OBESITY SURGERY REVERSES SIGNS OF DIABETES

ninerbuff
ninerbuff Posts: 49,029 Member
edited December 16 in Health and Weight Loss
CHICAGO – Obesity surgery can reverse the signs of diabetes, according to small new study, allowing many patients to quickly reach normal blood-sugar levels while reducing or eliminating their need for insulin or other medications.

In the study of 150 patients with Type 2 diabetes, 42% of those randomly assigned to the stomach-reducing surgery saw their blood sugar drop to normal levels, according to research presented in Chicago at the annual meeting of ithe American College of Cardiology. Some patients who had the operations, called bariatric surgery, improved so rapidly that they went off their diabetes medications before leaving the hospital, says lead investigator Philip Schauer, a professor of surgery and director of the Bariatric and Metabolic Institute at the Cleveland Clinic.

http://www.cbsnews.com/8301-504763_162-57404810-10391704/weight-loss-surgery-can-reverse-diabetes-studies-confirm/

While I applaud that surgery can help reduce diabetes, I don't believe that it solves the issue of what got the patient obese in the first place.

What's your opinion on this?


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Replies

  • cbbn11
    cbbn11 Posts: 121 Member
    While I applaud that surgery can help reduce diabetes, I don't believe that it solves the issue of what got the patient obese in the first place.

    What's your opinion on this?

    I agree, and in my wife's case she was just diagnosed with type 2 this past Sept and she is in no way over weight, she is 5f 6 and weights 137lbs. So in her case it is not Obesity that caused it.

    If they do not start eating properly and exercising then they will just end up back to where they started.
  • ninerbuff
    ninerbuff Posts: 49,029 Member
    I agree, and in my wife's case she was just diagnosed with type 2 this past Sept and she is in no way over weight, she is 5f 6 and weights 137lbs. So in her case it is not Obesity that caused it.

    If they do not start eating properly and exercising then they will just end up back to where they started.
    I just hope that there isn't a "quick fix" jump to surgery for many who are just trying to fix their diabetes issue.

    A.C.E. Certified Personal & Group FitnessTrainer
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  • CyberEd312
    CyberEd312 Posts: 3,536 Member
    Just seen this on NBC news tonight and was shaking my head, now I don't knock anyone that has had the bypass surgery (to each their own) it was never an option for me.. When I went to the doctor at 560 lbs. and full blown type 2 diabetes (A1c at 10.0) I was asked by my doctor if I want to have Bypass (which is mandatory now if your BMI is over 35 mine was over 70) and I told him No Way either I lose the weight naturally or die trying... If I can't fix what is broke in my head there is no surgery that is going to fix me long term. Fast forward 33 months and 303 lbs. down, I no longer am in the risk factors of Diabetes (still have it and always will but I have reverse the process with diet and exercise) and am now sporting A1c of 5.4 the last several check ups. I just don't like the quick fix mind set, got diabetes here have this surgery........
  • danasings
    danasings Posts: 8,218 Member
    Just seen this on NBC news tonight and was shaking my head, now I don't knock anyone that has had the bypass surgery (to each their own) it was never an option for me.. When I went to the doctor at 560 lbs. and full blown type 2 diabetes (A1c at 10.0) I was asked by my doctor if I want to have Bypass (which is mandatory now if your BMI is over 35 mine was over 70) and I told him No Way either I lose the weight naturally or die trying... If I can't fix what is broke in my head there is no surgery that is going to fix me long term. Fast forward 33 months and 303 lbs. down, I no longer am in the risk factors of Diabetes (still have it and always will but I have reverse the process with diet and exercise) and am now sporting A1c of 5.4 the last several check ups. I just don't like the quick fix mind set, got diabetes here have this surgery........

