Diabetes and Obesity - What You Can Do About It

Diabetes and Obesity - What You Can Do About It

Dr.Alibhai

Bariatric surgery also known as weight loss surgery is a quick and effective way for anyone dealing with Type 2 diabetes and obesity. It’s estimated roughly 13% of adults in the United States have diabetes, according to a 2020 report from the Centers for Disease Control and Prevention (CDC). Plus, nearly half of all people with diabetes suffer from obesity, which means they have a body mass index (BMI) over 30. In fact, there is a strong link between obesity and the risk of developing type 2 diabetes. If a person has diabetes, their doctor may recommend losing weight as part of their treatment plan.

So What Can You Do About It?

There is a strong connection between obesity and diabetes. Carrying excess weight is a major risk factor for Type 2 diabetes. Most people who have Type 2 diabetes — more than 90% — are overweight. The link between obesity and diabetes occurs by a progressive defect in insulin secretion coupled with an accelerating increase in insulin resistance. Both insulin resistance and defective insulin secretion occur prematurely in obese individuals, and both worsen as diabetes takes hold.
Bariatric surgery is a weight loss procedure that healthcare professionals recommend for many individuals with obesity and associated life-threatening illnesses like diabetes. Many bariatric surgeons are also increasingly recommending it to treat type 2 diabetes in people with obesity.
Bariatric surgery can improve type 2 diabetes by lowering blood sugar and reducing the need for medications. This surgery has even resulted in long-term or permanent remission from diabetes. Yet, bariatric surgery is considered a major surgery, and it does carry some short- and long-term risks and side effects.

Bariatric surgery for diabetes

Bariatric surgery refers to a group of surgical procedures that help a person lose weight by changing their digestive system. This procedure typically makes a patient’s stomach much smaller, which helps to get a full feeling in their stomach sooner and eat less food overall. The surgery also limits the ability of the small intestine to absorb calories from food.
Bariatric surgery can also affect certain hormones to reduce a person’s appetite and improve how their body metabolizes fat and uses insulin.
Because individuals with type 2 diabetes become resistant to insulin, bariatric surgery helps to treat the diabetes.Research suggests that bariatric surgery can help people with type 2 diabetes better control their blood sugar levels in addition to improving weight loss, cholesterol levels, blood pressure, and kidney function.
Healthcare professionals are increasingly recommending it for people with obesity and comorbid conditions such as heart disease and diabetes.

So What Can You Do About It?

There is a strong connection between obesity and diabetes. Carrying excess weight is a major risk factor for Type 2 diabetes. Most people who have Type 2 diabetes — more than 90% — are overweight. The link between obesity and diabetes occurs by a progressive defect in insulin secretion coupled with an accelerating increase in insulin resistance. Both insulin resistance and defective insulin secretion occur prematurely in obese individuals, and both worsen as diabetes takes hold.
Bariatric surgery is a weight loss procedure that healthcare professionals recommend for many individuals with obesity and associated life-threatening illnesses like diabetes. Many bariatric surgeons are also increasingly recommending it to treat type 2 diabetes in people with obesity.
Bariatric surgery can improve type 2 diabetes by lowering blood sugar and reducing the need for medications. This surgery has even resulted in long-term or permanent remission from diabetes. Yet, bariatric surgery is considered a major surgery, and it does carry some short- and long-term risks and side effects.

Bariatric surgery for diabetes

Bariatric surgery refers to a group of surgical procedures that help a person lose weight by changing their digestive system. This procedure typically makes a patient’s stomach much smaller, which helps to get a full feeling in their stomach sooner and eat less food overall. The surgery also limits the ability of the small intestine to absorb calories from food.
Bariatric surgery can also affect certain hormones to reduce a person’s appetite and improve how their body metabolizes fat and uses insulin.
Because individuals with type 2 diabetes become resistant to insulin, bariatric surgery helps to treat the diabetes.Research suggests that bariatric surgery can help people with type 2 diabetes better control their blood sugar levels in addition to improving weight loss, cholesterol levels, blood pressure, and kidney function.
Healthcare professionals are increasingly recommending it for people with obesity and comorbid conditions such as heart disease and diabetes.

Types of Bariatric Surgery

Several types of bariatric surgery decrease the amount of food a patient can eat at one time. Some procedures also reduce the absorption of nutrients.The following sections will look at the different types of bariatric surgery in more detail.

Gastric bypass (Roux-en-Y)

For this permanent procedure, a surgeon staples off the top part of the stomach from the rest of the organ. The resulting pouch will only be able to hold about an ounce of food. The surgeon then cuts a lower part of the small intestine and attaches the pouch to it. This reduces the amount of time that food spends in the small intestine. The less time that food stays there, the less the body absorbs it. Learn more about it here.

