Dr AvinashTank, is a super-specialist (MCh) Laparoscopic Gastro-intestinal Surgeon,

Diabetes Surgery

Diabetes Doctor: Best Diabetes Reversal Centre, Ahmedabad.

Diabetes Doctor is the best Diabetes type 2 reversal (Metabolic surgery) centre in Ahmedabad, India.

Diabetes Doctor is located at Dwarika Super-Speciality Hospital, Ahmedabad, its best Diabetes type 2 reversal (Metabolic surgery) hospital in Ahmedabad, Gujarat, India

Diabetes Doctor helps to reverse your diabetes if it become uncontroble with medications the excess weight after all initial modalities fails.

We offer compressive diabetes reversal programme where your blood sugar will come to normal and you would require no medications or minimum medications there-after.

Our centre is having most experienced and super-specialist weight loss doctor of Ahmedabad along with team of physician, diabetologists, intensivist, dietician and specialized physiotherapist to take care of all & high-risk obese person.

Our centre is equipped with all latest facilities to deliver world class treatment.

We got privileged to treat not only the peoples of various corners of country, like Rajasthan, Delhi, Mumbai, Chennai but also the peoples of various corner of continents like USA, Canada, UK, Australia, Afrika, UAE.

4 Reasons for Early Diabetes Type 2 Reversal.

Prevent Further Organ Damage

Resolves many health Issues

Improve Confidence & Quality of Life

Enjoy healthy life with your family

Best Approach for Diabetes Reversal

Know the Best way for Diabetes reversal For You

One Place for Complete Diabetes Care & Cure

Safe & Assured Diabetes Reversal

Benefits of Diabetes Reversal Treatment & Surgery at Dwarika Super-speciality Centre

Treatment by Super-specialist Doctor

Get treatment by most -experienced and superspecialist doctors & his Team

Personal Care

We care through-out the journey of treatment

Comfortable Infrastructure

Large size wheelchairs, stretcher, OT table

24 x 7 Full Support

Ready to resolve any query at any time

Painless treatment

No or negligible pain after surgery

Keyhole / Laparoscopic Surgery

Very small cut, may not be visible after sometime

Early Start of Diet

Liquid diet is started 6 hours after the surgery

Early Return to Home

You will be home after 2nd day


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Award & Presentations

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Successful Surgeries

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Killer of your Health

Obesity is a chronic illness in which person accumulates excess fat, which can jeopardize health. Obesity is the result of an increase in the size or percentage of fat cells in the body. When a person gains weight, these fat cells first grow in size and then in number.

Since obesity is a chronic illness, its symptoms (called co-morbidities)) develops gradually. In its early stages, obesity can make it hard to walk and cause back pain, fatigue, skin conditions & shortness of breath. If left untreated, obesity has a tendency to worsen. When obesity crosses the line into morbid obesity, it can lead to life threatening illness such as type 2 diabetes, high blood pressure, certain forms of cancer, high cholesterol and sleep apnea. The only way to prevent further development of the symptoms is to achieve lasting weight loss.

Effect of Obesity on Health

Health Risk: Morbid obesity is a metabolic disease associated with numerous medical problems, some of which are virtually unknown in the absence of obesity. Almost all organs of body are ill-effected by untreated obesity. Diabetes, heart disease, high blood pressure, certain types of cancer, sleep apnea and joint pain are most commonly suffered diseases.

Mortality (Early death): Obesity is proven risk factor for early death from number of diseases increase as BMI increases. This risk is more in person who remains overweight for longer period of time.

Lower quality of life: Obesity affects social, psychological and financial aspect of person. Obese individuals are routinely discriminated against in terms of employment. Severely obese individuals are thought of by much of the public as being lazy and lacking self-discipline. Psychologic diseases such as depression therefore have an extraordinarily high incidence in this population compared with the general public. Poor self-image is almost universal among these individuals as well.


Normal Digestive System

To better understand how weight loss surgery works, it is important to understand how your gastrointestinal tract functions. As the food you consume moves through the gastrointestinal tract, various digestive juices and enzymes are introduced at specific stages that allow absorption of nutrients.



Recovery After Surgery

Hospital stay

For most of patients, usual hospital stay is between 3-5 days. You are advised to stand up and move as soon as possible after bariatric surgery. This will build you confidence in your recovery along with it will minimize the risk of blood clotting in your legs.

