According to WHO diabetes is a ninth leading cause of death with an estimated 1.5 million deaths directly caused by diabetes. Doctors suggest maintaining normal body weight and avoiding of use tobacco which will prevent or delay the onset of type 2 diabetes.
Type 2 diabetes, non-insulin-dependent, or adult onset results from the body’s ineffective use of insulin. More than 95% of people have type 2 diabetes which results in excess body weight and physical inactivity. This type of diabetes can occur several years after onset and complications occur. Until recently, this type of diabetes was seen only in adults but it is now also occurring increasingly frequently in children as well.
It is recommended to screening and treatment for retinopathy, blood lipid control, screening for early signs of diabetes-related kidney disease, and treatment for diabetes diagnosed people.
Diabetic nephropathy is the most common complication in type 2 diabetes.
The surgical method of treatment type 2 diabetes by metabolic surgery methods
Weight reduction is hard for patients with type 2 diabetes, especially with conservative methods. Since Gastric bypass (Roux-en-Y) surgery has become an established alternative for patients with obesity-associated type 2 diabetes. Pharmacotherapy options do not always prevent disease progression and complications, here metabolic surgery has positive effects documented for weight reduction, blood glucose control, and reduction of the need for medications for up to medium-term diabetes with a remission rate of 60 to 90%.
Based on research 20 patients who undergo metabolic surgery optimized insulin treatment and the parameter of renal function notably improved after 24 months after gastric bypass surgery.
Randomized clinical studies showed that surgical option combined with optimized medical is more efficient for diabetes type 2 patients in contrast with only pharmacotherapy. According to International Diabetes Federation, which declared that patients with obesity-associated type 2 diabetes who are unable to reach their therapeutic goals (HbA1c<7,5%) by employing conservative strategies, metabolic surgery is an appropriate treatment modality for type 2 diabetes.
While patients with type 2 diabetes should be informed by a doctor of all possible choices of medicaments for the treatment, Surgical methods as well should be considered for people as early point treatment even with 25-35 BMI rates and not considered as last point option. Therapeutic success depended on a comprehensive approach and long-term follow-up of the patients with diabetes type 2 disease.
People who would like to have a consultation and consider surgical treatment options for diabetes type 2 in Turkey can reach for medical tourism services and receive a second medical opinion from expert physicians in the area of bariatric surgery and get a comprehensive solution for treatment based on endocrinology and metabolic surgeon Concilium.
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