Does Bariatric Surgery treat Type 2 Diabetes?

Doctors have found that Weight Loss Surgery (WLS) or Bariatric Surgery can treat Type 2
Diabetes by changing the gut hormones and incretins in the blood stream. It has been
well established by multiple studies across the world the Bariatric/ Metabolic Surgery
can cure diabetes in majority of obese patients. The changes in gut hormones gut micro
biota, glucose transporters in the intestine and loss of fat after bariatric surgery results
in dramatic improvement in blood glucose levels.
More than 90% of patients who are on insulin are able to maintain their blood glucose
levels without any insulin injections. Those patients who are on oral medications also
tend to maintain normal blood glucose levels without any medications.
The good news is that we can tell you the chances of resolution of remission of diabetes
after putting in your [particulars in the bariatric outcome assessment models available
with us which are based on outcomes of lakhs of patients across the world.
Diabetes is a disease in which blood sugar (blood glucose) levels gets too high. Blood
sugar is the primary source of energy for your cells. The glucose is able to get into cells
because of the hormone known as Insulin which is made by the pancreas.
If one’s body does not make insulin or make enough insulin, the glucose cannot reach to
the cells and stays in the blood stream, which increases blood sugar, which results in
high blood glucose. This situation, if it lasts for a longer time, can cause certain health
problems. It can affect the eyes, kidneys and nerves.
Obesity is an important factor in developing diabetes. People who are morbid obese
have 10 times the risk of developing diabetes. Foods that is high in fats and
carbohydrates increases fatty acids in the blood and fat build-up in the liver, which
increases insulin resistance and inflammation. Over the time, the pancreas stops making
enough insulin.
Weight Loss Surgery (WLS) or Bariatric Surgery has several procedures. Most of the
bariatric procedures can be done in a minimally invasive way, via laparoscopy or Robotic
surgery. Roux-en-Y Gastric Bypass is considered the gold standard operation for
diabetes and obesity. Results with Sleeve Gastrectomy are also very encouraging.

Dt. Mahima Bansal

Clinical Therapeutic & Bariatric Dietitian