Why Bariatric Surgery Has Long Lasting Benefits for Obesity Patients

1. Surgery For Type 2 Diabetes Mellitus Helps To Recover From Diabetes www.metabolicsurgeryistanbul.com 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.

2. 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.

3. 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.

4. 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. www.metabolicsurgeryistanbul.com

5. 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.

6. 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. www.metabolicsurgeryistanbul.com

7. Halaskargazi Cad. Etfal Hast. Sokak Kent Pasaji,Istanbul,Turkey Email -doktoralper@hotmail.com phone -90 5388526616 https://twitter.com/dralpercelik https://www.facebook.com/metabolicsurgery https://www.linkedin.com/in/alper-celik-86ba393b/ https://www.instagram.com/metabolicsurgery/ https://plus.google.com/u/0/103314196682504302798