Diabetes is a disease caused by a lack of insulin production by the pancreatic cells and / or by a resistance to the action of insulin in the cells.

Insulin is essential to maintain proper blood glucose values, allowing glucose to enter the body and be transported into cells, where it is transformed into energy to work the muscles and tissues. In people with diabetes there is an excess of glucose in the blood (hyperglycemia) as it is not distributed properly. If patients do not follow a proper treatment for diabetes, tissue may get damaged and serious complications in the body can be caused.

So far treatment was carried out with proper diet, exercise, oral hypoglycemic agents and / or insulin. Thus the blood glucose levels improve but, in some cases, especially in those patients who have a poor control of their diabetes, it does not prevent the devastating complications of diabetes; like lower limb amputation, kidney failure, blindness, heart infarction, decreased immunity, among others.

In recent years we have seen that bariatric / metabolic surgery is an alternative to these patients with diabetes.

Surgery for the treatment of type 2 diabetes

Type 2 diabetes usually occurs in old age, and it is about ten times more common than type 1 which appears abruptly in childhood, adolescence and early adulthood.

The International Diabetes Federation is optimistic about the effectiveness of bariatric weight loss surgeries such as a gastric bypass or gastric banding. The experience gained over the years is the best proof that the health of obese people with type 2 diabetes can benefit from metabolic surgery.

Numerous scientific studies have shown that metabolic surgery obtains a good control of glucose levels without the need of insulin or oral antidiabetic drugs, compared with the best intensive medical treatment. These figures are even better if you take into account the use of insulin, since over 90% of the patients undergoing metabolic surgery have achieved to control their blood sugar without the need of injecting insulin. That good glycemic control is associated with weight loss that occurs after surgery, but mainly by hormonal factors related to changes in the gastrointestinal tract during surgery. In addition, metabolic surgery in diabetic patients produces a reduction in triglycerides and an increased figure of good cholesterol which undoubtedly improve their quality of life.

What diabetics can be operated?

The treatment of diabetes with surgery is not indicated in all patients. An endocrinologist will evaluate each case to determine if surgery for diabetes is recommendable.

The best candidates for surgery of diabetes are:

  • Patients with type 2 diabetes with obesity (Body Mass Index> 30) with difficulty controlling their diabetes (glycated hemoglobin> 7.5%).
  • Patients with type 2 diabetes who are morbidly obese (Body Mass Index> 35)

Long-term results of treatment of diabetes with surgery

The operated patients were checked for years and have confirmed that metabolic surgery is superior to medical treatment with a high cure rate of diabetes without the need of oral antidiabetic drugs and / or insulin.

Looking at the quality of life, metabolic surgery for diabetes helps to have a healthy and happy life, getting to lose more weight, taking less medication, better control diabetes and improve the quality of life when compared to traditional medical treatments diabetes