Diabetes and obesity: a dangerous association that can be controlled by surgery

Diabetetes type 2 is a serious disease that suffers from a high number of people with severe obesity. However, 78.1% of the obese people who undergo meta-physical surgery manage to control it, so this referral tool is increasingly used in our country and in the world.

Obesity is today one of the biggest concerns facing public health, since it is related to diseases caused or aggravated by excess weight, such as the dreaded diabetes type 2.

As a sign of the resgings of this dangerous association, a woman with a Body Mass Index (BMI) of 35 to 40 (severe obesity) increases the risk of developing diabetes 93 times type 2, while in the case of man this possibility is increased by 42 times.

Faced with this situation, the meta-physical surgery emerges as a valid therapeutic alternative. for patients who have not achieved adequate control of their disease through traditional treatments ". This topic was controversial at first. It was difficult to install a surgical treatment for the treatment of a medical disease. But as we went deeper into the study and analyzed the results of a large number of scientific publications, this was gaining space within the therapeutic alternatives for type 2 diabetes associated with obesity, "he explains. Dr. Federico Moser, director of the "Severe Obesity Surgery Team" (ECOS).

According to data provided by the specialist, meta-physical surgery manages to control diabetes in almost 80 percent of the cases, and the figure rises to close to 90 percent if we talk about the universe of patients operated that achieve different degrees of improvement.

A new approach

Metabolic surgery is a surgical subspecialty born in the last few years that arises from the clinic bariatric surgery (obesity surgery). Of this, the results in the treatment of obesity and its implication in diabetes are recognized, but in the case of meta - bolic surgery the reversal of type 2 diabetes becomes the objective primordial.

"The world-wide success of this new approach, added to the appearance of new surgical techniques and less invasive approaches (laparoscopy) that resulted in a decrease in mortality , led to more and more people with obesity go to the medical consultation by putting their obesity problem many times in the background and seeking, fundamentally, reverse diabetes and prevent the serious physical consequences that it entails ", says Moser.

& iquest; And how does this surgical treatment work? Besides producing certain physical alterations in the size of the stomach and in the functioning of the digestive system, the metabolic surgery acts at a hormonal level. "In parallel with the weight loss, the intervention that is performed acts on a series of hormones called incretins, which has a noticeable improvement in blood glucose levels within a few days of surgery. a, and even before the weight loss is significant, "explains Moser.

& iquest; can it be prevented?

If not properly controlled, diabetes is a disease with many implications at the arterial level, which increases the risk of suffering from serious diseases such as blindness, kidney failure, cardiac diseases acas and ACV, among other ailments. Therefore, an effective treatment that manages to control this condition or evaluate the surgical option in the initial stages is transcendental, since it evolves in time.

"We are surprised by the increase in the number of patients who present themselves daily in our offices wielding the problem of diabetes before obesity as a determining factor to be operated on They come saying & uml; I am obese but I'm not worried about the aesthetic or that they're looking at me, but I've just been diagnosed with diabetes. "This is a blow, especially for those who have a family history and who know what the scenario is." says Moser.

& iquest; Is it possible to predict your success?

& iquest; How can we know if undergoing this surgery we will have remission chances? diabetes? For this there are "predictive factors".