Global Courant
One of the main consequences or associations of obesity is type 2 diabetes mellitus. These result from decreased sensitivity of body cells to the effects of insulin – also referred to as increased resistance of body cells to insulin. Over time, it leads to a decrease in insulin production by the cells of the pancreas.
Diabetes Mellitus is a chronic metabolic disease characterized by high blood glucose levels. It is due to absolute or relative insulin deficiency and is associated with defects in carbohydrate, protein and fat metabolism. Diabetes Mellitus is a progressive disease with long-term complications. Management modalities include lifestyle modifications, diets, oral hypoglycaemic agents, and insulin.
It has been found that overweight or obese diabetic patients who had bariatric weight loss surgery were also noted, in addition to achieving weight loss, had better blood glucose control over time and no longer needed insulin to manage their condition. control . Many were even observed to have gone into remission.
It is a surgical procedure that uses bariatric techniques such as ileal interposition and transit bipartition. These methods are very effective in achieving rapid weight loss in obese individuals and help improve other metabolic conditions such as diabetes and hyperlipidemia. These benefits have led to it being called metabolic surgery, diabetes surgery, or weight loss surgery.
Its effect in modifying metabolic conditions while achieving weight loss is highly beneficial in helping overweight diabetics get off insulin and achieve long-term remission. Some studies have reported that as many as 80% of obese diabetics undergoing bariatric treatment achieved remission over a ten-year period. The exact mechanism to explain this phenomenon has not been precisely identified; however, there are many explanations for how this happens. Some of these include
• Effect of this operation on the hormones produced in the gut. Bariatric surgery affects the level of certain gut hormones. These play a role in increasing insulin secretion, increasing the sensitivity of body cells to insulin, and increasing satiety at smaller meals, thereby decreasing calorie intake.
• Achieving rapid weight loss leads to a decrease in resistance and an increased sensitivity of body cells to the effects of insulin that drives glucose into cells.
These help diabetics to better regulate their blood glucose levels and in the long run reduce insulin dependence and ultimately long term insulin weaning. This can lead to clinical remission of the disease.
This effect of helping diabetics get rid of insulin in the long run makes bariatric surgery an effective treatment option for obese individuals who also have diabetes. It is advisable to contact your doctor today to find out whether or not you meet the criteria for this procedure and which of the options is best for you.
Bariatric surgery can help you get rid of insulin
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