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http://discovermagazine.com/2012/dec/29-bypass#.ULlkR2fCOMc
The best way to combat type 2 diabetes, doctors traditionally say, is through diet and exercise-induced weight loss, which sometimes remedies insulin resistance. But many patients never manage to sustain the changes for long, and improvements can take months or years, if they come at all. When lifestyle changes fail, patients must control their blood glucose with regular insulin injections or oral medications. The medical costs for an individual with diabetes are typically 2.3 times higher than for someone without the disease. The day before her operation, Rubio told me she had tried dieting but could not shed weight, even though she understood the consequences. “I was afraid diabetes would affect my feet and cause gangrene,” she explained through a translator, her eyes welling with tears.
Desperate, Rubio opted for bypass surgery: a shortcut to lose her excess weight and, perhaps, to save her life. The Roux-en-Y gastric bypass—named for the 19th-century Swiss surgeon César Roux, who first performed surgery to reroute the small intestine—is known to be physically effective. The modern version of the Roux-en-Y (pronounced roo-en-why) involves reducing the stomach to a little pouch, to curb eating and appetite, and then connecting that pouch to a lower section of the intestine. By using less of the intestine, fewer nutrients are absorbed, and the patient loses weight.
tldr: Doctors are opting for gastric bypass surgery as cure for Type 2 diabetes, a surgical approach to a devastating disease suffered by many Americans and people around the world. And the results can have immediate and long lasting effects, in contrast to insulin treatment and weight loss. But by depriving the body of nutrients through this operation, does it also sacrifice its health, along with the Type 2 diabetes condition? What are your thoughts on this?
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if you cant control your eating/exercising habits, it fails. even with bypass surgery, you can gain weight and become obese. aunt had it then got fat.
i think its a stupid idea.
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On December 01 2012 11:24 dAPhREAk wrote: if you cant control your eating/exercising habits, it fails. even with bypass surgery, you can gain weight and become obese. aunt had it then got fat.
i think its a stupid idea.
Pretty much this. If you get the surgery to fix your diabetes good for you, but you better start eating healthy or it's just gonna come back and make the surgery pointless.
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I'm diabetic (type 1 since I was born) and I've been hearing 'bout stuff like this for years & years and trust me.. such things are still a gamble, not just because of the patient but such surgeries are still not perfected, they're still trying & trying to get better solutions, for example getting rid of diabetes through surgery which includes removing the majority of the pancreas which is a risk in itself as well.. and honestly.. I don't think there will be a definite cure for diabetes within the next 10 years. (like, a 100% safe & well worked out surgery)
though, zooper saying "you better start eating healthy..", makes it sound like those who are diabetic got it due to being obese and having an unhealthy eating habit, which isn't the case at all. It's not a dig at you though, but I've been hearing such things for years and I'm like.. that's just the tip of the iceberg as to why people can become diabetic.
And I'm well aware this is about diabetes type 2.
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Just to point out, Roux-en-Y gastric bypass directs your food away from most of the stomach and directly into the intestine so you get full pretty much immediately, the idea being if you're full you stop eating, if you stop eating so much you won't have the glucose spikes that cause type 2 diabetes.
Problem is you can still overeat and stretch the crap out of things and end up with a big stomach again.
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Well, this is just one more application of the gastric bypass surgery, I think we've had enough talk about it in other threads.
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CA10824 Posts
obviously you'd have to take a very thorough pt hx to find good candidates for the procedure, but i think it's a viable option in certain instances. if these people with T2 DM don't fix it somehow they're going to end up with messed up eyes, kidneys, and lower extremities anyway. might as well try to prevent that from happening.
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United States24339 Posts
I somehow misread the title as 'Sugary Cure to Diabetes.' You can imagine how confusing that was...
Using this type of surgery should always be a last resort in my opinion. It's certainly possible for many people to ward off type 2 Diabetes with diet and exercise, even if not all.
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"The sugary cure to diabetes: Eat less sugar."
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I don't think this is stupid at all...
If people are in a bad situation like Rubio, where they've become too fat and are risking both gangrene on their feet and possibly also their life, then that risk is going to continue while they're struggling to undergo a typical exercise and dieting routine. To say it would be "stupid" to have the option of emergency surgery boggles the mind.
There's nothing wrong with having an emergency cure available if things get really bad. Obviously there needs to be a permanent change in their eating habits over the long term, but I think its easier to keep the weight off than to try and go from being morbidly obese to having a reasonable weight again. I'm not sure if fat people have stronger and larger cravings for food than others when they have more body mass to support, but besides that they would get tired faster, making exercise more challenging than it should be.