Depending upon your medical state, you may be admitted to intensive care ward for strict observation of your heart and lung.

You will be discharged when:

Complication & Side effect of obesity (Bariatric) surgery

There are risks that go with any type of medical procedure and surgery is no longer an exception. Success of surgery depends upon 3 factors: type of disease/surgery, experience of surgeon and overall health of patients. The risks of each procedure need to be considered in the light of potential reductions in mortality, morbidity or co-morbidity, quality of life and productivity.

Weight Loss After Obesity Surgery


The actual weight a patient will lose after the procedure is dependent on several factors. These include:

Time period

Resolution of obesity related co-morbidities

Weight regain

New Life Style After Obesity Surgery


Regardless of the weight loss procedure, you will require permanent changes in your eating habits that must be adhered to for successful weight loss. Post-surgery dietary guidelines will vary by bariatric procedure.

Exercise & Return to regular work

It is important following obesity (bariatric) surgery in Ahmedabad that you not only alter your eating habits, but also your level of physical activity. Patients are generally recommended to start exercising slowly. As weight loss is achieved, physical activities will gradually become easier.

Contraceptive & Pregnancy

Regular check-up & long term follow-up

Options for Diabetes Surgeries

Sleeve Gastrectomy

In the laparoscopic sleeve gastrectomy, the stomach is divided along its vertical length in order to create...

Gastric Bypass

In this procedure, stapling creates a small (15 to 20cc) stomach pouch. The remainder of the stomach...

Mini-Gastric Bypass

This new pouch of larger size is joined with small intestine, thus bypassing calorie absorption...

Biliopancreatic Diversion

This procedure is a variation of BPD in which stomach removal is restricted to the outer...


5 reasons why Indians are more prone to develop Diabetes Type 2?
  1. Central Obesity
  2. Physical Inactivity
  3. Eating high sugar & high fat-rich diet
  4. The higher tendency of Insulin resistance
  5. Strong genetic association.
What is treatment of Diabetes type 2?

The treatment of Type 2 diabetes typically involves a combination of lifestyle modifications, medication, in some cases, insulin therapy and lastly surgery. The specific treatment plan varies for each individual and is tailored to their unique needs. Here are the key components of treatment for Type 2 diabetes:

  • Lifestyle Modifications:
    • Healthy Diet: Adopting a balanced and nutritious diet, focusing on whole foods, fibre-rich foods, lean proteins, and healthy fats. Limiting the intake of processed foods, sugary beverages, and refined carbohydrates.
    • Regular Physical Activity: Engaging in regular exercise, such as brisk walking, jogging, cycling, or any other form of aerobic activity, for at least 150 minutes per week. Resistance training can also be beneficial.
    • Weight Management: Achieving and maintaining a healthy weight through a combination of diet and exercise.


  • Pills (Oral Hypoglycemic Agents (OHA):
    • Metformin: Usually the first-line medication for Type 2 diabetes. It helps reduce glucose production by the liver and improves insulin sensitivity.
    • Sulfonylureas: Stimulate the pancreas to produce more insulin.
    • Dipeptidyl Peptidase-4 (DPP-4) Inhibitors: Enhance insulin secretion and reduce glucose production.
    • Sodium-Glucose Cotransporter-2 (SGLT2) Inhibitors: Lower blood glucose levels by promoting the excretion of glucose through urine.


  • Injectable Medications:
    • Glucagon-Like Peptide-1 (GLP-1) Receptor Agonists: Stimulate insulin release, reduce glucagon production, slow digestion, and promote weight loss.
    • Insulin: If blood glucose levels remain uncontrolled with oral medications, insulin therapy may be initiated to improve glycemic control.


  • Metabolic or Bariatric Surgery (in some cases):
    • For individuals with severe obesity and uncontrolled Type 2 diabetes, bariatric surgery, such as gastric bypass or sleeve gastrectomy, may be considered to promote weight loss and improve metabolic health.


Regular monitoring of blood glucose levels, HbA1c (average blood glucose over several months), blood pressure, and cholesterol levels is essential to assess the effectiveness of treatment and make any necessary adjustments.

For uncontrolled diabetes type 2, Is aggressive medical treatment by higher dose of OHA & insulin inferior to that bariatric surgery?

Many people think that it will be alright to take extra pills and higher doses to get diabetes under control.

But, this thought process is proved wrong by one of the best medical study. It says that on the short term & long term, surgery gives better control of diabetes and its complications than giving extra pills or higher dose including insulin.

