Surgery For Type 2 Diabetes Mellitus Helps To Recover From Diabetes

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Surgery For Type 2 Diabetes Mellitus Helps To
Recover From Diabetes
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Diabetes Mellitus is a chronic metabolic disorder
characterized by elevated levels of blood sugar
(hyperglycemia) due to absolute or relative
deficiency of insulin, with associated
disturbances in carbohydrate, protein and lipid
metabolism.
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Type 2 Diabetes Mellitus increases the risk of
other long term health problems and
complications, such as cardiovascular disease,
neuropathies, stroke, kidney problems,
depression, blindness. Current treatment
modalities for type 2 diabetes Mellitus have
included lifestyle modifications like exercise,
dieting, weight loss and drugs and in extreme
conditions, insulin. Being a chronic and
progressive disease, it worsens over time.
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An operation proves to be the most effective
therapy for adult-onset diabetes Mellitus'. Since
the publication of that water she'd paper,
evidence has continued to abound of the
effectiveness of Bariatric surgery or weight loss
surgery in the management of diabetes Mellitus
and other metabolic conditions. Thus, bariatric
surgery is also referred to as metabolic surgery,
diabetes surgery or weight loss surgery.
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• Some of the diabetes surgery options include,
  ileal interposition, transit bipartition, gastric
  bypass, duodenal switching, adjustable gastric
  banding, sleeve gastrectomy etc. Their ability to
  improve regulation of blood sugar in type 2
  diabetes Mellitus patients result from the
  following actions
• The surgery leads to alterations in gut hormone
  levels leading to release of enzymes such as
  GLP-1, ghrelin, GIP. Some of these hormones serve
  to increase pancreatic secretion and release of
  hormones.
• Gut hormones have also been noted to increase
  the sensitivity of body cells to the effect of
  insulin.
• The surgeries help to effect rapid weight loss
  which improves co-morbidities associated with
  type 2 diabetes Mellitus.

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Type 2 diabetes Mellitus is improved by surgery
through lowering of blood sugar, reduction in
medication dosage and type required in the
management of diabetes Mellitus and general
improvement in other diabetes-related
co-morbidities. Thus improvement is seen in about
90 of patients while remission is seen in over
78 of patients. In patients with remission,
blood sugar levels reduced to normal while the
need for drugs is eliminated.
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• These outstanding results have led the
  international diabetes foundation to issue a
  position statement in 2011, endorsing Bariatric
  surgery as a standard treatment option for type 2
  diabetes Mellitus, especially those who are obese
  or overweight. Some of the outlined indications
  include
• Type 2 Diabetes Mellitus patients with a body
  mass index (BMI) of 35 or more.
• Type 2 Diabetes Mellitus patients with a body
  mass index (BMI) between 30-35 who cannot
  adequately control their blood sugar with the use
  of optimal drug therapy.
• The information given above means that surgery,
  particularly metabolic surgery has come to be
  accepted as an effective treatment option for
  individuals with type 2 diabetes Mellitus who
  fulfill the required criteria.

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