DIABET OPERATIONS (METABOLIC SURGERIES) AND THINGS TO KNOW

Today we aim to enlighten you about the ‘diabetes operations’ that we often hear about on television, in magazines, in newspapers, on social media. We will answer the frequently asked questions like ‘to whom it can be applied ?, which type is applied to diabetes, what is the purpose?’.

First of all, who do these surgeries apply to?

These operations can be applied to the people with type 2 diabetes, which has more or less insülinoscillation from pancreas , Body Mass Index (BMI) equal to or greater than 30 m2 / kg, and those in the classification of uncontrolled diabetes. When it comes to metabolic surgery, one should not think of a single type of surgery. These operations are called bypass type operations and vary according to the person’s insulin release, nutritional status and habits.

What is the purpose of the operation?

Stopping organ damage caused by Diabet Type 2, reducing or completely cutting off the dosage of insulin used. Briefly, to ensure that one can continue his/her life in a healthier and more comfortable way.

What is the effect of the surgeries and the main rationale?

It is scientifically proven that the effect of these operations on diabetes is 75-92%. There are two types of effects on diabetes;

Depending on the decrease in the volume of the stomach, it also balances the diabet level as the amount of the food consumed.

Due to the change in the intestines, as the food reaches earlier to the final part of the
instestines, GLP-1 (a kind of protein released from intestines) enhances pancreatic insulin secretion and enhances insulin response by increasing its activity.

In some types of operations (especially in duodenal switch) performed, there is a reduction in the release of hormones that increase the end-tidal glucose of the food through the duodenum.

After these surgeries, people not only get rid of diabetes, but also problems related to diabetes and obesity; cholesterol, sleep apnea, liver fatigue, high blood pressure and many other problems are also cured.

Yours,
Bariatric Surgical Nutrition Consultant

Pinar SEYREK