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Diabetes

Diabetes Treatment with Diabetes Surgery

Diabetes or Diabetes Mellitus is a chronic medical condition that consists of prolonged periods of high blood sugar.

Our body processes food to produce glucose, which is the fuel for cells. Insulin is a hormone produces by pancreas, which helps transport glucose into cells for utilisation. If insulin production is low, it causes diabetes mellitus type 1.

When production is adequate but there is resistance to insulin as seen with Obesity it leads to diabetes mellitus type 2. This lethal combination of obesity and diabetes is labelled Diabesity, which has reached epidemic proportions world over.

Symptoms of Diabetes 

  1. Increased thirst and hunger.
  2. Dry mouth.
  3. Frequent urination.
  4. Fatigue.
  5. Blurred vision or weakening of eye sight.
  6. Ulcers in the feet.
  7. Body weight issues.
  8. Frequent skin infections.

diabetes and obesity treatment

Diagnosis of Diabetes 

  • Blood Sugar Test – A fasting and postprandial blood sugar test is an important method of diagnosis to measure the levels of glucose in the blood.
  • Fasting Insulin – High levels predictive of insulin resistance.
  • HbA1C – High levels indicate poor control with medication.
  • C-peptide levels – Helps differentiating between types 1 and 2 diabetes and also between type 2 diabetes and Latent Autoimmune Diabetes of Adults.

Treatment of Diabetes 

Oral Medication – Medication that improves the efficiency of the insulin produced by the pancreas could be prescribed. They also help in increasing the production of insulin, maintain the blood sugar levels and prevent the absorption of blood sugar in the body.

Insulin Therapy – Insulin injections could be prescribed to be taken daily to maintain the levels of insulin in the body.

Body Weight Management – The doctor may suggest modifications to the patient’s diet and exercise routine along with prescribing oral medication to help control body weight.

diabetes surgery

Diabetes Surgery – For patients suffering from morbid obesity i.e. BMI > 32.5 along with diabetes, Bariatric Surgery may be recommended. It achieves resolution in 80% of patients suffering from type 2 diabetes.

Complications 

Long standing and uncontrolled diabetes may lead to Cardiovascular, Renal, Retinal, Neural diseases along with Foot and Hearing diseases.

Bariatric Surgery has proven to resolve diabetes completely where no medication is required after surgery especially in diabetics diagnosed with 5 years. Longer duration patients might require some medication at much reduces dosage with better control of blood sugar. The effect of sugar control is evident immediately after the surgery even before and significant weight loss. Hence reduces deaths from complications. Complication such as heart attacks, stroke, renal failure, diabetic foot etc. are prevented.

 Dr. Nikhil Agnihotri (Bariatric Specialist) provides diabetes treatment with diabetes surgery for patients suffering from morbid obesity in new delhi, India

 

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