What is Type 2 Diabetes?
Type 2 diabetes causes high blood sugar levels due to the inability to use the insulin produced in the body efficiently. It is a chronic (long-term) disease. Hormones, neural factors and environmental effects are important in the course of the disease.
What is the difference between Type 2 Diabetes and Type 1 diabetes?
Type In diabetic patients, insulin is not produced in the body. In type 2 diabetes, the insulin in the body cannot be used sufficiently. Surgeries described as diabetes surgery, also known as metabolic surgery, can help Type 2 diabetic patients use the insulin that the body cannot use. Today, there is no surgical method with proven reliability and effectiveness for Type 1 diabetes.
The most effective method in the treatment of Type 2 Diabetes is Diabetes Surgery!!!
Despite the use of high doses of insulin with classical treatment methods of type 2 diabetes, the desired disease control may not be achieved. In scientific research, non-compliance with classical treatment methods is at very high levels. On the other hand, it does not seem possible to comply with diet and exercise recommendations throughout life, which are indispensable for drug treatment to have sufficient effect.
What happens if type 2 diabetes cannot be controlled?
The most important point in the treatment of type 2 diabetes is to prevent the development of organ damage. Adequate sugar regulation often cannot be achieved with classical treatment methods, and the risk of organ loss increases over the years spent with diabetes. Diabetes affects the organs by damaging the vascular wall. Although the damaged vessels differ in each patient, problems generally begin to occur in the heart, nervous system, kidneys, eyes and peripheral nerves.
How does type 2 diabetes progress?
Vascular damage begins before people are diagnosed with type 2 diabetes. Considering that the disease has a history of several years at the time of diagnosis, it would not be wrong to say that most type 2 diabetes patients already have vascular damage. However, since the disease progresses slowly, obvious tissue damage may occur. It takes years for them to emerge. During this period, patients are generally tried to be treated with classical treatment methods, but since the majority of them cannot comply with the treatment and cannot adequately apply diet and exercise support, effective sugar regulation cannot be achieved. Patients get used to high sugar levels over time and do not experience instant problems, so uncontrolled diabetes is not taken seriously enough and organ damage gradually develops. Some patients cannot use the treatments given regularly from the first day and may face organ loss at a very early stage due to uncontrolled diabetes. At the same time, the chance of surgery may decrease as the insulin reserve in the body decreases during this period.
At what stage of the disease are type 2 diabetes surgeries performed?
In order for us to decide on surgery, diabetes must either not be controlled with classical treatment methods or there must be signs of organ damage due to diabetes. In order to decide whether type 2 diabetic patients are suitable for surgery and how much they will benefit from surgery, it is necessary to check whether they have sufficient insulin reserves and activity, and to carry out a comprehensive medical evaluation, as diabetes has the potential to damage other organs.
Performing diabetes surgery before organ damage develops makes it easier to protect organs!!!
What do diabetes surgery operations bring to patients?
It is reported that diabetes surgery can control diabetes in approximately 90% of patients within a 10-year period without the need for medication and insulin.
Diabetes surgery is also effective on hypertension, high cholesterol and sleep apnea!!!
Diabetes surgery (metabolic surgery) surgeries also enable patients to approach their ideal weight values, hypertension, high cholesterol and sleep apnea. It also has a high effect on diseases that reduce the comfort of life, such as apnea.
Can sexual function be improved with diabetes surgery?
Metabolic syndrome can be treated with diabetes surgery (metabolic surgery). There is scientific evidence that sexual function in men can be improved in this way.
How is diabetes surgery performed and what is the purpose?
Stomach and intestines. These surgeries, which are concerning and performed with a closed (laparoscopic) method, are performed through 4 or 5 small holes of 1 cm in length made in the abdominal area. In all methods applied, the back part of the small intestine is pulled up, allowing it to meet with food earlier. In this way, hormones that are released from the back of the small intestine and enable more efficient use of insulin in the body are activated.
Can the same success be achieved in every patient?
Patients with high insulin reserve and activity benefit more from surgery. Surgery may not be recommended in patients whose insulin reserve is below certain values, as it is thought that the effect of surgery will be low. The success of the surgery is achieved through the hormonal control of the disease, that is, as diabetic patients often observe, there may be fluctuations in sugar levels when they get angry or sad.
Can we get rid of diabetes for life with diabetes surgery? ?
In terms of 3-month sugar levels, it is known that surgeries provide control in approximately 90% of patients over a 10-year period without the need for medication or insulin, and our main goal is to delay organ damage as much as possible. On the other hand, the effectiveness of surgeries decreases over time with metabolic changes due to aging. Surgeries enable more reasonable use of the remaining insulin reserve, but it should be known that the effect cannot be achieved when the insulin reserve runs out.
The main purpose of diabetes surgery is to delay organ damage as much as possible!!!
Is it necessary to diet after surgery?
No, patients can eat without restrictions, this is one of the purposes of the surgery. Although there is no specific diet, it is beneficial to follow the basic rules that we should all follow.
- Consuming healthy foods in reasonable amounts is important to protect our health.
- It is observed that patients' desire to eat decreases after these surgeries.
Diet is recommended after surgery. There will be no need!!!
What awaits me after the surgery?
Surgeries performed with the closed method provide patient comfort. stands out. In addition to the advantages of closed surgeries, the comfort of our patients is taken to the next level and the time to return to life is much shorter with the "accelerated recovery protocols" implemented only by our clinic in our country for these surgeries. Again, with these protocols that we apply only, nasal catheters, drains and urinary catheters are not inserted during the surgery, our patients are stood up 3 hours after the surgery and they can start drinking water 4 hours after the surgery. Within the same protocol, our patients coming from nearby provinces are discharged the day after the surgery, and our patients coming from distant provinces and abroad are discharged on the 3rd day. No puree or formula period is applied, and a normal diet is resumed after the 1st week. It may take a few months to get used to normal nutrition. During this period, the body gets rid of diabetes and our patients feel much more vigorous and renewed compared to the previous period.
During the adaptation period after the surgery, changes in blood sugar levels are observed, until the full effect is achieved. We follow our patients closely.
Are the surgeries dangerous?
The known problem development rates for these surgeries are lower than 10%. . While problems such as bleeding, leakage, infection and anesthesia may develop in the early period after the surgery, small bowel hernias, diarrhea and gallstone development may rarely be observed in the long term. In our own surgery series, the problem rates we encounter in upper digestive system surgeries are well below these values.
Can weight and sugar control be achieved through surgery in Type 2 Diabetes patients with weight problems?
Surgical technique to be applied to patients One of the main points when choosing your health is the degree of obesity. We perform surgeries that provide strong weight and sugar control in obese individuals, and while saving our patients from diabetes, we can also bring them closer to the weight they have always wanted to be.
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