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Type 2 Diabetes: Is Gastric Bypass Surgery Right For People With Diabetes?

Researchers at Capital Medical University in Beijing, China, looked at one hundred and one people diagnosed with type 2 diabetes and who had decided to undergo gastric bypass: Roux-en-Y. The goal was to find out which people with diabetes would benefit the most from the procedure. Their results were reported in the journal. Obesity surgery in February 2019.

Roux-en-Y gastric bypass involves making a stomach pouch from a small portion of the stomach. It then attaches to the small intestine, thereby bypassing a large section of the stomach and duodenum.

After gastric or stomach bypass has been performed, 71 or 70.3 percent, achieved remission, having …

  • HbA1c levels of less than 6.5 percent,
  • fasting blood sugar levels less than 100 mg / dL, and
  • not need oral antidiabetic medications for at least one year.

The following characteristics were observed in those who went into remission …

  • HbA1c reading less than 7.5 percent,
  • a history of type 2 diabetes for less than 9.5 years,
  • a C-peptide reading greater than 1.2 ng / ml, and were
  • not be treated with insulin.

HbA1c is a measure of the sugar in hemoglobin, the molecule that moves oxygen in red blood cells. Each red blood cell carries around 500,000 hemoglobin molecules. Red blood cells last about 120 days, so the HbA1c measurement gives us a report of blood sugar levels for the past 3-4 months …

  • normal HbA1c levels range from 4 to 5.6 percent.
  • In prediabetes, the gray area in which people are prone to developing full-blown type 2 diabetes, HbA1c readings range from 5.7 to 6.4 percent.
  • an HbA1c of 6.5 or higher indicates type 2 diabetes.

Peptide C, a small chain of amino acids, it is released when insulin is produced. Measuring it in the blood or urine gives the doctor an idea of ​​how well the beta cells of the pancreas are working. If the pancreas slows down and produces less insulin, then insulin can be added to oral medications. According to the study, if gastric bypass surgery is to be performed, it should be done within the first decade and when the pancreas is still producing a good supply of insulin.

When gastric bypass surgery has been performed, the recovering patient You must follow a diet plan for the new digestive process to work. The Mayo Clinic in the United States recommends …

  • drink eight 8-ounce glasses of water a day, between meals,
  • eating and drinking slowly,
  • eat foods that are lean, high in protein, and low in sugar,
  • avoiding alcohol,
  • limit caffeine,
  • take vitamin and mineral supplements daily, and
  • chew food well.

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