Thursday, January 24, 2008
The Journal of the AMA has recently published the results of a study titled "Adjustable Gastric Banding and Conventional Therapy for Type 2 Diabetes: A Randomized Controlled Trial" (JAMA, 2008;299(3):316-323).
In this study, 60 obese people with recent-onset T2DM were randomized to receive e...
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As a dietitian and diabetes educator, I had the great pleasure of working with a diabetologist early on in my career. I can say that if all diabetes patients had access to this level of expertise, they would probably be much more sucessful (that is if they are already self-motivated).
That being said, I think that banding has been a treatment measure taken by many diabetes patients and large success is being seen.
I do on the other hand think that there are other ways that we can treat this disease that don't include these types of procedures.
Even if a patient does have this done, they are still expected to follow strict dietary restrictions and exercise recommendations. If they are not motivated enough to do this prior to surgery, how do we know they will follow these "rules" after surgery.
Following a diet and sticking to an exercise schedule is VERY hard work---I know, I have to exercise at 5am everyday just to make sure I get it done. BUT, this needs to be the first line of defense against diabetes.
Joanne Rinker MS, RD, CDE, LDN (diabetes coach)
jrinker@fit4d.com
www.fit4d.com
I walk ever day and try to eat good. I am thinking of having this done because I can't tolerate the medication. Metformin and Statin drugs. If Metformin is required I will have to find another way. These drugs are like posion for me.