Diabetes cured by Surgery to Treat Obese

Weight-loss surgery works much better than standard medical therapy as a treatment for Type 2 diabetes in obese people, the first study to compare the two approaches has found.

The study, of 60 patients, showed that 73 percent of those who had surgery had complete remissions of diabetes, meaning all signs of the disease went away. By contrast, the remission rate was only 13 percent in those given conventional treatment, which included intensive counseling on diet and exercise for weight loss, and, when needed, diabetes medicines like insulin, metformin and other drugs.

In the study, the surgery worked better because patients who had it lost much more weight than the medically treated group did — 20.7 percent versus 1.7 percent of their body weight, on average. Type 2 diabetes is usually brought on by obesity, and patients can often lessen the severity of the disease, or even get rid of it entirely, by losing about 10 percent of their body weight. Though many people can lose that much weight, few can keep it off without surgery. Type 1 diabetes, a much less common form of the disease, involves the immune system and is not linked to obesity.

Remission of Type 2 diabetes after weight-loss surgery is not a new finding; doctors have known about it for years. But the new research is the first effort to find out scientifically how it measures up against medical treatment in similar groups of patients with the disease.

The 60 people in the study had an average age of 47 and were assigned at random to have either surgery or medical care. All were obese, with a body mass index, or B.M.I., of 30 to 40. A B.M.I. over 25 is considered overweight, and over 30 is obese. (A person who is 5 feet 6 inches tall with a B.M.I. of 25 would weigh 155 pounds; with a B.M.I. of 30, 186 pounds; a B.M.I. of 35, 216 pounds; and a B.M.I. of 40, 247 pounds.)

Based on guidelines created by the National Institutes of Health in 1991, weight-loss surgery is generally only recommended for people whose B.M.I. is 40 or more, unless they also have Type 2 diabetes, in which case a B.M.I. of 35 is the cutoff. In this study, 13 people, or 22 percent, had a B.M.I. under 35.

Criteria for the surgery might be changed so that it could be offered to diabetes patients early enough to reverse the disease.

Diabetes and Obesity – New research in Brazil

Poorly managed type 2 diabetes costs the U.S. health system an extra US$22.9 billion a year in direct medical costs to treat heart, eye, kidney and other serious health problems associated with the disease, diabetes groups reported yesterday.
Annual health costs for a type 2 diabetic are three times that of the average American without diagnosed diabetes, according to a new report called State of Diabetes Complications in America.
About 20.8 million Americans have diabetes, which causes about 5% of all deaths globally each year.
Most have type 2, or adult-onset diabetes, in which the body loses its ability to use insulin.
Obesity and lack of exercise are linked with type 2 diabetes, which can cause blindness, heart disease, stroke, chronic kidney disease and foot problems that can require amputations.

Gastric Bypass Obesity Surgery cures diabetes type 2 in almost all patients within a short period of time after obesity surgery.

It is different with type 1 diabetes. In type 1 diabetes, a person’s immune system attacks and destroys insulin-producing beta cells in the pancreas. Preserving beta cells is a key concept in the management of type 1 diabetes and in the prevention of its related complications.

In a small study, a treatment that included stem cell transplantation induced prolonged insulin independence in patients with newly diagnosed type 1, or insulin-dependent, diabetes. In a statement, lead author Dr. Julio C. Voltarelli, from the Regional Blood Centre in Ribeiro Preto, Brazil, called the results “very encouraging”. While the same approach has been used in other autoimmune disorders, the current study, to the author’s knowledge, represents the first time the approach has been used in human type 1 diabetes.

Obesity Surgery in Brazil

Affordable Obesity Surgery is now available from “Franco e Rizzi, Clinica Cirurgica Videolaporoscopia”, Sao Paulo, Brazil. A new website http://www.robertorizzi.com/ was developed by Lotgering Consultancy (LotCon) and provides invaluable information about obesity surgery and the different surgical procedures.

According to Dr. Roberto Rizzi, obesity surgery in Brazil is an interesting option for millions of Americans struggling with morbid obesity and fighting to convince their health care providers to pay for the expensive weight loss surgery. Brazil offers modern, affordable and safe medical Obesity Surgery (weight loss surgery), as well as cosmetic and reconstructive plastic surgery.

Dr. Roberto Rizzi and his team performed more then 3000 Laparoscopic surgeries. His team is specialized in Laparoscopic Gastric Bypass Surgery as well as other Bariatric surgeries. Dr. Roberto Rizzi's team of professionals includes dietitian, psychologist, physiotherapist, anesthesiologists and plastic surgeons, all specialized in obesity treatment.

For more details visit the website (http://www.robertorrizzi.com/) or send an email to the following email address: mailto:staff@robertorizzi.com?subject=Affordable%20Obesity%20Surgery%20in%20Brazil.