Internal Medicine News, the leading monthly newspaper for internists recently featured some new obesity news. Here's the rundown:
Diabetes Patients Need Realistic Goals
Recently updated exercise guidelines for patients with diabetes are taking a kinder approach because experts felt previous versions were just to daunting for the average patient. Roadblocks to exercising for the average patient with diabetes include lofty goals they feel they can never reach, in terms of time spent and effort expected. Another impediment is the fact that patients with diabetes think exercise is so hard, especially if they have never been involved in something as simple as a walking program. So experts in the field have decided that some exercise is better than no exercise, and even small but regular efforts yield moderate health gains which can also help with weight maintenance. Doctors would like to see patients walk most days of the week or "have fun" by doing fitness activities that involve a buddy or family.
New Device Mimics Bariatric Surgery's Anti-diabetic Effects
Research has shown that bariatric surgery can reverse type 2 diabetes, and in some cases even without significant weight loss as an outcome. But this type of surgery is invasive surgery and means a lifelong commitment to supplement usage, along with other possible negative outcomes. Surgeons in Lisbon have now had success with DJBL or duodenal-jejunal bypass liner, a sleeve that is inserted or removed endoscopically under mild sedation, and blocks the duodenum and proximal jejunum, similar to what the traditional Roux-en-Y gastric bypass surgery does permanently. So there is significantly less absorption of food by the intestinal wall, and levels of the hormone incretin are stimulated and elevated. According to surgeons, the device called the Endo-Barrier, can be inserted in 20 minutes and removed in 10 minutes. Patients go home the same day and are instructed to eat a low calorie diet (1200 - 1500 calories/day). In the test study, the device was left in place for 24 weeks. Side effects included epigastric pain, nausea though none of the test subjects wanted the device removed. Satiation was improved during the test, and a mean weight loss of 13 kgs was experienced. The device can remain in place for up to 2 years.
Published On: November 21, 2011