Diabetes Relapse After Gastric Bypass Surgery
Diabetes is a health issue of staggering proportion in the United States.
I recently spent a few months out of state and, while I was away, I stayed in a residence that is located across from a dialysis clinic. Day after day, ambulances and emergency vehicles would fill the lot, and day after day patients would be drawn from the vehicles, flat on stretchers or seated quietly in wheelchairs. I could see the empty places where legs and feet once were.
I am aware that diabetes is the number one cause of kidney failure in the United States, and I am equally aware that obesity and diabetes are foul partners. Day after day I watched the patients rolled through the entry way, and day after day I could feel their regret even from a distance.
Obesity and Type 2 Diabetes
Over two-thirds of American adults are overweight or obese. These conditions increase the risk for health issues such as heart disease, stroke, cancer, and diabetes.
About 21 million people in the United States have diabetes and another 54 million are pre-diabetic. Pre-diabetes is the stage where blood glucose levels are not yet high enough to indicate Type 2 diabetes. Type 2 diabetes is associated with insulin resistance due to the tendency of overweight people to have more fat cells than muscle cells, and fat cells are more resistant to insulin than are muscle cells.
Diabetes and Gastric Bypass Surgery
A recent study maintains that while gastric bypass surgery is a useful instrument for combating diabetes, it is not a cure.
For many people who have had gastric bypass surgery and were also diabetic, it was discovered that the disease disappeared after the surgery. Sometimes the disease vanished after only a modest number of pounds had been lost.
What has been disclosed is that the diabetes never went into remission or relapsed within five years for most people in the study. Researchers tracked 4,434 adults across a 14 year period who had Type 2 diabetes that was either uncontrolled or controlled with medication and who were also obese enough to qualify for gastric bypass surgery.
Of the two-thirds of the patients whose diabetes went away, over one-third had a relapse of the disease within five years. When this number is coupled with the one quarter of patients whose diabetes did not remit after the gastric bypass surgery, 56 percent of the patients inn the study had no long-lasting remission. When the diabetes did go away though, it remained away for a median of eight years.
The study results suggest that diabetes stayed away for a longer period of time among those patients whose diabetes was less severe and at an early stage at the time of surgery.
Still, the fact remains that obese diabetics can still benefit from gastric bypass surgery although this latest study does offer a more realistic profile.
Living life well-fed,
About.com - http://diabetes.about.com/od/symptomsdiagnosis/a/obesity.htm
PSL - http://www.pslgroup.com/news/content.nsf/medicalnews/852571020057CCF685257AC30065E637?OpenDocument&id=&count=10
Science Daily - http://www.sciencedaily.com/releases/2012/11/121126142957.htm
Published On: December 16, 2012