SURGICAL TREATMENT OF DIABETES MELLITUS

 

Considering the results of surgeries for obesity, problems such as diabetes, hypertension and high cholesterol levels improved in very important part of these patients. This leads to arisement of metabolic surgery title in addition to obesity surgery. In other words, while these surgeries were carried out to ensure weight loss in the past, today they are applied for the treatment of conditions such as diabetes, hypertension and high cholesterolemia.

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Does Metabolic Surgery Provide Definitive Solution?

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It is not possible to say yes to this question right now. However, after these operations, over 90% of patients stop using insulin and other medications. The most important factor for the success of the operation is the reserve of the pancreatic gland, in which insulin, the sugar-lowering hormone, is produced in humans. It is possible to understand this reserve with some tests that can be done before surgery in many patients. If the pancreatic reserve is not so much, that is, if the insulin production of the pancreatic gland is very limited, the benefit of these patients from these surgeries may not be very much.

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Who Can Get Metabolic Surgery?

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These surgeries can be applied to all diabetic patients with body mass index over 35, and to all patients with body mass index over 30 who have uncontrolled diabetes despite medications. In recent studies, these operations have been shown to be effective in voluntary patients with a body mass index below 30.

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Which Type of Surgery Can Be Applied?

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When deciding which type of surgery will be appropriate for you, your doctor will consider some factors such as pancreatic reserve, blood sugar levels, medications taken by patient and eating habits of the person. Gastric bypass surgeries and transit bipartition surgeries are frequently performed types of metabolic surgery.

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