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Weight Loss Surgery can reduce or cure diabetes

Weight Loss Surgery Can Reduce or Cure Diabetes

Now it was proven that weight loss surgery can reduce or cure diabetes. While there are many obesity-related diseases, perhaps none is as dangerous and as common as diabetes. The risk for diabetes increases dramatically the higher your body mass index, or BMI, as those struggling with morbid obesity that has a BMI over 40 are 600% times more likely to have diabetes than those with a BMI in the “normal” weight range, and countless more have pre-diabetes and other related diseases.

But for many, weight loss surgery can reduce or cure diabetes. When diabetes is caused by obesity, those that can lose a substantial amount of weight can often control the severity of their diabetes, and in some cases cure it altogether. The problem is that lifestyle interventions alone, such as diet and exercise, have a 95% failure rate within one year – meaning that most traditional weight loss efforts fail.

Bariatric Surgery for Diabetes

Weight loss surgery – especially gastric sleeve, gastric bypass, and duodenal switch – promote an average of between 60% and 70% excess weight loss, with some patients losing 100% of their excess weight in the process. The failure rate is very low as well. Only 6% of patients that receive duodenal switch, for example, fail to lose at least 50% of their excess body weight.

But of course, weight loss alone is often not the goal. For many, bariatric surgery is critical for fighting obesity-related diseases, such as diabetes. And the success rate of weight loss surgery on reducing or curing diabetes is significant.

According to a meta-analysis of numerous studies, 86% of patients that lost at least 55% of their excess body weight saw their fasting blood glucose return to near-normal levels, and their HbA1c levels return to “normal” and healthier levels. Only 14% of bariatric surgery patients still struggled with diabetes, and many of them still saw some symptom improvements. In most cases, patients no longer need to take any of their diabetes-related medications to see these improvements.

Perhaps most importantly, diabetes-related mortalities decreased by 92%.

Results of Weight Loss Surgery on Diabetes are Instant!

What is even more interesting about bariatric surgery is that many patients found that their diabetes was reduced – and sometimes cured – within only a few days after surgery, and well before any weight loss has occurred. This means that it is not weight loss alone that contributes to diabetes reduction. It may be weight loss combined with other factors unique to weight loss surgery, such as:

  • Decreased food intake.
  • Reduced nutrient absorption.
  • Changes to the gastrointestinal tract.

Researchers are still not entirely sure what may be helping insulin levels return to normal so soon after bariatric surgery, but it does help continue to paint a picture that indicates that weight loss surgery can fight and cure diabetes far better than diet and exercise alone.

Risks and Benefits of Bariatric Surgery to Reduce or Cure Diabetes

Diabetes is one of the leading causes of death in the United States. This health problem often drastically reduces an individual’s quality of life. Diet and exercise alone are rarely enough to cure the diseases. Bariatric surgery has perhaps the highest success rate to reduce or cure diabetes. The benefits of weight loss surgery may not be limited to weight loss alone.
Whether you should consider bariatric surgery a cure for your diabetes remains a decision between you and your doctor. Surgery does carry risks. But for many, diabetes is only one of the many benefits of weight loss surgery and combined it often makes important sense to consider the procedures for their health and quality of life.

Tijuana Bariatrics Center

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weight loss headache

Weight Loss Surgery May Be Risk for Headache

According to a new study published in the journal Neurology, weight loss surgery may be a major risk factor for a specific type of a headache. The researchers of the study evaluated 338 patients all with a history of spontaneous intracranial hypotension. These headaches are typically caused by a cerebrospinal fluid leak. The study found that 11 of those patients had some type of weight loss surgery. Though 11 people or 3.3% of the sample is a small number, it was significant enough for the study’s researchers to warn medical professional of the possible relationship.

It’s important to understand the symptoms of this type of a headache. Typically this headache is felt when a patient is upright and the pain will go away when they lie horizontally. This is due to leaking spinal fluid, which can also cause stiffness in the neck, pain, nausea and/or vomiting. Body weight is a major factor in cerebrospinal fluid pressure and it’s possible that fat tissue loss may increase one’s ability to refrain from these headaches, the study’s researchers said.