I mean Rubio is on the verge of tears and is risking her life, as well as gangrene. She knows all this, and its not enough for her to successfully diet like other people. So its difficult, she needs time. This is a way of giving her time.
Besides that the surgery can help her reduce her appetite as was described in the posted excerpt, so it can be used to aid the dieting process that she found difficult:
The modern version of the Roux-en-Y (pronounced roo-en-why) involves reducing the stomach to a little pouch, to curb eating and appetite, and then connecting that pouch to a lower section of the intestine. By using less of the intestine, fewer nutrients are absorbed, and the patient loses weight.
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On December 01 2012 11:44 1a2aMm wrote: I'm diabetic (type 1 since I was born) and I've been hearing 'bout stuff like this for years & years and trust me.. such things are still a gamble, not just because of the patient but such surgeries are still not perfected, they're still trying & trying to get better solutions, for example getting rid of diabetes through surgery which includes removing the majority of the pancreas which is a risk in itself as well.. and honestly.. I don't think there will be a definite cure for diabetes within the next 10 years. (like, a 100% safe & well worked out surgery that cures diabetes completely regardless of which type)
though, zooper saying "you better start eating healthy..", makes it sound like those who are diabetic got it due to being obese and having an unhealthy eating habit, which isn't the case at all. It's not a dig at you though, but I've been hearing such things for years and I'm like.. that's just the tip of the iceberg as to why people can become diabetic.
And I'm well aware this is about diabetes type 2.
But while there other are ways to trigger diabetes, It sure seems obesity is a big cause for a lot of people. And obesity in itself is a massive issue facing humanity at this point in time.
On December 01 2012 12:15 micronesia wrote: I somehow misread the title as 'Sugary Cure to Diabetes.' You can imagine how confusing that was...
Using this type of surgery should always be a last resort in my opinion. It's certainly possible for many people to ward off type 2 Diabetes with diet and exercise, even if not all.
lol I thought the same thing... and was like what?!!!!
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On December 01 2012 12:21 KiF1rE wrote:Show nested quote +On December 01 2012 11:44 1a2aMm wrote: I'm diabetic (type 1 since I was born) and I've been hearing 'bout stuff like this for years & years and trust me.. such things are still a gamble, not just because of the patient but such surgeries are still not perfected, they're still trying & trying to get better solutions, for example getting rid of diabetes through surgery which includes removing the majority of the pancreas which is a risk in itself as well.. and honestly.. I don't think there will be a definite cure for diabetes within the next 10 years. (like, a 100% safe & well worked out surgery that cures diabetes completely regardless of which type)
though, zooper saying "you better start eating healthy..", makes it sound like those who are diabetic got it due to being obese and having an unhealthy eating habit, which isn't the case at all. It's not a dig at you though, but I've been hearing such things for years and I'm like.. that's just the tip of the iceberg as to why people can become diabetic.
And I'm well aware this is about diabetes type 2. But while there other are ways to trigger diabetes, It sure seems obesity is a big cause for a lot of people. And obesity in itself is a massive issue facing humanity at this point in time. Show nested quote +On December 01 2012 12:15 micronesia wrote: I somehow misread the title as 'Sugary Cure to Diabetes.' You can imagine how confusing that was...
Using this type of surgery should always be a last resort in my opinion. It's certainly possible for many people to ward off type 2 Diabetes with diet and exercise, even if not all. lol I thought the same thing... and was like what?!!!!
Yet it's still wrong to really create this kind of stereotype that makes it sound like people who get diabetes only got themselves to blame.
A friend of mine, who's as skinny as a fucking pencil, got diabetes out of nowhere, he just started noticing things weren't really.. right. And some day he just fainted due to his sugar being too high and that's when they discovered he got diabetes and it's just.. something he wasn't responsible for.
Same goes for me, I'm a small sexy muscular fucker even if I say so myself, yet I was born with diabetes.. Unless someone's gonna try and convince me my mother (who isn't obese at all & never was) was eating too much sugar while being pregnant of me (and even so..) and that's the reason I'm diabetic, no one can really say I got diabetes due to.. whatever I've done so..
I'm not trying to take this out of proportion but.. the stereotype is definitely out there, you can't imagine how many people don't believe it when they hear I'm diabetic, because I'm not obese but actually a sexy muscular guy. s'All I'm saying.
