSC, MRCSED3,Sana Faruq, BSC1,Ajay A. Mohite, BSC1,Priya R. Shah, BSC1,Mahi Gill, BSC1,Sabrina N. Jackson, BSC1,Desmond G. Johnston, FRCP, MD4,Torsten Olbers, MD, PHD1 andCarel W. le Roux, MRCP, PHD1.
5. The impact of bariatric surgery on obstructive sleep apnea: a systematic review. Sarkhosh K1, Switzer NJ, El-Hadi M, Birch DW, Shi X, Karmali S.Obes Surg. 2013 Mar;23(3):414-23. doi: 10.1007/s11695-012-0862-2.
6. Effects of Bariatric Surgery on Mortality in Swedish Obese Subjects. Lars Sjöström, M.D., Ph.D., Kristina Narbro, Ph.D., C. David Sjöström, M.D., Ph.D., Kristjan Karason, M.D., Ph.D., Bo Larsson, M.D., Ph.D., Hans Wedel, Ph.D., Ted Lystig, Ph.D., Marianne Sullivan, Ph.D., Claude Bouchard, Ph.D., Björn Carlsson, M.D., Ph.D., Calle Bengtsson, M.D., Ph.D., Sven Dahlgren, M.D., Ph.D., Anders Gummesson, M.D., Peter Jacobson, M.D., Ph.D., Jan Karlsson, Ph.D., Anna-Karin Lindroos, Ph.D., Hans Lönroth, M.D., Ph.D., Ingmar Näslund, M.D., Ph.D., Torsten Olbers, M.D., Ph.D., Kaj Stenlöf, M.D., Ph.D., Jarl Torgerson, M.D., Ph.D., Göran Ågren, M.D., and Lena M.S. Carlsson, M.D., Ph.D., for the Swedish Obese Subjects Study.N Engl J Med 2007; 357:741-752August 23, 2007DOI: 10.1056/NEJMoa066254
7. Health-related quality of life after bariatric surgery: a systematic review of prospective long-term studies. John Roger Andersen, Ph.D.Anny Aasprang, Mc.S.Tor-Ivar Karlsen, Ph.D.Gerd Karin Natvig, Ph.D.Villy Våge, Ph.D.Ronette L. Kolotkin, Ph.D. SOARD March–April, 2015Volume 11, Issue 2, Pages 466–473