According to the study’s author Wouter I. Schievink, MD of Cedars-Sinal Medical Center in Los Angeles, it’s important for weight loss surgery patients as well as their doctors to be aware of this possible link, which has never been reported. It is believed this could be the cause of sudden and severe headaches that can be treated effectively, however, if misdiagnosed serious consequences can result.

weight loss surgery patients

Handful of Weight Loss Surgery Patients Experience Lung Issues

A new study reports that patients with metabolic syndrome who have weight loss surgery are more likely to experience complications associated with the pulmonary system. A previous study done by Tufts Medical Center found that nearly 1% of patients who had pulmonary complications including atelectasis, pneumothorax or pneumonia had a history of metabolic syndrome.

Published in the February Issue of Clinical Anesthesiology, the study found that comorbid conditions of MetS (metabolic syndrome) such as high blood pressure, glucose intolerance and obesity oftentimes improved after bariatric surgery occurred. Researchers found that MetS who had bariatric surgery has not been studied closely enough to draw large conclusions.

The Tufts study looked at 158,405 different procedures with 52% being gastric bypass, 40% gastric banding and 4% gastric sleeve. Pulmonary complications in these surgeries included respiratory failure, pleural effusion, pneumonia, atelectasis, and acute respiratory distress syndrome. 78.5% of those studied were women with an average age of 45.7.

Nearly 20,158 of these patients had Metabolic syndrome or 12.7% total. The study found a close link to those with MetS and all pulmonary complications except pneumothorax, which was seen mostly in patients without MetS diagnosis. Respiratory failure and pneumonia were common for metabolic syndrome patients.

Researchers are trying to determine whether it is the existence of MetS that impairs the post-op processor if it is a combination of comorbidities that are responsible for this increased risk for complications in these patients. The researchers of both studies believe that medical testing is needed in order to draw a larger conclusion about this.
The Tufts’ study’s author, Dr. Schumann, believes that maybe these patients are just sicker and it makes sense that they run into more trouble after surgery. However, he also believes that it may be a combination of changes in the body that puts these patients at a higher risk for certain outcomes. Many suspects that inflammatory changes in the body may play an important role. This is where the next study should pick up from where these researchers left off.

Many of the researchers believe that the problem lies in the definition of the disease, however, many experts do believe it is the disease and not any comorbidities individually that cause this greater risk for patients. Once this is understood, patients with the Metabolic syndrome can be warned prior to having surgery for these complications.

Another Instance of Pulmonary Problems

In a 2013 PostGraduate Assembly, some researchers found that obstructive sleep apnea diagnoses and being overweight predicted a patient’s individual odds of being transferred to a step-down unit after surgery. They found that patients who used CPAP (continuous positive airway pressure) machines at home automatically continued on postoperatively. However, no word on the increased pressure in the esophagus down to the stomach was mentioned in regards to affecting the surgical site.

Whatever the instance, anything that affects the pulmonary system should be closely monitored and evaluated prior to weight loss surgery to prevent any dangerous life-threatening complications from occurring to patients.

Downtown Tijuana from the Towers

History of Tijuana, Mexico

The inception of urban development in Zaragoza, Tijuana, can be dated back to the 11 of July 1889 which is considered to the official date of the founding of Tijuana. On this day, Santiago Arguello and Agustin Olvera signed an agreement, laying the foundation for the influx of population.

Since its beginning in the 10th century, Tijuana was a little town with only 245 people that were involved in tourism. But, owing to its rapid economic growth, Tijuana slowly became one of the most well-known and well-developed cities of Mexico. One of the most significant events of the twenties was “the Dry law” that was passed I the US. It prohibited any sale and production of alcoholic beverages. Therefore, due to the sharing of borders, people looked at Mexico as an option and shortly after, Gambling and casinos were licensed in Mexico.

The population began to increase rapidly in the 40s with an increased interest in nightclubs among tourists. Immigration also began to increase drastically. But, this was short lived. By the year 1950, the concept of date nightclubs had faded and people started taking interest in family tourism thus promoting the tourism sector.

20 km north of Tijuana is one the most spectacular cities in the US, San Diego. Sea World, San Diego Zoo, Lego land theme park and San Diego world animal park are some of the most visited tourist spots. The Balboa Park is another major tourist attraction.

