Hello!!!
When talking about diabetes mellitus, it is understood that this is a disease with a range of variables very wide and in itself its handling and control can be different according to the context of the same disease.While there is the youth diabetes which is the one in which insulin is ceased to be produced for immunological reasons, there is also, the adult diabetes that can be dependent or not to insulin .Within this group of people, you can find those patients who are diabetics with obesity or being diabetic and not having obesity .So if medical, dietetic and exercise management, it is not enough to control the toxicity caused by high blood glucose levels. Metabolic surgery can be an adequate option for this.
When speaking now of metabolic surgeries, we will understand that the indication will first depend on whether there are diabetes and obesity, or there is absence of this second disease in the person. If the case is diabetes + obesity, because when we lose weight it will improve or evenThe problem is fully resolved.Here the surgeries are losing weight such as the by gastric pass and gastric sleeve that will make the patient lose weight and on the other hand that decreases the carbohydrate entry load into the blood.The gastric manga will have the advantage that by decreasing the Grelina, the appetite is important, which is a characteristic distinctive of diabetes and its control will be more noble, without presenting the malnutrition problems that would be seen withThe Gastric By Pass.
In relation to the gastric By Pass, it can be mentioned that their great advantage is that the person drops to weight and on the other hand that carbohydrates are not absorbed significantly, so that the load of blood sugars is little and they are controlledVery well its levels.It is clear that the by gastric pass has the need for great nutritional control with contribution of vitamins and minerals, in addition to protein so that nutrition is not affected, but here the phenomenon of the balance predominates inwhich the patient must choose between obesity + diabetes and lose weight leaving antidiabetic medications or insulin.The gastric manga is probably the best option since it is lowered and extra nutritional supplementations are not required after 6 months in patients.
Finally there are patients who have diabetes without obesity, but who require high doses of antidiabetic medications or insulin and who despite everything battle for their disease control, presenting high glucose levels, high glycosylated hemoglobinPersistent and that the insulin produced by your body is maintained is not enough and oscillates between 7 and 15 units in blood per day, so it requires administering insulin daily injected to control glucose.In these people is where the antidiabetes or metabolic antidiabetes surgery is useful since makes glucose control very well and that the person does not lose weight importantly (10 kilos or less),since there is no obesity, but it is required that dietary carbohydrates are not absorbed.
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