Bariatric surgery

[needforspeed]

Needforspeed,

Question....how does the surgery help with Type II Diabetes. Im guessing that it is the weight loss and that along with the weight loss there is a decrease in "insulin resistance" ?

Also the decrease in food intake post surgery will be a factor as well.

But is there more to this ?

What I know is this: gastric bypass and lap band will, in most instances, eliminate Type II diabetes. As for why, I'm not sure I can answer that question. However, I would encourage you to visit this site: www.obesityhelp.com . These fine folks should be able to tell you why wls knocks out diabetes and sleep apnea and high blood pressure. Hope this helps. >-Greg

 

[Hoov]

It seems that it is the weight loss itself that is the primary reason for the impovements regarding diabetes and specifically it mentioned decrease in inssulin resistance.

There was a comment about increased insulin secretion following surgery that is independent of weight loss, but i think the weight loss is what actually allows for the insulin to be effective again.

Most of the time in Type II diabetes the body is making adequate insulin but the cells respond less and less, they get desensitized to the signal (kind of like a person losing their hearing, you have to keep turning the music up). But in many cases weight loss allows the bodies cells to become sensitive to the insulin again.

From the explanation on that website, It seems that is what happens with this particular surgery.

 

[needforspeed]

It seems that it is the weight loss itself that is the primary reason for the impovements regarding diabetes and specifically it mentioned decrease in inssulin resistance.

There was a comment about increased insulin secretion following surgery that is independent of weight loss, but i think the weight loss is what actually allows for the insulin to be effective again.

Most of the time in Type II diabetes the body is making adequate insulin but the cells respond less and less, they get desensitized to the signal (kind of like a person losing their hearing, you have to keep turning the music up). But in many cases weight loss allows the bodies cells to become sensitive to the insulin again.

From the explanation on that website, It seems that is what happens with this particular surgery.

I posed your question to my surgeon today. He said the reason for the dramatic improvement in Type II patients who have gastric bypass is: 1. the bypass itself causes a radical hormonal shift because the duodenum is isolated along with the remainder of the stomach. In other words, the duodenum no longer has any effect on the processing of insulin (pretty sure that's what he said) 2. The weight loss as a result of the bypass also impacts diabetes, but in a smaller way.

Of course, I could just be talking out my wazoo. Seriously, he said it's because of the physiological changes. Does that help? >-Greg