Title: Method of Weight Loss Surgery for Type 2 Diabetes
1Weight Loss Surgery for Type 2 Diabetes
Metabolic Surgery
www.metabolicsurgeryistanbul.com/type-2-diabetes
2Overview of Type 2 Diabetes
This is a type of diabetes found in adults. The
pancreas produces insulin, but the body cannot
use this as required due to insulin resistance.
It occurs more in persons above the age of
40. Symptoms Polyurea (frequent
urination) Polydypsia (excessive
thirst) Polyphagia (excessive eating) Weight
increase or weight loss Increase of plasma blood
glucose levels (when above 126 mg/dl on an empty
stomach) Symptoms other than these Dry
mouth Fatigue Delayed recovery of wounds Dry and
itchy skin Frequent infections Blurred
vision Sexual problems Numbness and formication
of the hands, feet or around the mouth
3Overview of Type 2 Diabetes
- Whilst the reason for type 2 diabetes is not
precisely known, its probability of occurrence is
higher in some at risk groups. These are - Overweight individuals
- Those with unbalanced nutritional habits
- Individuals with a sedentary life style (not
exercising) - Those with a history of diabetes in the family
- Those with diabetes development during pregnancy
or having delivered a baby with a weight of more
than 4.5 kg - Those experiencing the stress of a disease or
injury - Those with an over stressful lifestyle
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5What are the Principles of Type 2 Diabetes
Treatment?
- The first stage treatment plan
- Diet, meaning the regulation of nutritional
habits, - Change of lifestyle,/ligt
- Implementation of an exercise programme.
- If blood sugar levels cannot be sustained within
normal limits by this treatment plan, sugar
decreasing medicine, taken orally in the form of
pills, is added to the treatment. But in some
patients the application of insulin might be
necessary, in order to maintain the blood sugar
levels within normal limits. In these cases the
treatment is supported with insulin injections at
appropriate doses.
6What is the Importance of High Sugar Levels?
Insulin is a hormone, produced and secreted into
the blood by the panctreatic gland. Its main task
is to carry the sugar (glucose) in the blood into
the cells. The glucose in the cells is the energy
source that provides the continuity of our daily
life. Type 2 diabetes generally develops due to
an insufficiency of insulin secretion and/or the
decrease of cell sentivity to this hormone. The
reason is that digestive system sourced
resistance hormones and some signal mechanisms
inside the cells either dont allow the entrance
of insulin into the cell or a resistance develops
in the cell against insulin. This is called
Insulin Resistance.
7What is the Importance of High Sugar Levels?
Insulin is not able to fulfil its normal function
due to this resistance. In the beginning, insulin
secretion increases in type 2 diabetes, but the
increased insulin secretion is not able to
decrease the high sugar levels in the blood. When
isulin cannot fulfil its function, sugar and
other nutritional elements we get from food
cannot enter the cells that need them. Thus,
whilst the cells suffer under sugar deficiacy,
the sugar in the blood increases to values above
normal. The excessive increase of sugar in the
blood generates a toxic effect and is destructive
to all cells of the body.
8Metabolic Surgery in Type 2 Diabetes Treatment
The Insulin Resistance at type 2 diabetes
patients has both pre-cell and in-cell
components. In this situation digestive system
sourced resistance hormones play a key role by
wrapping the cells just like a shield, thus
preventing the entrance of insulin into the
cells. Digestive system sourced resistance
hormones are eliminated sas a result of Metabolic
Surgery applications. The shield around the cell
is opened and insulin easily penetrates into the
cell. Similarily, 2-3 months after the operation
the fat, protein metabolism and liver lipoidosis
and damage recover, and the cell internal signal
mechanisms reverse. As a result of this, along
with the normalisation of blood sugar,
cholesterol and triglyceride levels in patients
after Metabolic Surgery applications, also
problems like hyper-tension, liver lipidosis, eye
and kidney damage, and foot ulceration are
eliminated with a single operation.
9Who are Metabolic Surgery Candidates?
- Patients incapable of getting blood sugar under
control though appropriate treatment - Patients experiencing organ damage symptoms and
with problems with eye, heart, kidney, liver, or
feet - Patients with serious weight problems.
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