    WOW!!! You have done so well for yourself!! :smile:
  • Dorianlg
    Dorianlg Posts: 65 Member
    I'm all for preventative medicine and keeping people healthy with diet and exercise and not allowing them to get obese in the first place. And god knows when I was 270 if someone had offered me surgery I would have said no, not a chance. But I was still relatively healthy and capable of exercising, even if I was morbidly obese.
    If I were 270 with full blown diabetes, high blood pressure and hypertension, I would absolutely take the surgery. If someone is in danger because of their weight, you need to treat that immediate health problem first. Sure the person needs counseling. Yes they're going to have to learn about diet and exercise. But I don't think they should have to suffer longer just the MAKE SURE they learn the lesson. There's nothing to be gained from what seems to me like punishing them for their weight. And just because I had the huge support system (not to mention financial ability) to dedicate a year of my life to exercising and getting the weight off "the right way" doesn't mean everyone else does too.
  • ninerbuff
    ninerbuff Posts: 49,029 Member
    Just seen this on NBC news tonight and was shaking my head, now I don't knock anyone that has had the bypass surgery (to each their own) it was never an option for me.. When I went to the doctor at 560 lbs. and full blown type 2 diabetes (A1c at 10.0) I was asked by my doctor if I want to have Bypass (which is mandatory now if your BMI is over 35 mine was over 70) and I told him No Way either I lose the weight naturally or die trying... If I can't fix what is broke in my head there is no surgery that is going to fix me long term. Fast forward 33 months and 303 lbs. down, I no longer am in the risk factors of Diabetes (still have it and always will but I have reverse the process with diet and exercise) and am now sporting A1c of 5.4 the last several check ups. I just don't like the quick fix mind set, got diabetes here have this surgery........
    Stories like these should be on the air waves and not just the surgery routes. Kudos to you.

    A.C.E. Certified Personal & Group FitnessTrainer
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    Been in fitness for 28+ years and have studied kinesiology and nutrition
  • heybales
    heybales Posts: 18,842 Member
    CHICAGO – Obesity surgery can reverse the signs of diabetes, according to small new study, allowing many patients to quickly reach normal blood-sugar levels while reducing or eliminating their need for insulin or other medications.

    In the study of 150 patients with Type 2 diabetes, 42% of those randomly assigned to the stomach-reducing surgery saw their blood sugar drop to normal levels, according to research presented in Chicago at the annual meeting of ithe American College of Cardiology. Some patients who had the operations, called bariatric surgery, improved so rapidly that they went off their diabetes medications before leaving the hospital, says lead investigator Philip Schauer, a professor of surgery and director of the Bariatric and Metabolic Institute at the Cleveland Clinic.

    http://www.cbsnews.com/8301-504763_162-57404810-10391704/weight-loss-surgery-can-reverse-diabetes-studies-confirm/

    While I applaud that surgery can help reduce diabetes, I don't believe that it solves the issue of what got the patient obese in the first place.

    What's your opinion on this?

    Very true.

    If they haven't changed mentally yet, and willing to do surgery doesn't mean they hit rock bottom and willing to accept they must make changes, then they may not learn.

    If they take their new found freedom and lose first block of weight, and now find enjoyment in exercise again, and playing, and just doing more, great.

    If they take it and figure out how many potato chips they can eat while playing video games, or tasty little treats wolfed down - then they'll be in the same boat sooner or later.
  • Lobster1987
    Lobster1987 Posts: 492 Member
    I agree. I've had weight loss surgery. I'll most likely never have diabetes now, but the surgery was on my guts, not on my brain. I have food issues that I didn't actually realize I had until after I had surgery. I'm working with eating disorder specialists now, so I can fix them and not get fat again.
  • pattan59801
    pattan59801 Posts: 142
    hmmmmmm...... my surgery is April 3rd
  • Lobster1987
    Lobster1987 Posts: 492 Member
    Just seen this on NBC news tonight and was shaking my head, now I don't knock anyone that has had the bypass surgery (to each their own) it was never an option for me.. When I went to the doctor at 560 lbs. and full blown type 2 diabetes (A1c at 10.0) I was asked by my doctor if I want to have Bypass (which is mandatory now if your BMI is over 35 mine was over 70) and I told him No Way either I lose the weight naturally or die trying... If I can't fix what is broke in my head there is no surgery that is going to fix me long term. Fast forward 33 months and 303 lbs. down, I no longer am in the risk factors of Diabetes (still have it and always will but I have reverse the process with diet and exercise) and am now sporting A1c of 5.4 the last several check ups. I just don't like the quick fix mind set, got diabetes here have this surgery........

