Link: http://www.robertorizzi.com/diabetic-surgery.htm
If you have diabetes type 2 and are over weight, "Diabetics Obesity Surgery" might just help.
For years, obesity surgeons have noted that obese people who undergo obesity surgery like gastric bypass (and other type of obesity surgery procedures), almost all experience a reversal of their diabetes. Many achieve normal blood sugar within days after the surgery and are able to end their diabetic medications.
Could those diabetes type 2 sufferers who aren't obese, but just a bit overweight, benefit as well? It's becoming a big issue. According to the American Diabetes Association, 24 million Americans have the disease. The cost of treatment for these is $175 billion.
Current surgical guidlines defines that candidates for obesity surgery must be morbidly obese with a body mass index over 40, or a BMI over 35 plus a weight-related medical problem like diabetes or high blood pressure. Insurance companies use these guidelines in deciding whether to pay for the procedure.
It is reported that Cleveland Clinic is pushing the BMI envelope to see if obesity surgery can make diabetes go away in people who are overweight, but not fat enough (according to the guidelines) to have surgery.
Cleveland Clinic is recruiting 150 overweight and obese Type 2 diabetics with BMIs between 27 and 43 for a study. Some will have surgery and their progress will be compared to those who manage their diabetes with medicine. The goal is to see which group can achieve complete remission.
Link: http://www.robertorizzi.com/diabetic-surgery.htm
Obese patients with uncontrolled type 2 diabetes who were treated with an investigational endoscopic duodenal-jejunal bypass liner achieved near normalization of glycemic control in one week, as compared with a sham group. Implantation of the liner was also associated with reductions in fasting blood glucose levels and weight loss.
The EndoBarrier (GI Dynamics) is a non-surgical therapeutic device that is implanted in the gastrointestinal tract through an endoscopic outpatient procedure. It creates a barrier between food and the wall of the small intestine and thereby changes metabolic pathways by controlling how food moves through the digestive system.
In clinical studies conducted to date with the EndoBarrier, patients have experienced immediate resolution of type 2 diabetes while the EndoBarrier is implanted, and continued resolution of their diabetes after the device is removed, as well as the important benefit of weight loss.
Link: http://www.robertorizzi.com/obesity-surgery.htm
Published in the April issue of Preventing Chronic Disease, a medical journal of the Centers for Disease Control and Prevention, the study found that “the citywide weight gain totaled more than 10 million pounds in just two years,” between 2002 and 2004.
Obesity increased by 20 percent among whites and by 14 percent among Hispanics in New York City compared with 7 percent nationally. Foreign-born New Yorkers experienced the sharpest increase in obesity at 33% since 2002, meaning that 22.4% of that population is obese.
The number of diabetes diagnosis also jumped 17 percent in New York, while the rate in the rest of the country stayed the same.
Another study on obesity that is being published in The Journal of Urban Health blames the consumption of soda and sugary drinks for the excessive weight gain and diabetes.
The study found that 27 percent of the New Yorkers drink nearly two sodas a day, which means almost 300 nutrition-free calories.
Both studies were based on data from the Community Health Survey, a telephone survey of approximately 10,000 New York City adults and from the Behavioral Risk Factor Surveillance System, a similar nationwide survey.
Link: http://www.francoerizzi.com.br/cirurgia-diabetes.htm
Nationally, the number of weight-loss operations soared 800 percent between 1998 and 2004, and another 11 percent between 2005 and 2006. Americans get more than 205,000 weight-loss surgeries a year, according to the American Society for Metabolic and Bariatric Surgery – a number that is almost certain to keep climbing.
Research has shown that the surgery is getting far safer as it is performed more often. And more than 30 studies have found it effective for treating diabetes.
In the most recent example, a January study by Australian researchers, 60 obese, diabetic patients were randomly chosen to have laparoscopic adjustable-gastric-band surgery, a less drastic procedure than gastric bypass, or regular treatment, which consisted of counseling on diet and exercise, plus medications, if necessary.
The results were stunning. Seventy-three percent of the surgical group was no longer diabetic at the end of the two-year study period, compared with 13 percent in the regular care group.
To be sure, the surgery does not cure all problems. Many people still experience nausea, particularly if they eat sweets or greasy foods after the bypass surgery called Roux-en-Y.
Link: http://www.robertorizzi.com/qualification.htm
Nearly 20 million Americans have Type 2 diabetes.
Diabetes is the fifth-leading cause of death in the United States. The death toll from diabetes has grown by nearly 50 percent in the past 20 years.
Obesity is a growing national epidemic. From 1976 to 2004, the percent of adults (age 20 to 74 years in the United States who were obese) more than doubled from 15 to 32.9 percent.
According to JAMA, researchers have found that 73 percent of patients, who underwent a stomach reducing surgical procedure, were cured of Type 2 diabetes when compared to only 13 percent of diabetics that followed other forms of conventional therapy - dieting, weight loss and medication - went into remission.
An estimated three in every four obese people suffering from diabetes can be cured of the disease with bariatric surgery, according to a groundbreaking new study reported in the current edition of the Journal of the American Medical Association.