Bariatic surgery reverses diabetes?

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  • 3 Post By Shanny
  • 4 Post By Rad Warrier
  • 3 Post By 4thcorner

Bariatic surgery reverses diabetes?


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Old 10-15-2013, 19:37   #1
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Default Bariatic surgery reverses diabetes?

Rapid reversal of diabetes after gastric banding surgery

Research suggesting that bariatic surgery improves diabetes in morbidly obese Type 2 patients, hypothesized due to restriction of food consumed.

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Type II since ~2008. Ignored reality until 2012.

6/28/2012: 500 mg metformin. labs: FBG = 212, A1c = 9.2. weight: 174
7/7/2012: started 2000 mg metformin XR & LC/HF diet
9/28/2012 labs: FBG = 144, A1c=7.5. weight = 160; 12/1/2012 MN 1-mo FBG 103, 2-hr post = 128 // weight = 152 lb
12/30/2012 FBG 1-mo MN =97; 2 hr post MN=121;
1/2/2013: A1c = 6.5 11/2013 A1C=6.6 weight = 147 lb
4/2014 A1C=6.5 weight = 150 lb. 12/2014 A1C=6.5 weight = 147 lb.
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Old 10-15-2013, 19:53   #2
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Well, I know one type 2 diabetic who had the surgery & she's still diabetic. Her pancreas burnt out years ago & she's been on a pump the last few years - yes, she's definitely type 2 - not misdiagnosed. She's lost over 100 lbs., but she still can't make her own insulin, so these studies are a little too general for my money.

Diet may be the cornerstone for management and control, but if your pancreas has been burned out by years of sulfonylureas, there ain't no going back.




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Last edited by Shanny; 10-15-2013 at 19:55.
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Old 10-15-2013, 23:19   #3
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Quote:
Originally Posted by 4thcorner View Post
Rapid reversal of diabetes after gastric banding surgery

Research suggesting that bariatic surgery improves diabetes in morbidly obese Type 2 patients, hypothesized due to restriction of food consumed.
Just today I read an article by Jenny Ruhl (author of Blood Sugar 101) on weight loss surgeries. It is informative and worth reading. For me, it is just of academic interest My wife wants that I should put on some more weight. I don't want any additional weight, just a re-distribution of fat from my belly to face, arms and legs

Here are some excerpts from Jenny's article:

Quote:
Only 24% of those who had these surgeries met the definition of "complete remission." This, of course, means that 76% still had abnormal blood sugars.

Thirty-four percent were described as having "improved." The study defined "improvemetn" as meaning that the subjects experienced a drop in A1c greater than 1%. Since the starting A1cs of the subjects in this study ranged up to 8.5%, a person could be considered "improved" if their A1c six years after surgery was still 7.25%--a level corresponding to an average blood sugar of 162 mg/dl (9 mmol/L). That is a level high enough to cause all the classic diabetic complications and it correlates with a greatly increased risk of heart attack.

But it gets worse. A full 16% of those who had these major surgeries--one out of 6--saw no improvement at all in their blood sugars.
Quote:
Complete remission--i.e. a cure--was defined as the patient having an A1C less than 6% and a fasting blood glucose less than 100 mg/dL while taking no diabetic medications.

It is worth noting that many people with Type 2 are able to achieve these same numbers by cutting down their carbohydrate intake, without exposing themselves to any of the significant long-term risks that come with these major surgical interventions.
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Personally, I'd prefer to lower my blood sugar using a technique that doesn't expose me to the risk of death or permanent malnutrition and that allows me an occasional indulgence in ordinary foods. I also prefer an approach that doesn't permanently rearrange my organs and which leaves open the possibility that I might be able to benefit from some less radical future advance in the control of Type 2 diabetes.
Regards,
Rad

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Old 10-16-2013, 02:48   #4
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I agree with comments. And the surgical risk for fairly modest results? Not for me. Besides, after LCHF for > 1 yr, my weight & A1c etc are much lower anyway.

Kinda like (poor, I think) advice to Tom Hanks to 'just get back to his high school weight & he'll be fine.' His clearly boyish weight was only 96 lbs. Not a reasonable weight to aim for at all, IMO.

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__________________
Type II since ~2008. Ignored reality until 2012.

6/28/2012: 500 mg metformin. labs: FBG = 212, A1c = 9.2. weight: 174
7/7/2012: started 2000 mg metformin XR & LC/HF diet
9/28/2012 labs: FBG = 144, A1c=7.5. weight = 160; 12/1/2012 MN 1-mo FBG 103, 2-hr post = 128 // weight = 152 lb
12/30/2012 FBG 1-mo MN =97; 2 hr post MN=121;
1/2/2013: A1c = 6.5 11/2013 A1C=6.6 weight = 147 lb
4/2014 A1C=6.5 weight = 150 lb. 12/2014 A1C=6.5 weight = 147 lb.
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