    This is absolutey amazing and very hard to do. I commend those who can do this without the help of a tool like surgery. You should be very proud.
  • jameskane
    jameskane Posts: 35
    please understand before you start poo pooing on weight loss surgery that weight loss surgery is just a tool to fight obesity not a cure. my wife is going for weight loss surgery and i know haw hard it is. it involves a massive lifestyle change that you must learn and adjust to BEFORE the surgery or else it will fail. you need to learn how to eat again, what to eat again, what and when to drink. you will never drink ANY carbonated beverage again, never eat bread, rice to name a few. people think that surgery is an easy fix. in many ways the surgery is harder than the "normal way". the surgery is for people who aren't able to do it the "normal way". they have exhausted all other avenues. they use weight loss surgery as a tool to aide in weight loss. the surgery does cause initial weight loss but it will not sustain it. only utilizing the surgery with changing your entire lifestyle will the weight loss be sustained. anyone interested in more information on the surgery let me know me and my wife have doen alot of research and may be able to help to inform you better
  • suziecue66
    suziecue66 Posts: 1,312 Member
  • HonkyTonks
    HonkyTonks Posts: 1,193 Member
    Even with the surgery you still need to learn better eating habits, and move more. The surgery doesn't necessary result in weight loss. The patient has to still be committed to the changes. With the lapband, you can pretty much still eat whatever you want, the laplband helps with appetite control and not overeating (which is something obese people struggle with more than those who aren't overweight). You can also cheat the band by drinking and eating at the same time, or drinking your calories (eg chocolate thickshakes all day long)
  • Readyletsgo
    Readyletsgo Posts: 2 Member
    My sister had lapband 3 years ago. It has been a dreadful experience. She lost weight sure and was very pleased with her loss. Her band slipped and she couldnt even swallow her own saliva. That was fixed, but it happened again. They replaced the whole thing next time, and she ended up with an infection and the port moved. Then surgeon suggested another replacement. She said if you open me up again, you remove it totally.

    She has put on weight, but is no longer in pain, and now leads a quality of life she didnt have for 3 years.

    Now its just losing weight the old fashioned way.
  • Arrica
    Arrica Posts: 166 Member
    you need to learn how to eat again, what to eat again, what and when to drink. you will never drink ANY carbonated beverage again, never eat bread, rice to name a few.

    the surgery does cause initial weight loss but it will not sustain it. only utilizing the surgery with changing your entire lifestyle will the weight loss be sustained.

    Based on what you are saying and what I have always thought to be true, maybe it's not so much losing the weight that helps to reduce diabetic response as it is leading the healthier lifestyle that causes the weight loss? Granted one can lose weight eating less calories and having them still be processed foods (the noodles, rice, bread, cakes etc.) I would be curious to know if they are the 'whatever' percent that losing weight doesn't help with diabetes. I personally have not had much success losing weight when I don't cut out those things, even when I was younger
  • heybales
    heybales Posts: 18,842 Member
    Based on what you are saying and what I have always thought to be true, maybe it's not so much losing the weight that helps to reduce diabetic response as it is leading the healthier lifestyle that causes the weight loss? Granted one can lose weight eating less calories and having them still be processed foods (the noodles, rice, bread, cakes etc.) I would be curious to know if they are the 'whatever' percent that losing weight doesn't help with diabetes. I personally have not had much success losing weight when I don't cut out those things, even when I was younger

    Excellent point. And the other article referenced about VLC diets is along the same lines, much better protein, Dr supervised, undoubtedly better eating.