Vertical sleeve gastrectomy

This surgery is sometimes also referred to as stomach stapling. It works by permanently removing about 80% of the stomach to leave just a long pouch. It is not necessary for the surgeon to reroute the intestine for this procedure. Learn more about sleeve gastrectomy here.

Laparoscopic adjustable gastric banding

In this procedure, a surgeon makes small incisions in the abdomen. They insert a tube with a camera called a laparoscope through the incisions and insert a band on the upper part of the stomach. Learn more about it at our Duodenal Switch service page.

Other Types of Bariatric Surgeries

Some other, less frequently used types of bariatric surgery include the duodenal switch and the Maestro system, which use an implantable device that reduces appetite.

Insurance Coverage

Care Credit along with most large insurance companies as well as Medicare and Medicaid cover bariatric surgery for those who meet certain criteria. A person should reach out to their insurer directly to learn more about these guidelines. For example, some insurance companies may require a person to have a BMI over 40 with proof from a healthcare professional that previous medically supervised weight loss programs made no impact.

Other Potential Side Effects

Possible side effects directly following bariatric surgery may include:
  • bleeding from the site where the surgeon sewed the sections of the stomach together
  • diarrhea
  • blood clots

Later on, side effects may include:

  • an inability to absorb enough nutrients, which can lead to anemia and osteoporosis gallstones
  • narrowing of the new stomach or the connection between the stomach and the small intestine (strictures)
  • hernias

Estimated Costs With Insurance

Other insurers may cover the surgery if a person has a BMI between 30 and 39.9 and at least one significant associated life-threatening illness like heart disease, diabetes, or sleep apnea. In most cases, you will need to pay for a portion of care out of pocket, even if you have health insurance. The cost of surgery could still be several thousand dollars, but it may be as low as $0 depending on your plan, your deductible, and your out-of-pocket maximum. It is a good idea to contact your insurer first to review exactly what your insurer will pay.

Estimated Costs With Insurance

Other insurers may cover the surgery if a person has a BMI between 30 and 39.9 and at least one significant associated life-threatening illness like heart disease, diabetes, or sleep apnea. In most cases, you will need to pay for a portion of care out of pocket, even if you have health insurance. The cost of surgery could still be several thousand dollars, but it may be as low as $0 depending on your plan, your deductible, and your out-of-pocket maximum. It is a good idea to contact your insurer first to review exactly what your insurer will pay.

Ballpark Costs Without Insurance

Without insurance, bariatric surgery can cost between $15,000 and $25,000 depending on the procedure you choose. The average cost of gastric bypass surgery is around $23,000 while the cost of gastric banding, sleeve gastrectomy and gastric mini sleeve surgery costs are lower around $15,000. Discuss costs with your surgeon’s team as surgery fees fluctuate depending on what part of the country you live in.

Are You a Candidate?

Laparoscopic sleeve gastrectomy (or gastric sleeve surgery) is a traditional open surgery approach. In laparoscopic sleeve gastrectomy, the surgery is carried out by creating five or six small incisions to enter the abdomen. A fiber-optic device, known as the laparoscope, is connected to a tiny video camera and is inserted through the abdominal wall. The device allows your surgeon to see inside your body while performing the surgery. Laparoscopic sleeve gastrectomy is then completed by connecting a section of the small intestine to a small stomach pouch. reduces the size of the stomach to 30% of its original capacity. In addition to limiting the amount of food you are able to eat, most patients can also expect less pain, few complications, lower risk of infection and quick recovery than traditional open surgery.

Why NOVA Bariatrics?

Over time, obesity along with breathing issues or other life-threatening diseases will cause a breakdown in your body’s systems. This can lead to a deterioration in your health and significantly decrease your life expectancy. Robotic-assisted bariatric surgery is a powerful tool that lets us reverse and prevent you from contracting life-threatening diseases like breathing issues, diabetes, heart disease, gout, cancer and many others associated with extreme obesity. Dr. Mustafa H. Alibhai, MD, FACS, FASMBS is expertly trained in minimally invasive and robotic surgery. He performs a wide range of weight loss and bariatric surgeries. Dr. Alibhai and the surgical team at NOVA Bariatrics understand your weight loss goals and will recommend weight loss options to treat your obesity. Together, their combined experience and expertise go a long way to help those who have been unable to achieve significant weight loss through dieting and exercise alone.
Ready to reinvent yourself, gain more confidence, treat any weight-related illnesses like diabetes, and experience lasting weight loss? Then contact Dr. Alibhai or our team at NOVA Bariatrics today and either book online or call us at 459-639-0953. We have convenient offices in Irving and Arlington, TX and we’re waiting to help you achieve all your weight loss goals.
Disclaimer – The information on this website is for general information purposes only. Nothing on this site should be taken as advice for any individual case or situation. All blogs are meant to be educational. We advise consulting with a professional before attempting anything written in a blog.