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With regard to type 2 diabetes mellitus:
The treatment algorithm for diabetes generally starts with diet and exercise, which can be curative in the truest sense of the word, then a single then multi-agent regimen of oral hypoglycemic or anti-hyperglycemic agents like metformin, which may help manage the disease process, then more aggressive treatment with the addition of insulin injections or pumps, and then as a last resort, gastric bypass surgery. The overall situation is typically quite complicated, and you see various degrees of commitment with each treatment stage.
It's important to note that gastric bypass surgery candidates are often required to receive formal psychiatric evaluation, because of the high incidence of co-morbid disease, regardless of "the reason" for the failure of other methods for controlling the disease process. Perhaps more importantly, the surgery itself is not benign and can result in infection, poor healing, inability to more than tiny amounts of food with intractable diarrhea and low intestinal transit time, or an obstruction among other complications...all of which can be extremely hard to cope with. However, the cost of surgery may be outweighed more and more as the average disease burden of diabetes and it horrifying consequences, like blindness or end-stage renal failure, increases worldwide.
Tl;DR Diet and exercise can be a true cure, whereas gastric bypass is essentially trading one disease process for another, regardless of whether failure of medical treatment is perceived to be someone's "fault" or of refractory disease.
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On December 01 2012 12:15 micronesia wrote: I somehow misread the title as 'Sugary Cure to Diabetes.' You can imagine how confusing that was...
Using this type of surgery should always be a last resort in my opinion. It's certainly possible for many people to ward off type 2 Diabetes with diet and exercise, even if not all.
Agreed. When I read the thread title I thought that it had something to do with the pancreas. After reading the post and seeing that it is just the bypass surgery, which isn't a new revolutionary type of surgery, I wasn't excited anymore.
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On December 01 2012 12:33 peekn wrote:Show nested quote +On December 01 2012 12:15 micronesia wrote: I somehow misread the title as 'Sugary Cure to Diabetes.' You can imagine how confusing that was...
Using this type of surgery should always be a last resort in my opinion. It's certainly possible for many people to ward off type 2 Diabetes with diet and exercise, even if not all. Agreed. When I read the thread title I thought that it had something to do with the pancreas. After reading the post and seeing that it is just the bypass surgery, which isn't a new revolutionary type of surgery, I wasn't excited anymore.
The surgery involving the pancreas might take another 10 years to be completely figured & worked out.
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On December 01 2012 12:21 KiF1rE wrote:Show nested quote +On December 01 2012 11:44 1a2aMm wrote: I'm diabetic (type 1 since I was born) and I've been hearing 'bout stuff like this for years & years and trust me.. such things are still a gamble, not just because of the patient but such surgeries are still not perfected, they're still trying & trying to get better solutions, for example getting rid of diabetes through surgery which includes removing the majority of the pancreas which is a risk in itself as well.. and honestly.. I don't think there will be a definite cure for diabetes within the next 10 years. (like, a 100% safe & well worked out surgery that cures diabetes completely regardless of which type)
though, zooper saying "you better start eating healthy..", makes it sound like those who are diabetic got it due to being obese and having an unhealthy eating habit, which isn't the case at all. It's not a dig at you though, but I've been hearing such things for years and I'm like.. that's just the tip of the iceberg as to why people can become diabetic.
And I'm well aware this is about diabetes type 2. But while there other are ways to trigger diabetes, It sure seems obesity is a big cause for a lot of people. And obesity in itself is a massive issue facing humanity at this point in time. Show nested quote +On December 01 2012 12:15 micronesia wrote: I somehow misread the title as 'Sugary Cure to Diabetes.' You can imagine how confusing that was...
Using this type of surgery should always be a last resort in my opinion. It's certainly possible for many people to ward off type 2 Diabetes with diet and exercise, even if not all. lol I thought the same thing... and was like what?!!!!
Obesity is the single most important predictor for developing type 2 diabetes. I think his objection was because Zooper used the general term "diabetes" and did not specify type although it should be obvious from the context of the thread. If not, 1a2aMm was as wrong as you can get.
Also it was a rather pointless statement that no single cure would be developed within the next 10 years: 1) Very few things in medicine are 100% 2) The different types of diabetes are rather different types of diseases - odds are that there will never be a single cure for all types.
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On December 01 2012 12:33 peekn wrote:Show nested quote +On December 01 2012 12:15 micronesia wrote: I somehow misread the title as 'Sugary Cure to Diabetes.' You can imagine how confusing that was...