    It would be interesting in the weeks leading up to the surgery, where they are supposed to be eating better already, where the diabetes is in severity.
    Because to say it's better before even leaving the hospital. Did they check it the morning of the surgery?
  • I had diabetes. I lost 33 pounds and I don't have it anymore. My bad habits and being a complete pig got me there. It's just that simple.
  • you are correct... i had surgery in nov what it did was it got me to a place where i could do the work...i went from 1000 untis of insulin per day to none thts a win in itself...but the thing the surgery gave me that i never really thought about before hand?...hope...i had given up and was waiting to die even wishing for it...thats a dark place to be...if you arent seeing a psycologist before and after surgery to deal with the emotions that were there before surgery and the new ones that will come up after...then you are reallly gonna have a long road...im only a little over 4 mos in...there are foods i miss ...sure...but i dont crave them like before and im not really even tempted to eat some of my old foods simply becasue i know they will make me violently sick...that was my "no saftey net"... thats the thing that got me to the point whrer i could let go of theose old food habits...and i feel sooo much better than i did in nov...my circulation in my legs has improved...they dont hurt to the touch like they did and they dont bleed if i barelly bump thme like before....i dont know about the sleeve or band but the gastric bypass...they arent sure why...but its rare to need insulin after the patient leaves the hospital so that in itself is a good reason to consider it if your are insluin dependent and spraling downward in your health... my doctor reduced my stomach... but he doesnt get up every day and go to the gym for my... he doesnt choose my foods for me... he doesnt battle the voice in my head that still wants me to think im a failure because ive never been able to do this before why should u think this will last...even thoigh im in the low 260s now i still have a hard time thinking im not in the 290's so the battle continues...but its a battle im now better equipped to fight...
  • JadeRabbit08
    JadeRabbit08 Posts: 551 Member
    please understand before you start poo pooing on weight loss surgery that weight loss surgery is just a tool to fight obesity not a cure. my wife is going for weight loss surgery and i know haw hard it is. it involves a massive lifestyle change that you must learn and adjust to BEFORE the surgery or else it will fail. you need to learn how to eat again, what to eat again, what and when to drink. you will never drink ANY carbonated beverage again, never eat bread, rice to name a few. people think that surgery is an easy fix. in many ways the surgery is harder than the "normal way". the surgery is for people who aren't able to do it the "normal way". they have exhausted all other avenues. they use weight loss surgery as a tool to aide in weight loss. the surgery does cause initial weight loss but it will not sustain it. only utilizing the surgery with changing your entire lifestyle will the weight loss be sustained. anyone interested in more information on the surgery let me know me and my wife have doen alot of research and may be able to help to inform you better

    This is the reason when the doctor suggested surgery I said no. All the preparation for surgery involved eating healthy and smaller portions and exercise. Well if I did that wont I lose weight anyway and not need to take long term risks with my health from postsurgery complications? I also have an acquaintence who had the surgery, lost to begin with but is now as big if not bigger than she was before. Once I realised it wasn't a easy solution I bit the bullet and went the old fashioned calorie deficit and exercise route. I believe there are a select few for which surgery is a sane option but its no easy way out.
  • JadeRabbit08
    JadeRabbit08 Posts: 551 Member
    Reply to Linguist98


    *HUGS!*

    Keep going!
  • stevieb3052
    stevieb3052 Posts: 58 Member
    I was diagnosed with Type 2 diabetes last August. My weight loss has meant that I am controlling it and my sugar levels are normal.

    The clinics I attended when diagnosed were a bit Janet and John but I did take on board the message - I will always be diabetic and it is the control of the condition that it important.

