Remission in Type 2 Diabetes Can Be Accomplished Through Various Bariatric Surgeries
The appropriated blueprint for fighting the on-going battle against the epidemic of obesity throughout the United States starts with understanding obesity. Patients suffering from morbid obesity need to understand obesity and the health risks involved, serious health risks like the co-morbidity Type 2 diabetes. Comorbidities are the by-products that may occur as a result of being overweight or obese, most commonly, the onset of Type 2 diabetes. According to the American Diabetes Association, the cost of treating diabetes, and its associated complications, were estimated to be $218 billion dollars in 2007, and contributed to more than 230,000 deaths. These numbers indicate the cost of treating comorbidities. Obesity, prescriptions and out-of-pocket health expenses can be astronomical. However today many hospitals and clinics offer the affordable alternative of weight loss surgery.
The Science of Diabetes
The onset of Type 2 diabetes can result in individuals who have a Body Mass Index (BMI) of thirty or greater. The complex maze of nutritional and metabolic regulation can be interrupted or disturbed within an individual whose BMI is greater than thirty. The production of insulin, by the pancreas, is central to metabolic regularity in the body. Insulin coordinates carbohydrates and lipids that are ingested. Type 2 diabetes begins with the development of cellular resistance to insulin, which will then lead the pancreas to secrete more insulin to overcome this resistance. In turn, patients will now be facing the increased requirement of insulin and produce toxic concentrations of glucose and fatty acids. So, with reduced insulin production, plus the increased need to overcome insulin resistance causes an insulin deficiency or Type 2 diabetes.
Diabetes and Bariatric Surgery
With any bariatric surgery, glucose regulation and insulin receptiveness will increase. This is due to the amount a patient would be allowed to eat immediately following surgery. The most effective surgeries that combat the onset of Type 2 diabetes include: the gastric bypass, the adjustable gastric band and the gastric sleeve.
The Gastric band is the oldest and most common form of bariatric surgery. This weight loss surgery has been performed for more than 50 years throughout the United States. The gastric band is performed by a small pouch, about the size of an egg, which is created at the top of the stomach using surgical staples or a plastic band. This pouch effectively acts as the patient's new stomach. The smaller stomach is connected directly to the middle portion of the small intestine, bypassing the rest of the stomach and the upper portion of the small intestine. No stomach or intestine are removed during the gastric band surgery. The new connection between stomach pouch and small intestine restrict intake and change the way food is digested. The new-smaller stomach pouch allows the patient to feel full with much smaller meals. The following are a few examples of how the gastric band directly effects Type 2 diabetes: A decrease in the hormones that induce hunger in the stomach, which has a direct effect on the regulation of insulin secretion, glucose transporting is reduced therefore glucose absorbability is reduced, increase in insulin sensitivity, and decrease in lipid toxicity and the build up of fatty acids.
The adjustable gastric band involves the insertion of a restrictive device located near the top of the stomach. The lap-band surgery, creates a small pouch that can hold anywhere between 4 and 8 ounces of food at one time. The Lap-Band® slows the passage of food from the pouch to the rest of the stomach. Once the small pouch is full the patient feels full and does so for a longer period of time. The adjustable gastric band does not involve any cutting or removing of the natural digestive system. The adjustable gastric affects Type 2 diabetes, by focusing on weight loss and the sensitivity levels of insulin.
The gastric sleeve requires the removal of about 80 to 85 percent of the stomach leaving a tube or sleeve. No part of the digestive system is bypassed during this procedure. This surgery enables the patient to lose around 40 to 70 percent of excess weight. This bariatric surgery enables the remission of Type 2 diabetes faster than the lap-band surgery because the weight loss happens faster.
The remission of Type 2 diabetes is possible through weight loss surgery. By remission, doctors mean having a normal homeostatic level of glucose and insulin reception and production.
About the Author
To learn more about weight loss surgery of Fresno, contact the Clovis Community Weight Loss Surgery Center in the Fresno and Clovis California area or visit their website today at http://clovisbariatrics.org about bariatric surgery of Fresno and other options to treat morbid obesity.
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