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Can Surgery Cure Diabetetes?

Can surgery cure diabetetes?
Obesity operation may cure diabetes in many

A new study gives the strongest evidence yet that obesity surgery can cure diabetes.

Patients who had surgery to reduce the size of their stomachs were five times more likely to see their diabetes disappear over the next two years than were patients who had standard diabetes care, according to Australian researchers.

Most of the surgery patients were able to stop taking diabetes drugs and achieve normal blood tests.

“It’s the best therapy for diabetes that we have today, and it’s very low risk,” said the study’s lead author, Dr. John Dixon of Monash University Medical School in Melbourne, Australia.

The patients had stomach band surgery, a procedure more common in Australia than in the United States, where gastric bypass surgery, or stomach stapling, predominates.

Gastric bypass is even more effective against diabetes, achieving remission in a matter of days or a month, said Dr. David Cummings, who wrote an accompanying editorial in the journal but was not involved in the study.
“We have traditionally considered diabetes to be a chronic, progressive disease,” said Cummings of the University of Washington in Seattle. “But these operations really do represent a realistic hope for curing most patients.”
Diabetes experts who read the study said surgery should be considered for some obese patients, but more research is needed to see how long results last and which patients benefit most. Surgery risks should be weighed against diabetes drug side effects and the long-term risks of diabetes itself, they said.

The diabetes benefits of weight-loss surgery were known, but the Australian study in Wednesday’s Journal of the American Medical Association is the first of its kind to compare diabetes in patients randomly assigned to surgery or standard care. Scientists consider randomized studies to yield the highest-quality evidence.

The study involved 55 patients, so experts will be looking for results of larger experiments under way.

'New way of thinking about diabetes'
“Few studies really qualify as being a landmark study. This one is,” said Dr. Philip Schauer, who was not involved in the Australian research but leads a Cleveland Clinic study that is recruiting 150 obese people with diabetes to compare two types of surgery and standard medical care.

Obesity is a major risk factor for diabetes, and researchers are furiously pursuing reasons for the link as rates for both climb. What’s known is that excess fat can cause the body’s normal response to insulin to go haywire. Researchers are investigating insulin-regulating hormones released by fat and the role of fatty acids in the blood.

In the Australian study, all the patients were obese and had been diagnosed with type 2 diabetes during the past two years. Their average age was 47. Half the patients underwent a type of surgery called laparoscopic gastric banding, where an adjustable silicone cuff is installed around the upper stomach, limiting how much a person can eat.

Both groups lost weight over two years; the surgery patients lost 46 pounds on average, while the standard-care patients lost an average of 3 pounds.

Blood tests showed diabetes remission in 22 of the 29 surgery patients after two years. In the standard-care group, only four of the 26 patients achieved that goal. The patients who lost the most weight were the most likely to eliminate their diabetes.

Both patient groups learned about low-fat, high-fiber diets and were encouraged to exercise. Both groups could meet with a health professional every six weeks for two years.

The death rate for stomach band surgery, which can cost $17,000 to $20,000, is about 1 in 1,000. There were only minor complications in the study. Stomach stapling has a 2 percent death rate and costs $20,000 to $30,000.

Source:msnbc
 
Posted by: Anonymous Posted: 9 year ago Number Of Replies: 3 Number Of Views: 1970
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Re: Can Surgery Cure Diabetetes?
Thanks for the guidelines shread on the blog. Yet another thing I would like to state is that fat reduction is not information about going on a celebrity diet and trying to reduce as much weight as you can in a few months. The most effective way to lose weight naturally is by getting it little by little and using some basic guidelines which can make it easier to make the most through your attempt to shed pounds. You may know and already be following these tips, nonetheless reinforcing understanding never affects.
Posted by: Joaozinho Posted on: 2014-07-25 19:34:03
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Re: Can Surgery Cure Diabetetes?
Low carb = low cal. That's why it works. Plain and simple. When you remvoe one whole macronutrient from your plate, you reduce your calories by approx 1/3rd. Was nothing to do with food type. You can lose weight eating pasta, or rice, or yams. So long as you run a calorie deficit. I eat lean protein, carbs, fat. I just eat less and I exercise more. I lost 30 lbs in 4 months and kept it off 2 yrs now. Eat from smaller plates. Ur eyes see a full plate, but ur eating less. Go walking too
Posted by: Anonymous Posted on: 2014-07-21 12:45:36
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Re: Can Surgery Cure Diabetetes?
Eating smart with the daily walking sduons good:The natural “diet”: Eat, drink, and be merryEat smart – well-balanced meals, cut out any unnecessary calories (snacking just because), eat when you are hungry (grumbling stomach, hunger pains) and only eat until you are satisfied (not a bite more), 5-6 smaller meals is better than 3 larger ones. Also, stop eating 2-3 hours before bed – you should be slightly hungry at bed timeDrink plenty of water, not only to stay hydrated, but its important for weight loss, including helping the muscles tone and suppressing hungry. (Tip – the lighter your urine the more hydrated you are.)Be merry – in other words exercise, not only is it needed for weight loss, it releases chemicals in your brain and makes you more happy (some of it is addicting which is known to a lot as “runner’s high”). 30 minutes of cardio is recommended daily, and a good work out program uses cardio and weight training (even if it’s just toning – light weights, more reps). Do something you enjoy and it will be easier to stick it out.
Posted by: Aybek Posted on: 2014-07-07 10:00:18
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