Tecate is a small town 30 minutes from Tijuana. It homes beautiful environments and grandiose surroundings. Also present there is the LA Puerto Spa Ranch, renowned for their calming and revitalizing treatments. There are quite a few archaeological sites, one of them being “el Vallecito” that is famous for its rock paintings, pottery, and other clay ware. But, it is most famous for its brewery.

Situated just 25 minutes from here, towards the Pacific coast is the very famous city, Rosarito. A lot of events and competitions are conducted here due to its lovely beaches and magnificent hotels. The film studio where the celebrated movie, “Titanic” was shot is also located here.

The “Cinderella of the Pacific”, Ensenada, is situated 70 miles south of the US border. With all its Mediterranean climate, Ensenada is a very popular among local and foreign alike for its welcoming environment and easy accessibility.

Back: Weight Loss Surgery in Tijuana, MX

diabetes diet

Quick Facts About the Costs of Diabetes

Diabetes Mellitus, also known as diabetes, is a chronic disease associated with high levels of blood sugar glucose. There are two mechanisms involved: inadequate production of insulin in the pancreas, or inadequate sensitivity of cells to its action. Diabetes is a growing epidemic in the U.S. affecting over 30 million children and adults. That is 1 in 11 Americans affected by this disease. 84 million Americans have prediabetes and are at risk of developing type 2 diabetes – 90% of them don’t know they have it. Approximately every 21 seconds, someone in the U.S. is diagnosed with diabetes.

The new cases of diagnosed diabetes have begun to decline. However, if there are no major changes, as many as 1 in 3 U.S. adults could have diabetes by 2050.

The Staggering Costs of Diabetes

Human Costs of Diabetes

  • African Americans and Hispanics are over 50% more likely to have diabetes than non-Hispanic whites
  • People with diabetes are at higher risk of serious health complications:
    1. – STROKE
    1. – BLINDNESS
    1. – KIDNEY DISEASE
    1. – HEART DISEASE
    1. – LOSS OF TOES, FEET, OR LEGS

Economic Costs of Diabetes

  • The total cost of diabetes and prediabetes in the U.S. is $322 billion
  • The average price of insulin nearly tripled between 2002 and 2013
  • People with diabetes have health care costs 2.3 times greater than those without diabetes.

Resource: www.diabetes.org

weight loss brain

How Gastric Bypass Changes the Brain’s Response to Food

Gastric bypass is one of the most common types of bariatric surgeries, also known as weight loss surgery. It is well known that this procedure creates a much smaller pocket where food is stored, to reduce how much the patient eats and results in weight loss. But thanks to a new study conducted by the Medical Research Council, it might go a little further than that. The study looks at how gastric bypass changes the brain, specifically its response to food. This response lowers hunger and the act of eating for pleasure. It is great news for gastric bypass patients who became obese due to an emotional connection with food.

The Study

This study was conducted with 61 patients, both men, and women. About 21 people in the study had lost weight from the gastric bypass procedure, 21 lost weight from the gastric band procedure, also known as a lap-band, and the remaining 20 patients were in a control group who did not have a weight loss procedure. All three groups consisted of patients within the same body mass index (BMI). Functional magnetic resonance imaging (fMRI) was used to look at brain activity. This is a scanning technique that measures brain activity and looks for any changes in the individual’s blood oxygen levels.

The Results

The results of this study showed that there were definite changes in the brain’s response to food in gastric bypass patients versus gastric band patients. Patients who had gastric bypass performed had less activity in their brain when they were showing images of food for this test. This group also had less appealing outcomes for the foods high in calories and based on a scale for this study, found high-calorie foods less pleasant if they were to eat them post-surgery. Additionally, gastric bypass patients tended to have healthier eating habits as a whole, opting for healthier options and skipping most high-fat or high-caloric foods. While gastric banding patients also eat healthier and less in quantity, they did show slightly elevated brain response to food, in comparison. As expected, the control group that didn’t have weight loss surgery had the highest amount of response and show traits like impulsiveness, mood alterations, and binge eating.

