After Bariatric Sugery- Dramatic changes in type 2 diabetes

Dramatic changes in type 2 diabetes

If you’ve been considering bariatric surgery for obesity, you probably already know about its many potential life-transforming benefits. If the surgery also improves your type 2 diabetes, just imagine the additional impact on your health and your life!

The evidence in support of bariatric surgery for type 2 diabetes continues to mount. Various studies have shown:

• 77% of patients with resolved diabetes. In these patients, diabetes completely disappeared or treatment (medicines, insulin) was no longer needed. In studies measuring for “resolution or improvement,” the number rose to 86% of patients.
• Rapid results. For some patients, diabetes disappeared almost immediately, within days of surgery. Others saw blood sugar levels begin to fall soon after surgery, becoming completely normal within a year.
• 92% reduction in deaths from diabetes-related causes.

Note that different types of bariatric procedures had different degrees of impact. Gastric bypass surgery resolved diabetes in 84% of patients, whereas gastric band procedures resolved it in 73%.

(S:Bariatric4Diabetes)

What to expect after bariatric surgery?

What to expect after bariatric surgery?

Expected weight loss

Most individuals have fairly rapid weight loss in the first 3 to 6 months following surgery; the greatest weight loss occurs in the first 3 months. Most studies suggest that with gastric bypass surgery, patients lose an average of 65% to 80% of their excess weight in the first 12 to 18 months after the procedure. With the gastric band, patients lose an average of 41% to 54% of their excess weight.

Most patients keep off at least half their excess weight over 5 to 15 years. But even when patients do regain some weight, they usually are at a healthier weight long after surgery than they were before surgery.

Short-term eating changes

In weight-loss surgery, the stomach is reduced to a small pouch that limits how much food you can eat at one time; the result is that you feel fuller sooner. The pouch starts off very small but stretches over time:

Even at its larger capacity, however, the pouch is still much smaller than the stomach was before surgery, helping you feel satisfied with much less food.

Eating for long-term success

Bariatric surgery doesn’t ensure long-term success. It can be a tremendous support in helping you—but ultimately, you must commit to eating healthier for the rest of your life.

1.    To maximize your weight loss after surgery and keep it off, you should expect to follow these guidelines:

2.    Eat only three small meals a day. Do not snack between meals

3.    Stop eating and drinking when you feel full

4.    Take daily supplements: a multivitamin, vitamin B12, and calcium

5.    Make protein-rich foods (eggs, cheese, fish, poultry) the main part of your diet

6.    Avoid very sweet, high-sugar foods. These can lead to heart palpitations, abdominal pain, diarrhea

7.    Drink small amounts of liquid, preferably water, throughout the day

8.    Minimize alcohol intake

Type 2 diabetes management

Any amount of weight loss after surgery will help with your type 2 diabetes management. For some patients, their diabetes completely resolves after losing weight from bariatric surgery.

*Note that the results and guidelines on this page pertain specifically to gastric bypass surgery; results for gastric band and other procedures may differ.

(S: bariatrics4diabetes)

After Bariatric Surgery-psychological changes observed.

Psychosocial effects after bariatric surgery. 
 


After the weight loss, patients report changes 
undoubtedly desirable, such as an increase in their activities and 
skills, reduction of joint pain (knees, hips, back) and other medical conditions, ability to project into the future, better relationships (family / social) and more occupational and labor willing. 


Although in general the expected changes are positive, are not immediate, and is therefore very important to have patience and take everything as a gradual process.

After Bariatric Surgery-psychological changes observed. 


As a general trend, many studies show decreased negative psychological states (especially depression and anxiety) associated in the past with obesity. In part because of the weight loss itself, but also as a result of a new attitude, hope, optimism and above all, commitment to one's recovery and the opportunity to live better. These changes, in some patients are permanent, but not in others, again given the conditions described. 
 
With depression, as well as with anxiety, they can decrease after surgery, but way be reactivated during the recovery itself, as adaptive reaction to the new conditions and requirements of 
a lifestyle very different from usual. Patients may have difficulty adapting to the limitations both psychologically as well as new possibilities of surgery, as mentioned in the following picture:

Bariatric Surgery- more than a weight reduction

A chance to live better, live longer

Bariatric surgery has shown dramatic impact upon life-threatening conditions:


1. High cholesterol: lowered in 70% of patients
2. High blood pressure: resolved (disappeared) in 62% of patients
3. Obstructive sleep apnea (breathing disturbances during sleep): resolved in 86% of patients
4. By eliminating or improving your diabetes through bariatric surgery, you may:
         - Reduce your risk of serious complications, including:
         - Blindness
         - Limb amputation
         - Kidney disease
         - Cardiovascular conditions:
               o Heart attack
               o Stroke
               o Congestive heart failure
               o High blood pressure
        - Cut the costs (and the hassles) of diabetes medications:
               o Reduced or eliminated need for diabetes medicines
               o No more need for insulin injections
       - Live better
               o Have more energy
               o Be healthier overall
       - Live longer


What’s more, in patients undergoing bariatric surgery, death rates fell in these categories:

a. Deaths from all causes: 40% reduction
b. From coronary artery disease: 56% reduction
c. From cancer: 60% reduction
d. From diabetes: 92% reduction