Type 2 Diabetes Patients and Metabolic Surgery

Metabolic syndrome; It is a health problem that progresses with weight problems, diabetes, high blood pressure and cholesterol metabolism disorders and threatens the whole world in recent years.

Diabetes, popularly referred to as diabetes, has been increasing all over the world in recent years. Type 2 diabetes is a multifactorial, heterogeneous and dynamic spectrum of diseases. It is a process in which not only hormonal, but also neural, psychogenic and environmental factors are effective.

What is type 2 diabetes?

Type 2 diabetes is the most common form of diabetes. and accounts for approximately 95 percent of all cases. Obesity is the primary cause of type 2 diabetes, and the alarming rise in diabetes risk worldwide is within the rates of increase directly related to obesity worldwide. Type 2 diabetes; It leads to many health problems, including cardiovascular disease, stroke, blindness, kidney failure, neuropathy, amputations, impotence, depression, cognitive decline, and increased risk of mortality from certain types of cancer. Early death from type 2 diabetes can increase by 80 percent and life expectancy can decrease.

Metabolic Surgery is an option for patients whose blood sugar does not decrease and increases despite insulin treatment.

Sometimes patients do not want or cannot do lifelong diet and exercise. Drug treatments are not aimed at changing the general course of the disease, but are "saving the day" treatments. If we want to effectively combat type 2 diabetes and associated organ and workforce loss in appropriate patients, we need to apply more radical, yet rational treatments. Metabolic Surgery is an option for patients whose blood sugar does not decrease and gradually increases despite insulin treatment.

Type 2 Diabetes patients produce insulin but cannot use it due to their special conditions in their metabolism. The basis of the problem lies in the fact that nutrients cannot meet the right hormone at the right place and time due to the processed foods consumed. Metabolic surgery, in a very general way, ensures that dysfunctional hormones work again.

When it comes to diabetes surgery, gastric banding (clamp), gastric sleeve and gastric bypass are the things that usually come to mind. However, the most important difference between Metabolic Surgery and obesity surgeries is its subtlety. It is a mechanism built on the principles of benefiting from hormonal changes through a transposition/interposition process, and not by bypassing the cysts. Another difference is that Metabolic Surgery applications can change this hormonal pattern, independent of weight loss, and thus have positive effects on blood sugar control in type 2 diabetic patients who do not have serious weight problems. For this purpose, there are two basic metabolic surgery applications applied in clinical practice. The first of these is Ileal Interposition (IT) and the second is Transit Bipartition (TB) surgery.

95% of the patients who undergo surgery with the method known as 'ileal interposition' in the medical literature and which is also applied abroad, are within one month of the surgery. It does not need any supplements after a year. Even in the postoperative period, it is necessary to take your diabetes routine checks seriously. For a long and healthy life, it is important to eat healthy and exercise regularly.

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