Diabetic or Metabolic surgery is surgery for cure of diabetes associated with or without obesity. Metabolic surgery can also be sometimes performed for Hypertension and Dyslipidaemia alone. These type of surgeries are performed for people with uncontrolled levels of blood parameters even after the maximum dose of drugs and has become life threatening. Surgery for diabetes* is to ensure better blood sugar (glycaemic) control for patients with Adult Onset or Type 2 Diabetes Mellitus (T2DM). Gastric Bypass and Bilio-pancreatic diversion resulted in control/ cure of diabetes. However, this surgery can only be performed in obese patients with BMI > 35. The need for control of diabetes in non-obese patients lead to the development of Ileal Interposition surgery or Duodenojejunal bypass surgery for diabetics who do not require gastric bypass. This can be so, this surgery performed in thin type 2 diabetics with BMI as low as 27.5 or with sleeve gastrectomy in overweight/obese diabetics. This procedure will be useful if the C-Peptide blood test is more than one. The HBA1c test gives a person an indication of poor control if level is more than eight. Complications of diabetes will be arrested unless the organ damage has already progressed to a point of no return.
So, this surgery can completely control diabetes, arrest the metabolic syndrome of body organ deterioration, thus avoiding future diabetic complications. High blood pressure and high cholesterol / triglycerides are also completely controlled or greatly improved and body loses excess weight which is good for overall longevity with good health.
Over 80% normal weight patients with T2DM have achieved resolution within 7 days ‐ 3 months of surgery. Similarly, over 85% of obese diabetics have diabetes resolution after surgery. Diabetes resolution may vary subject to age, duration of diabetes, period of insulin intake.
Clinical review & with fresh blood reports after 1 month, 3 months ,6 months, 1 year, 11/2 years, & 2 years.