Bariatric Surgery Could Become Treatment For Diabetes
25 Aug 2007Physicians “who have turned surgery into a popular treatment for obesity are setting their sights on a burgeoning new market: diabetes patients,” the Wall Street Journal reports. According to the Journal, diabetes can “quickly recede” when bariatric surgery “alters the intestinal tract and diverts food away” from hormones in the small intestine that help regulate blood sugar levels. Studies have found that more than 75% of type 2 diabetes patients who undergo bariatric surgery no longer experience symptoms and no longer require insulin or other medications.
“The idea that you could induce long-term remission in diabetic patients without medication is unprecedented,” Francesco Rubino, a surgeon at Catholic University in Rome, said. Bariatric surgery, which costs about $25,000, serves as a “big profit center” for many hospitals, and, in the event that diabetes patients begin to undergo the procedure, “it would bring a gusher of new business,” according to the Journal.
However, supporters and critics of bariatric surgery “say it’s too early to recommend it for the broad mass of diabetics” because the procedure can lead to a number of serious complications and because a number of other effective, noninvasive treatments exist, the Journal reports. Richard Hellman, president of the American Association of Clinical Endocrinologists, said, “As a primary treatment for diabetes, it simply doesn’t measure up very well” (Winslow, Wall Street Journal, 8/22).
“Reprinted with permission from http://www.kaisernetwork.org. You can view the entire Kaiser Daily Health Policy Report, search the archives, or sign up for email delivery at http://www.kaisernetwork.org/dailyreports/healthpolicy. The Kaiser Daily Health Policy Report is published for kaisernetwork.org, a free service of The Henry J. Kaiser Family Foundation . © 2005 Advisory Board Company and Kaiser Family Foundation. All rights reserved.
Article URL: http://www.medicalnewstoday.com/articles/80419.php
Posted by: Zazzy | August 26, 2007
Bariatric Surgery and Diabetes
Posted in Diabetes News

I have mixed feelings about bariatric surgery in general. My impression is that it’s being used as a kind of cure-all and we all know that one thing doesn’t fix everything. Plus – when medicine starts talking about “expanding markets” it scares me. Is it the right medical treatment or do you just want the rather large payment?
By: Zazzy on August 26, 2007
at 11:12 am
As I have expressed elsewhere, I definitely don’t want the bypass surgery. I don’t think rerouting my intestines will have any kind of beneficial affect for me. I already deal with dumping at times and with reduced absorption. This type of surgery is definitely not for me. The biggest obstacle I can see to the lap band is the possibility of acid reflux and esophageal problems. I had Barrett’s esophagus (a precancerous condition resulting from acid in the esophagus)and healed it with Nexium. I don’t want to bring it back! If my gastro approves the lap-banding I might go for that. I’ve decided to give conventional weight-loss methods one more try during the next 3 months before I see the endo again. If that doesn’t work I may have to do the surgery. I’m still learning. And there is the small matter of insurance to be considered. As far as treating diabetes with this type of surgery, that is only one of the concerns for my doctor and me. I also have sleep apnea, blood lipids ‘way out of control, and some arthritis. I am maxed-out on the medication I can take for my cholestrol and triglycerides and still far from healthy numbers. And, while my diet isn’t perfect, neither do I eat a lot of fat. More exercise might be beneficial but that another can of worms.
My blood sugars are still averaging below 120.
By: adamswife on August 26, 2007
at 5:40 pm
I have mixed feelings still, Eve. I think sometimes that it’s my only choice left. I’ve tried and failed too many times. But it is dangerous and has potentially dangerous side effects.
My sugars suck right now. Maybe the new endo will have ideas.
By: Zazzy on August 27, 2007
at 11:05 pm
I’m sorry to hear you are still having problems with your blood sugars. I’ve never had a problem with high sugars. The meds I take keep things in proper balance. However, some in my family fight this battle daily, so I know how frustrating it can be. You think you’re eating right, you take your meds, and still your sugars go up and down for no apparent reason. I like to feel that I have some control in my life. Fluctuating sugar levels leave you feeling completely helpless and I really hate that feeling. That’s kind of how I feel about my cholestrol and triglyceride levels. Nothing I do seems to make much difference. I am trying to get a LOT more exercise, see if that will help. I just hope I keep feeling as well as I do today. Too often when I try to increase my level of activity something goes wrong and I can’t keep it up. If I end up having the surgery it will be the blood fats and the sleep apnea that tip the scale. I really hate that CPAP machine! lol
By: adamswife on August 28, 2007
at 8:04 am