Thursday, October 2, 2014

Diabetes Surgery

If you are carrying extra weight and are also a Type 2 diabetic, you are not managing your condition properly. Why is it vital for obese diabetics to lose weight?

Weight loss is a way to literally save your life and prolong it because you reduce the amount of stress placed on your body. Losing weight requires a consistent commitment from you...

1. You don't have to do it alone. Seek professional help from a dietitian and a fitness trainer. Talk to your doctor and endocrinologist. Family and friends can also offer plenty of support if you ask. It's important you do ask because it's tough to work on something like this on your own, especially if you have a lot of weight to lose.

2. Join an exercise class so you have others to share the journey with. It's more motivating when you are in a group who are all striving to lose weight. Exercise becomes more enjoyable. You can celebrate milestones together as well.

3. It's important to control what you're eating. It's easier to cut out 500 calories a day from your diet than to burn off 500 calories. Reduce the portion sizes of meals you eat as well as the content. Vary your diet so you don't get bored.

If you feel you need to have candy or something in your mouth, try sugar-free gum because it has flavor and lasts for a while so you don't need as much of it.

4. Drink plenty of water. This will help to cleanse your system as well. Make sure you keep your fluid intake up while you exercise because it's easy to become dehydrated at this time.

5. Weight loss surgery is one way to help you lose the excess weight. However, it's critical to understand any form of surgery has its risks. Never choose that as your first option. If you do have the surgery, it doesn't magically fix everything. Yes, you will lose some weight. The important thing to remember is you have to learn how to cope with the new version of yourself.

    meals will be smaller as your stomach won't be able to cope with the same amount of food as it did before. You have to be disciplined enough to do exactly as instructed to maintain your health.
    in some cases the surgery may not last if you push the barriers by eating too much of the wrong foods. However, quite often the surgery is very successful and you lose enough weight to not be considered obese.

This will improve your overall health and daily life. You'll be able to do more than you could before and will enjoy life in ways you weren't able to prior to surgery.

Knowing why it's vital to lose weight for obese diabetics is essential to helping you reverse the problem and live a better life.

Type 2 diabetes is not a condition you must just live with. By making easy changes to your daily routine, its possible to protect your heart, kidneys, eyes and limbs from the damage often caused by diabetes, and eliminate some of the complications you may already experience.

Modern bariatric surgery has come a long way since its development by Dr. Edward E. Mason of the University of Iowa in 1967. Using resulting in massive, rapid weight loss, bariatric surgery is the general term for medical procedures resulting in the reconfiguration of a patient's digestive system. The two common types of bariatric procedures in the U.S. are laparoscopic gastric bypass surgery and laparoscopic gastric banding, also known as "lap banding." Gastric bypass surgery is performed by shrinking the stomach from the size of a fist to a thumb. This alteration shortens the length of the small intestinal path in which food travels before entering the stomach. This shortened path limits the number of calories absorbed by the body.

Lap banding surgery involves wrapping a liquid-filled belt around the stomach that can be adjusted for tightness by adding or deducting saline through a port located under the skin's surface. The belt reduces food intake by cinching the stomach to evoke the feeling of being full. Evidence that bariatric surgery has gained significant ground since its inception more than 40 years ago can be seen in the astounding number of procedures recently performed by surgeons.

Gastric bypass surgery was named the top ranked general surgical procedure in 2008 in a 2010 study by the University of California. Gastric band surgery placed third in the rankings, which were based on coding and billing data from academic centers. Gastric bypass ranked second among surgical procedures when assessed by a number of operations performed per doctor on a yearly basis; with surgeons averaging 18.2 cases a year. Gastric banding placed fifth on the list, with surgeons performing the procedure 11.9 times a year. Bariatric surgery = Cure for type 2 diabetes?

The rising number of bariatric procedures might be connected to the belief among some in the medical community that the operation is an effective way to treat type 2 diabetes in obese patients.

Type 2 is the most common form of diabetes and affects roughly 23.6 million Americans, or 7.8 percent of the U.S. population. More prevalent in people with obesity, research shows patients with type 2 diabetes can lessen or in some cases eliminate the effects of the disorder by reducing their body weight by approximately 10 percent. Despite this finding, the number of type 2 cases in the U.S. continues to rise each year by about eight percent.

An analysis of over 600 studies found 78 percent of people with type 2 diabetes who received bariatric surgery no longer experience symptoms related to the disorder, according to the American Diabetes Association (ADA). According to the findings, the elimination of type 2 diabetes is more prevalent among patients receiving bypass surgery than banding procedures.

The analysis also found that blood glucose levels in patients receiving bariatric surgery improve far faster than those achieving weight loss through other means. As a result of the findings, the ADA now recommends bariatric surgery as a possible treatment option to consider for severely obese people with type 2 diabetes.

There are several things that are going to influence your surgery. These include the time of day that you are scheduled, whether or not you will need to fast for two hours or longer before the surgery and whether you are to start taking any additional medication once discharged from the hospital, or on the same day as the surgery. Also taken into account should be the need for the surgery and of course what your current schedule is for taking your medication now. If at all possible the surgery should be scheduled for the morning hours and you should be at the top of the list. If it is possible to be admitted a day in advance, this will give the endocrinology team time to prepare both themselves and you. The routine before surgery may vary depending on your current needs and the operating schedule. The doctor will let you know what needs to be done before and after.

You will find that the procedures to be followed are going to depend heavily upon whether or not the surgery is elective (major or minor) or if the surgery is an emergency that cannot wait. The time of day is going to make a big difference as well on whether or not you will be able to eat and when you will be able to consume food after the procedure is finished. If the surgery is an emergency, the endocrinology team should be advised that you are on the way and that you are diabetic. It is important to give the medical team as much information as possible such as the type of medication that you are taking, the amount and even when you last ate. This will help them to better prepare for your arrival.

Many complications can arise from surgery for someone that is diabetic so taking all necessary precautions can be life saving. Even if the surgery is an emergency, ketone levels should be checked including blood gases and glucose levels to ensure that there is no further danger. If there is a dangerous situation arising, the surgery may need to wait in order to get the levels where they need to be in order for the surgery to be a success. This can prevent complications.

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