Monday, October 01, 2007

New Hope for Diabetics !!

Gastric Bypass Surgery which has been a boon for all the severely Obese people, has found to have long term benefits in Type 2 Diabetes Patients too.
Gastric bypass surgery, a type of bariatric surgery (weight loss surgery), is a surgical procedure that alters the process of digestion. Bariatric surgery is the only option today that effectively treats morbid obesity in people for whom more conservative measures such as diet, exercise, and medication have failed. Usually done is a procedure called Roux-en-Y Gastric bypass.
Though it is a major surgery and one has to weigh the risks of surgery and post-operative care before going for such a major surgery, it has good long term benefits in:

  • persons with a Body Mass Index (BMI) greater than 40
  • men who are 100 pounds over their ideal body weight or women who are 80 pounds over their ideal body weight
  • persons with a BMI between 35 and 40 who have another condition such as obesity-related type 2 diabetes, sleep apnoea, or heart diseaseP
Procedure:
In this surgery, the size of stomach and small intestine are reduced, which leads to decreased demand for food leading to loss of weight. In the metabolic surgery for Type 2 Diabetes mellitus, technique is same but difference is alteration of length of small intestine without any alteration in stomach.
Mechanism of Action:
When the Small intestine's length is reduced, A portion of small intestine which has never been exposed to raw food, comes in contact with it. This leads to certain beneficial hormonal changes, which stimulates pancreas to secrete Insulin ( hormone implicated in causation of diabetes). This holds good for diabetes type 2 where there is atleast some insulin producing cells in pancreas. Whereas in type 1 , there is complete absence of insulin producing cells, so only treatment in that case is externally given insulin.
Many Experts say this surgery not only reduces the problem of Obesity, but also gives a better control of Blood Sugar, Cholesterol, Triglycerides etc. indicating having a role in arresting or delaying the progression of Chronic Diseases like Diabetes, Hypertension, Heart Disease.
According to some researchers, this surgery has found to be useful not only in Obese diabetics, but also in moderate to normal weight patients. For some patients it has been completely curative, and for many there has been drastic improvement in survival and quality of Life.
Well on the Other hand, Risks of a major surgery always prevail.

18 cared to comment:

Noushy Syah on 1:47 AM said...

Good informative posting doc! Keep it up...BTW emmm tell me how to calculate the BMI?

I've forgotten the formula, or if my weight is 50kg and height is 170cm now what's the BMI?

THanks Shashi.

s.H.a.S.h.I on 2:06 AM said...

@ noushy
BMI is calculated
weight (kg) / Square of height (m)

so ure BMI comes to around 17.3
my dear ure underweight..:)
Check this out ---->

Below 18.5 Underweight
18.5 -24.9 Normal
25 - 29.9 Overweight
30 & Above Obese

FireWhisky on 9:25 AM said...

hey... ive herd abt this... well i read one f my dad's med journals... n i think im gona 4wrd d link 4 ur blog 2 him... he's a doc 2... n tho he isnt all tat internet savvie, i think he'll lk reading it...

preetilata on 1:55 PM said...

u r a versetile writter... thnks fr posting such a valuable info..god job done :)

shashi said...

@ preeti
thanks :)

Noushy Syah on 6:55 PM said...

Emmm..that's why I wanna gain or put on weight at least 5kg more!!

I' have a healthy life style and eating habits, actually I'm trying my best to gain extra weight bcoz with my height now, I'm too slim....

Dietitian and doc said my MBR is faster!

THnaks for the info..appreciate that.

Any good advise for me?

shashi said...

@ noushy
eat healthy .. eat meat or chicken once a wk.. exercise regularly.
drink lotsa milk...
and most importantly.. keep smiling n be happy :)

pink biskitt on 3:04 PM said...

good informative piece there :)
we definitely should have more writes like these integrated in blogs ...

shashi said...

thanks pinkbiskit

Kalyan on 9:19 AM said...

Thats really a inspiring news for diabetics...Nice informative post. Thanks for sharing!

akanksha on 11:14 PM said...

Good post Doc.
That quite a valuable piece of info for all...

s.H.a.S.h.I on 11:15 PM said...

@akansha

thanks yar///

Lavanya on 8:38 AM said...

Dad's a diabetic, but he's not insulin dependent, which means he's type two right?

Diabetes is one horrible disease, you really gotta take good care of yourself or it just destroys you.

shashi said...

HMM.. ya diabetes.. i really a bad disease.. every1 shud take precautions...

KAYLEE on 7:59 AM said...

interesting i am a diabetic but i cant stand surgeries have had enough since i have servere heart failure too!

I am on a heart transplant list at the moment :P

shashi said...

@ kaylee

hmm... my god.. kaylee.. .hope u get well soon.. ya surgeries are painful..

kaylee said...

thanks yeah they are :P

its congestive heart failure!

curryegg on 6:25 PM said...

Thanks for the information. It's really informative.. Happy blogging.. ;D

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