Type II Diabetes
It has been widely recognized for years that the basis of type II diabetes treatment involves changing habits such as diet and physical activity as well as drug therapy. However, it is also well known that this approach does not achieve satisfactory control of the disease in a high percentage of patients. A number of recent studies have shown that classical surgical techniques to treat obesity are effective in controlling glucose in many patients with the diseases.
Candidates for this treatment:
- Patients with type II diabetes and a body-mass index (BMI) of over 35 kg/m2 whether they are undergoing diabetes treatment or not.
- Patients with a BMI between 30 and 35 kg/m2 who have not been able to satisfactorily control their diabetes with conventional approaches, especially if these patients have other illnesses such as hypertension, sleep apnea, or joint diseases aggravated by their excess body weight.
Laparoscopic gastric bypass: this technique consists of making tiny incisions in the abdomen and then creating a small pouch, changing the anatomy of the intestine so that food does not come into contact with a certain part of the small intestine. This is not experimental surgery but rather a safe operation for which long-term outcomes are well known.
What results can I expect as concerns my diabetes?
About 75% of these patients go into diabetes remission, meaning their blood glucose levels return to normal without having to take any medication. In other cases, patients can expect better control of their blood sugar and a simpler treatment regimen (such as drugs taken orally rather than insulin injections).
As with any other type of surgery, certain health issues may make surgical treatment more difficult. Your surgeon and medical team will study your medical history and advise you about what is most appropriate for your case.