Blog
22nd Feb, 2019
Macrovascular disease, including coronary artery disease and cerebrovascular disease, is a leading cause of morbidity and mortality among people with type 2 diabetes. And, as the Kaiser Permanente Health Research Institute researchers state in the introduction to this study, medical management, including lifestyle change, may not actually be successful at reducing the risk. In the 2018 Fisher matched cohort study published in the Journal the… Read more »
8th Jan, 2019
Major long-term studies demonstrate diabetes remission after metabolic surgery with the sleeve gastrectomy, a 45-minute laparoscopic procedure. But patients rightly wish to know if that remission translates to meaningful gains in health and quantifiable reductions in end-organ diabetic disease, including renal, ophthalmological, and peripheral neuropathy complications. In the O’Brien matched cohort study published in the Annals of Internal Medicine, investigators studied more than 4,000 diabetic… Read more »
5th Dec, 2018
With obesity and Type 2 diabetes continuing to grow as major health problems and causes of early morbidity and mortality, improved studies have examined longer follow-up time periods for diabetes remission after metabolic surgery. Sleeve gastrectomy is a 45-minute laparoscopy procedure. Ten-year studies help paint a picture of the durability of the remission rates for diabetes among individuals who undergo sleeve gastrectomy. Similar to other… Read more »
21st Nov, 2018
Intensive medical management of Type 2 diabetes at the Cleveland Clinic consists of intensive tight control medical management with oral and injectable medication including GLP-1 agonists, together with dietary counseling and modification, an exercise program and support groups. This strategy was compared to metabolic surgery in a randomized, prospective controlled trial called the Stampede Trial published in the New England Journal of Medicine. 150 patients with… Read more »
8th Nov, 2018
recommendations for the treatment of type 2 diabetes. According to both the National Institutes of Health and the American Diabetes Association, bariatric surgery is recommended for all individuals with a BMI of 35 or more who have type 2 diabetes -without exceptions. Based on research that shows remission of diabetes even among lower-BMI individuals after metabolic surgery, the ADA also recommends bariatric surgery for individuals… Read more »
18th Oct, 2018
There are a few reasons you might not feel any restriction after weight-loss surgery. For one, restriction is actually believed to be very important for losing weight and getting healthier. I know, that sounds crazy, but if you’re worried about not feeling restriction after weight-loss surgery, here's what to understand. Dated Views of Success In the old days, the pioneers of weight-loss surgery, or what… Read more »
2nd Oct, 2018
real tools needed to succeed. Have you been made to feel that obesity is a character flaw and that losing the weight is just a matter of complying with the right weight-loss program? In reality there is essentially zero medical evidence to support those assertions. The truth is that there is no proven or published non-surgical weight-loss program that delivers results, and the fact that… Read more »
29th Aug, 2018
Every individual is different, and each person’s biology and metabolism are different. Furthermore, each person‘s commitment to eating a lower carbohydrate diet, and a daily regimen of increased exercise is… you guessed it, different. So, it stands to reason that not every person is going to lose as much weight as the maximum possible and keep it off forever. Also, we must keep… Read more »
21st Aug, 2018
Among the patients who had type two diabetes before surgery, the vast majority experienced complete remission at year 1, and then as the years passed, diabetes gradually returned in a minority of the patients. But even 10 years after surgery, there was still a persistent 55% reduction in the number of people who were considered to have diabetes, compared to before surgery. Laparoscopic sleeve gastrectomy… Read more »
18th Oct, 2017
sleeve gastrectomy because of its excellent success rate and low complication rate. In fact, many studies show an equivalent weight loss success and equivalent diabetes remission success rate as gastric bypass surgery but with fewer complications of blockages, reoperations, and vitamin deficiencies. In my own hands, after a decade of experience with other bariatric surgeries, and other complex gastrointestinal surgical procedures, I have completed approximately… Read more »