Ddiabetes is a lifelong disease that develops when the gland called pancreas in your body does not produce enough insulin hormone or the insulin hormone it produces cannot be used effectively. As a result, the person cannot use the sugar that passes into the blood from the food he eats, and his blood sugar rises.
The blood sugar level of an individual without diabetes is 120 mg/dl in the fasting state and 140 mg/dl in the satiety state (two hours after starting to eat). it doesn't go above it. If the blood sugar level measured during fasting or satiety is above these values, it indicates the presence of diabetes
TYPES OF DIABETES;
Diabetes is divided into two types: type 1 and type 2. Type 1 diabetes is a pancreatic beta cell disorder that secretes insulin and can be seen at an earlier age.
Insulin use and secretion disorder is present in type 2 diabetes. This condition is more common in those with a family history, in obese people, in mothers who have given birth to babies weighing more than 4 kg, and in individuals with stressful lives.
DIABETES TREATMENT;
-lifestyle changes (diet low in carbohydrates)
-exercise
-oral antidiabetic drugs
-insulin injection
-IT CAN BE DONE WITH METABOLIC SURGERY OPERATIONS. (IN TYPE 2 DIABETES)
WHAT ARE THE CRITERIA FOR SURGICAL TREATMENT;
-Being between the ages of 16-67
-having a body mass index over 30
-not having a condition that prevents receiving anesthesia
-not having a chronic digestive system disorder
-to be done The values in the specific tests are suitable for the operation (HgBA1 c, insulin, c peptide)
HOW IS TRANSIT BIPARTATION DONE:
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It is a long-term effective treatment that provides sugar and weight control and does not disrupt absorption as in other bypass surgeries. With this method, one more pathway is opened to the stomach, so the body is affected by the beneficial hormones in the last part of the intestine, which is necessary for the treatment of diabetes, and since the normal passageway is open, there is no problem in the absorption of vitamins and minerals. Runes are not encountered.
The surgery is performed by laparoscopic (closed) method. The abdomen is entered with a closed method, a part of the stomach is cut out and then the routes of food are changed using the intestines. The operation takes approximately 3-6 hours
A 4-5 day hospitalization period is required after the surgery. You can return to work within 10 days after discharge.
BUT INSULIN CAN BE DISCONTINUED THE NEXT DAY However, the ideal sugar level is achieved without medication within 1-2 months. For patients who have had diabetes for many years or whose blood sugar control has been impaired for a long time, the regulation period may take up to 6 months.
Control is very important in this operation and should not be neglected.
Patients are followed up after the 1st week after discharge, then every 2 months for the first 6 months, then every 3 months until 1 year, and every 6 months after 1 year.
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