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Diabetes Surgery
Diabetes surgery is a series of surgical procedures used to treat obesity-related type 2 diabetes. These surgical methods help control diabetes by enabling the person to lose weight.
Type 2 diabetes is a condition in which the body is unable to use the hormone insulin effectively or produce enough of it. Obesity increases the risk of type 2 diabetes and the prevalence of diabetes is higher in obese individuals. Diabetes surgery aims to use this relationship to control and improve obesity-related diabetes.
Diabetes surgery procedures can work by reducing stomach volume, altering nutrient absorption or combining both. These include gastric bypass, sleeve gastrectomy, procedures that speed up the movement of the small intestine through the bowel (intestinal bypass) and other methods.
Diabetes surgery provides control of diabetes through various mechanisms. The effect of these procedures is through reduced food intake by reducing stomach volume and reduced nutrient absorption by reorganizing the intestines. This helps to regulate blood sugar levels and reduce insulin resistance.
Diabetes surgery can be an effective treatment option for weight loss and improved diabetes control in obese individuals with type 2 diabetes. However, as each individual’s situation is different, it is important to consult with a bariatric surgery specialist to determine the suitability for diabetes surgery. This specialist will evaluate factors such as the person’s medical history, diabetes control and obesity status and determine the most appropriate procedure.
Who is Suitable for Diabetes Surgery?
Diabetes surgery may be an option for individuals with type 2 diabetes and obesity. However, as each individual’s situation is different, it is important to consult with a bariatric surgery specialist to determine the suitability of diabetes surgery.
Diabetes surgery can usually be considered for individuals with the following criteria:
- Obesity: Diabetes surgery is considered for individuals with a body mass index (BMI) above the obese range. BMI is an index that measures how weight is distributed according to size. Generally, those with a BMI above 35 may be candidates for diabetes surgery.
- Type 2 Diabetes: Diabetes surgery is considered in individuals with type 2 diabetes. Especially in individuals with type 2 diabetes, surgery may be considered if blood sugar levels cannot be controlled or if insulin use is required.
- Ineffectiveness of Other Treatment Methods: Diabetes surgery may be considered if other treatment methods (medications, diabetes diet, exercise, etc.) are insufficient to control diabetes and weight loss is required.
Good General Health Status: Diabetes surgery may be more effective in individuals with good general health. It is important that the individual is able to tolerate the risks of surgery.
The assessment of suitability for diabetes surgery should be performed by a bariatric surgery specialist. The specialist will consider the individual’s medical history, obesity and diabetes status and determine the most appropriate treatment option. It is also important to provide appropriate follow-up and support before and after surgery.
Insulin use after Diabetes Surgery?
The use of insulin after diabetes surgery is individualized and postoperative insulin requirements may vary from one individual to another. However, since diabetes surgery aims to improve the control of type 2 diabetes, it is common for insulin use to decrease or stop completely after surgery.
Diabetes surgery aims to control type 2 diabetes by reducing weight loss and insulin resistance and regulating blood glucose levels. Surgical procedures such as gastric bypass or gastric sleeve can have positive effects on diabetes by affecting nutrient absorption and creating hormonal changes.
In the postoperative period, many patients experience weight loss and marked improvement in blood glucose levels. This can be attributed to reduced insulin resistance and more efficient insulin production by the pancreas. As a result, it may be possible for many patients to reduce insulin use or stop insulin altogether.
However, each individual’s response may be different and some individuals may need to continue using insulin. Especially in individuals who have had type 2 diabetes for a long time and whose pancreatic function is more severely affected, it may be necessary to continue insulin use.
The status of insulin use after diabetes surgery depends on factors such as preoperative status, type of surgery, the individual’s weight loss and response to hormonal changes. Therefore, the regulation and follow-up of insulin use should be performed by an endocrinologist or diabetes specialist. In the postoperative period, insulin dosage is adjusted with regular follow-up and blood tests and changed when necessary.