Operation may change metabolism in a way that dieting alone does not
Article Source: msnbc.com
from:msnbc.comUS study probes how surgery makes diabetes disappear
Seeded on Wed Apr 27, 2011 5:11 PM EDT (msnbc.com)
- msnbc.com sites & shows:
- TODAY
- Rock Center
- Nightly News
- Meet the Press
- Dateline
- Morning Joe
- Hardball
- Ed
- Maddow
- Last Word
- msnbc tv
Leave a Comment:
It's because the people who have gastric bypass are put on a type of low carb diet after surgry. Low carb diets work wonders for insulin resistant people. It doesn't say what type of "strict" diet the others were on, but I'm betting it wasn't low carb.
Nope. Guess again. This is not that temporary of a change. The doctors would have dismissed the results if diet did this. Diabetes is just gone. My brother had this and his diabetes just went away. Unfortunately, I see many roadblocks with a 'cure' for diabetes because there's a lot of money at stake by big pharma to just allow a cure to be formulated.
The diet-only group would have to eat the same quantities of the same foods and at the same intervals as the surgery group to prove that it was the surgery that cured the diabetes.
If they ate different types of foods or ate on different schedules, the results would be skewed. This article doesn't mention whether those factors were accounted for. In other words, if someone opts against surgery and instead eats exactly the way they would be forced to if they did have the surgery, would they have the same results as if they had surgery instead?
Now if that would only work for type 1. We're all waiting.................
diabetes effects so many people. This could change a lot of lives!
Maybe, because of this, they will get closer to finding answers for type 1, cindy. I'm also wondering about the people that don't need to drop the weight who are diabetic.
Uh? Okay Doc, cut me up!
Surgery should be a very last option-- Americans in general need to learn to eat healthier, exercise and maintain a healthy weight THUS decreasing the risk for Type 2 diabetes.
I fully believe that we have some business propaganda going on here.... the gastric bypass surgeons are looking for ways to have the cost of surgery covered by insurance, thus performning more surgeries. HMMMMMM??????
I agree RN about surgery not being the first option. But for the people that have sincerely tried to lose the weight and just couldn't I still find it good news. Sure, some will take advantage but in the long run at least they're getting some help.
I also agree with RN Administrator. Speaking from my own experience of having been morbidly obese and a Type II diabetic, I was able to lose almost 100 pounds and reverse this condition with a healthy diet and regular exercise. Having surgery carries a good deal of risk, which increases exponentially in the obese patient. Not to say that surgery should never be used, but should be used as a last resort.
I am a lap-band patient, and yes, it completely reversed my diabetic state, not just with the weight loss. I can't explain it, but it does work for those of us who cannot by normal means lose weight successfully.
@RN Administrator, I beg to differ with you, not every can lose weight by eating healthier and increasing exercise! Some times you can't due to a food intolerance or other reasons. Not everyone is the same. Shame on you. Have you ever been morbidly obese? Have you tried anything and everything to decrease the pain and misery of obesity? Shame, shame.
FWIW, I suspect altered g-i flora from the antibiotics used with surgical patients and/or cortisol level changes that accompany surgery.
I am currently on a course of prednisone (10mg/day) and Augmentin to clear up a serious chronic sinus condition. Previously, I was considered a borderline diabetic with 6.0 HBA1C and fasting blood sugers of 120 +.
In a matter of days os starting the prednisone and Augmentin, I noticed that my fasting blood sugar had been reduced to the 80s and 90s. Non-fasting rarely gets above 110 or 120. HBA1C is 5.8 (and that is an average that includes the weeks before the dramatic blood sugar drop. This is a single, paradoxical, anecdote. I hope someone can explain it.
I am a type 2 diabetic with blood glucose numbers that are quite high. I would love one day for diabetes to be eliminated from our culture. If this surgery were offered to me and covered by my insurance I'd certainly have it.
The stress of always being on a treadmill, never missing dosages of drugs, the mood swings, the feeling helpless about damaging eyes that want to see grandchildren, feet that want to yet dance, and heart and kidneys that want to perform as though brand new is overwhelming. Add to this the possibility of time missed from my job and loss of my home due to this damn disease and you can bet I'll try to be in line to have this surgery.
I think the doctors are missing the obvious.
Here’s a thought, since the stomach is the initial site for metabolizing proteins for later absorption, maybe changing the available surface area inside the stomach effects the digestion of (and later the absorption of) proteins. The Allergan's Lap-Band device and dieting don’t reduce the actual size of the stomach, therefore no real reduction in the surface area of the stomach lining.
I don’t know if it’s because of less efficient protein break-down, or just less protein absorption into the blood stream. If I am right, that means no drug can reproduce the effect of the surgery.