Using this type of surgery should always be a last resort in my opinion. It's certainly possible for many people to ward off type 2 Diabetes with diet and exercise, even if not all. Agreed. When I read the thread title I thought that it had something to do with the pancreas. After reading the post and seeing that it is just the bypass surgery, which isn't a new revolutionary type of surgery, I wasn't excited anymore. For type 1 diabetes, there's some potentially some groundbreaking research in the works involving transforming a person's fat cells into pancreatic stem cells, and regenerating/growing beta cell islands to cure the underlying inability to produce insulin.
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Or you know, since type 2 diabetics probably didn't exist before 1950. Let change our life style to when we didn't have all this crap food. If people want to over eat and eat sugar all day and then "can't" diet and cry because they might lose their feet, they should have thought about it before. Or actually diet, it's not hard to drop to 15% body fat. I wanna see these people drop to 5%, then they will know what is hard dieting. Dropping to 15% is a walk in the park.
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On December 01 2012 12:48 Ghostcom wrote:Show nested quote +On December 01 2012 12:21 KiF1rE wrote:On December 01 2012 11:44 1a2aMm wrote: I'm diabetic (type 1 since I was born) and I've been hearing 'bout stuff like this for years & years and trust me.. such things are still a gamble, not just because of the patient but such surgeries are still not perfected, they're still trying & trying to get better solutions, for example getting rid of diabetes through surgery which includes removing the majority of the pancreas which is a risk in itself as well.. and honestly.. I don't think there will be a definite cure for diabetes within the next 10 years. (like, a 100% safe & well worked out surgery that cures diabetes completely regardless of which type)
though, zooper saying "you better start eating healthy..", makes it sound like those who are diabetic got it due to being obese and having an unhealthy eating habit, which isn't the case at all. It's not a dig at you though, but I've been hearing such things for years and I'm like.. that's just the tip of the iceberg as to why people can become diabetic.
And I'm well aware this is about diabetes type 2. But while there other are ways to trigger diabetes, It sure seems obesity is a big cause for a lot of people. And obesity in itself is a massive issue facing humanity at this point in time. On December 01 2012 12:15 micronesia wrote: I somehow misread the title as 'Sugary Cure to Diabetes.' You can imagine how confusing that was...
Using this type of surgery should always be a last resort in my opinion. It's certainly possible for many people to ward off type 2 Diabetes with diet and exercise, even if not all. lol I thought the same thing... and was like what?!!!! Obesity is the single most important predictor for developing type 2 diabetes. I think his objection was because Zooper used the general term "diabetes" and did not specify type although it should be obvious from the context of the thread. If not, 1a2aMm was as wrong as you can get. Also it was a rather pointless statement that no single cure would be developed within the next 10 years: 1) Very few things in medicine are 100% 2) The different types of diabetes are rather different types of diseases - odds are that there will never be a single cure for all types.
Since I've been diabetic for 20 years already, you can definitely scrap the possibility of me not knowing that obesity is the most important factor for type 2 and indeed, my objection was because he didn't specify which type, using the general term is kind of bad because, just like you said, the different types of diabetes are like different types of diseases.
Another reason why I didn't want to assume that he was referring to type 2 is because most people use diabetes as a general term and when you ask them what's type 1 or what's type 2, they're actually surprised there are different types, which is why I decided to react to his choice to use the general term, because imo you can't be accurate enough when it comes to topics like these.
Pointless you say? I was referring to what I said before, for example the surgery including the pancreas, I should've made that more clear. For type 1 there's a method going around which includes taking a big chunk away of your pancreas and.. I've been hearing about that for over 8 years by now and they still say it's too much of a gamble to go for it right now. There's some potentially groundbreaking research involving transforming a person's fat cells into pancreatic stem cells etc.. But again, I'd be baffled if they'd get it done within the next 10 years. Wasn't really implying that there could ever be a single cure for all types, which is.. I don't like to say it's impossible but I don't know which other word I could use for it right now.
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On December 01 2012 12:49 13th Marine wrote:Show nested quote +On December 01 2012 12:33 peekn wrote:On December 01 2012 12:15 micronesia wrote: I somehow misread the title as 'Sugary Cure to Diabetes.' You can imagine how confusing that was...
Using this type of surgery should always be a last resort in my opinion. It's certainly possible for many people to ward off type 2 Diabetes with diet and exercise, even if not all. Agreed. When I read the thread title I thought that it had something to do with the pancreas. After reading the post and seeing that it is just the bypass surgery, which isn't a new revolutionary type of surgery, I wasn't excited anymore. For type 1 diabetes, there's some potentially some groundbreaking research in the works involving transforming a person's fat cells into pancreatic stem cells, and regenerating/growing beta cell islands to cure the underlying inability to produce insulin.
See I was hoping for something like this when I read the title.
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