    I accept that and am doing all I can to control my condition.
  • krazyforyou
    krazyforyou Posts: 1,428 Member
    I had lap band surgery 5 yrs ago and had a great deal od sucess. However it got to the point to where I was full after only a few bites and ended up on full liquids for over a year. Plus the studies now indicate that lap band does not work well for the long term effect. So after much prayer I decided to have the fluid almost completely removed and guess what I could eat meat again. Now I am just going to lose weight the "old fashion" way, eating healthy and clean. Beside most of the people I know who had gastric bypass have regained all of their weight back because the surgery does nothing to break bad habits.
  • onmywaytoskinny155
    onmywaytoskinny155 Posts: 228 Member
    All I have to say is I love my lapband. It made me HOT according to some men!
  • ninerbuff
    ninerbuff Posts: 49,029 Member
    I work with people daily who are very overweight and some that are obese. I see their struggles and see in their faces the hopelessness sometimes. I gotta believe that it's sometimes a really hard decision to choose and not to choose the surgery. Our Wellness centers tries very hard to work with people like this first with VLCD and structured programs to reduce weight before weight loss surgery (which is provided by our hospital). I've even worked with 1 or 2 people who have had the surgery, just showing them how to get basic exercise in.
    Both struggle, but the surgery patients are seeing weight come off at a faster rate. I haven't been here long enough to see whether some who have had the surgery have had relapses or having continual success. Something I should check out.

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  • ElizabethRoad
    ElizabethRoad Posts: 5,138 Member
    Doesn't losing that amount of weight by any means have the same effect?
  • Bariatric surgery, MFP, Weight Watchers, alli, ect.--all of these are tools to help you lose weight. Different things work for different people. I am all for programs, surgery, weight-loss blogs & apps, but under no circumstance would I take a pill to lose weight. I work with bariatric surgical patients in a complete program. It is not magic. You have to be in a program and work at the program. Surgery is a marvelous tool for a lot of people who have struggled significantly to lose weight for long time who have not found success.
  • Sharonks
    Sharonks Posts: 884 Member
    I am T2. What I found interesting in the article I read is that they said the improvements came before there was significant weightloss and it appears that the change had something to do with stomach hormones as opposed to just weight loss. I hope they continue to pursue this portion of the research because not all T2s are morbidly obese and can have gastric bypass. I'm currently somewhere in the 10-15 lbs overweight range. If there is a way to alter the chemistry of my body without bypass that would be wonderful since my meds aren't that effective anymore.
  • HonkyTonks
    HonkyTonks Posts: 1,193 Member
    you need to learn how to eat again, what to eat again, what and when to drink. you will never drink ANY carbonated beverage again, never eat bread, rice to name a few.

    the surgery does cause initial weight loss but it will not sustain it. only utilizing the surgery with changing your entire lifestyle will the weight loss be sustained.

    Based on what you are saying and what I have always thought to be true, maybe it's not so much losing the weight that helps to reduce diabetic response as it is leading the healthier lifestyle that causes the weight loss? Granted one can lose weight eating less calories and having them still be processed foods (the noodles, rice, bread, cakes etc.) I would be curious to know if they are the 'whatever' percent that losing weight doesn't help with diabetes. I personally have not had much success losing weight when I don't cut out those things, even when I was younger

    Losing the weight is what reverses the signs of diabetes.

    By the way, I eat ALL of those things (soda, pasta, rice, bread, cakes, noodles!) WITH a band and have lost a LOT of weight.
  • Arrica
    Arrica Posts: 166 Member
    you need to learn how to eat again, what to eat again, what and when to drink. you will never drink ANY carbonated beverage again, never eat bread, rice to name a few.

    the surgery does cause initial weight loss but it will not sustain it. only utilizing the surgery with changing your entire lifestyle will the weight loss be sustained.

    Based on what you are saying and what I have always thought to be true, maybe it's not so much losing the weight that helps to reduce diabetic response as it is leading the healthier lifestyle that causes the weight loss? Granted one can lose weight eating less calories and having them still be processed foods (the noodles, rice, bread, cakes etc.) I would be curious to know if they are the 'whatever' percent that losing weight doesn't help with diabetes. I personally have not had much success losing weight when I don't cut out those things, even when I was younger

    Losing the weight is what reverses the signs of diabetes.

    By the way, I eat ALL of those things (soda, pasta, rice, bread, cakes, noodles!) WITH a band and have lost a LOT of weight.

    Oh that's good!! Are you diabetic?
  • juicemoogan
    juicemoogan Posts: 994 Member
    That's just like treating the symptoms and not the underlying problem.
    Too many doctors do that..
This discussion has been closed.