The reason behind these results was less clear, though the hormone changes in gastric bypass patients might have something to do with it. This group tended to have more nausea and discomfort after eating foods high in sugar or fat, which may signal a hormonal change that also affects the brain’s response.

weight loss surgery affects food

Weight Loss Surgery Post-Op Eating

One of the most effective treatments for obesity is weight loss surgery, although there is a certain stigma attached to those who undergo its procedures. A lot of the time, many people find that it can impact greatly on their lives and really make a difference in the way they see themselves. As well as being an effective treatment of the problem of weight gain itself, it can also help to decrease the various other health issues that can come about because of it. Heart attacks, diabetes, and other issues can all be reduced. It was also discovered that one particular surgery –the gastric bypass- was one of the most effective ones.

The Gastric Bypass and the Gastric Band

With gastric bypasses, the digestive system literally bypasses the stomach. This means that undigested foods go straight into the intestines. With the gastric band, however, the stomach is physically restricted. This means that a person who eats a certain amount is going to feel physically full, even if they have not eaten what would normally be considered “enough.”

Studies on those who have undergone these weight loss procedures show that once the procedure was done, individuals tended to shy away from foods that were high in fat and sugar content.

Effects on the Brain

There is research to suggest that weight loss surgery actually has a considerable effect on the way that the human brain works. Many now believe that the brain patterns and function actually change in order to accommodate a new way of living and eating. MRI scanning techniques were used to examine the brain activities of patients. A control group of individuals who were not operated on was used as was a group of individuals who had undergone the surgery. Everyone was around the same weight level.

They found significant differences in the way that each person’s brain responded to food. Gastric bypass patients were found to have a lot less activity when it came to the reward regions of the brain. Food simply did not give them the level of pleasure that it normally would have in the past. To patients who had undergone the procedure, high-calorie foods just did not have the same appeal as they used to.

At present, there is no conclusive evidence as to what might cause these changes. However, differences in metabolism are thought to play a major role in these changes.

weight loss for diabetes patients

Is Weight Loss Surgery the Solution to Diabetes?

According to two different recent studies, bariatric surgery has worked more successfully than the standard treatment of Type 2 Diabetes in overweight and obese people who had uncontrolled blood sugar. So is weight loss surgery the solution to diabetes?

Those who endured weight loss surgery, where the stomach was stapled and rerouted through the small intestine, were more likely to have complete remission of the disease or need more medicine. This was more prominent than those who were given the typical diet, exercise, and prescription medication treatment option. The surgery also showed improvements in high blood pressure and cholesterol placing patients in a more normal and safe range.

These two studies which were published in March 2013 in the New England Journal of Medicine were the first one to work to compare intensive medical treatment with certain weight loss treatments as a way to control diabetes. Doctors have shown improvements in the disease in regards to weight loss surgery procedures. They believe in some cases that it can help to get rid of Type 2 Diabetes while other more randomized controlled studies scrutinize these findings of having better blood sugar control versus medications.

Experts believe that the rising epidemic of obesity and Type 2 Diabetes is widely recognized as the most challenging public health issue. Type 2 Diabetes itself is becoming a fast epidemic and more cases are being reported each and every year. It causes high blood sugar which is closely related to obesity and often can become very difficult to manage. It has shown life-threatening complications such as kidney failure, poor wound healing, stroke, blindness, gangrene, and amputation.

According to the Centers for Disease Control and Prevention, the number of diabetes cases in the United States has tripled in the past 30 years to over 20 million. Most of these cases are Type 2, which are closely related to being overweight and obesity.

The issue comes with the case of whether this surgery with all of its risks and complications should be the widely used treatment options for those with Type 2 Diabetes. Many surgeons are pushing for this as a treatment option used regularly while others believe that more research is needed to be sure.

Many researchers have said that the operations used within this study will help control diabetes not just to help them to lose weight, but because the changes in their anatomy change their hormone levels that are responsible for the metabolism of fats and sugars in the body.

One study was conducted at the Catholic University in Rome. It looked at two different types of the surgery with usual medical treatment. After two years, the groups studied showed remission rates of 75% and 95% while there were no remissions in those that received just medical treatment.

The other study from the Cleveland Clinic looked at two different types of surgery with intensive medical routine. One year after surgery the remission rates were much lower than the Italian study at just 47% and 37%. However, the intensive medical treatment option showed 12% remission, unlike the other study.

More large-scale studies need to be administered to determine whether the surgery does, in fact, help diabetes patients who were not obese or just the patients that are heavy.