What is Diabetes Type 2 remission or reversal?

Diabetes Type 2 remission refers to a state in which the symptoms and markers of Type 2 diabetes are significantly improved or eliminated, allowing individuals to maintain normal blood glucose levels without the need for ongoing treatment or interventions.

Medically it’s defined as an HbA1c level should be less than 6.5% without any medicines for a minimum period of 3 months.

How severe is the presence of Diabetes type 2 in India?

Diabetes Type 2 is a significant public health concern in India. The country has been experiencing a rapid increase in the prevalence of diabetes in recent years, primarily driven by factors such as urbanization, sedentary lifestyles, unhealthy diets, and genetic predisposition. Here are some key points regarding the severity of Type 2 diabetes in India:

  1. High Prevalence: India has one of the highest numbers of people with diabetes in the world. According to the International Diabetes Federation (IDF), approximately 77 million adults in India were living with diabetes in 2019. This number is projected to increase to 101 million by 2030.
  2. Growing Epidemic: The prevalence of diabetes in India has been rising at an alarming rate. The country has witnessed a significant increase in the prevalence of Type 2 diabetes, particularly among urban populations. Rapid urbanization and lifestyle changes, such as unhealthy diets, physical inactivity, and obesity, have contributed to the increasing burden of the disease.
  3. Early Onset: Diabetes Type 2 in India often occurs at a relatively young age compared to other parts of the world. It is not uncommon to see individuals in their 30s and 40s being diagnosed with the condition, which has long-term implications for their health and quality of life.
  4. High Risk Factors: Several risk factors contribute to the prevalence of Type 2 diabetes in India. These include genetic predisposition, family history of diabetes, sedentary lifestyle, unhealthy dietary habits (such as consumption of high-calorie, high-sugar, and high-fat foods), obesity, and stress.
  5. Complications and Health Burden: Diabetes complications can have a significant impact on the healthcare system and individuals’ quality of life. Uncontrolled Type 2 diabetes can lead to various complications, including cardiovascular disease, neuropathy, retinopathy, kidney disease, and increased risk of infections. These complications pose a substantial economic burden on individuals, families, and the healthcare system.
How many medical organisations have approved the surgery for Diabetes type 2?

Several medical organizations recognize bariatric surgery as a treatment option for individuals with Type 2 diabetes who are obese or have a high body mass index (BMI). Here are some of the organizations that have approved or acknowledged the potential benefits of surgery for Type 2 diabetes:

  1. American Diabetes Association (ADA): The ADA recognizes that metabolic or bariatric surgery can be considered as an option for certain individuals with Type 2 diabetes and a BMI of 40 or higher (or a BMI of 35 or higher in the presence of other significant comorbidities).
  2. International Diabetes Federation (IDF): The IDF acknowledges that bariatric surgery may be an appropriate treatment option for individuals with Type 2 diabetes and obesity who have not achieved glycemic control despite optimal medical management.
  3. American Association of Clinical Endocrinologists (AACE): The AACE acknowledges that metabolic surgery is a viable treatment option for patients with Type 2 diabetes who have inadequately controlled blood glucose levels despite lifestyle modifications and optimal medical therapy.
  4. National Institute for Health and Care Excellence (NICE): NICE guidelines in the United Kingdom recommend considering bariatric surgery as an option for adults with Type 2 diabetes and a BMI of 35 or higher when other treatments have not been effective or are not suitable.
  5. The Obesity Society (TOS)
  6. American Society for Metabolic and Bariatric Surgery (ASMBS)
  7. Canadian Diabetes Association (now Diabetes Canada).
  8. Australian Diabetes Society (ADS)
  9. Australian and New Zealand Metabolic and Obesity Surgery Society (ANZMOSS)
  10. Obesity Surgery Society of Australia and New Zealand (OSSANZ)
10 Complications of Uncotrolled Diabetes Type 2?
  1. Heart Complications (Cardiovascular disease): Uncontrolled diabetes increases the risk of heart disease, including coronary artery disease, heart attacks, and strokes.
  2. Kidney Complications (Nephropathy): Diabetes can damage the kidneys over time, leading to diabetic nephropathy, a condition that can progress to chronic kidney disease and kidney failure.
  3. Nerve Complications (Neuropathy): High blood sugar levels can damage the nerves, resulting in peripheral neuropathy, which often affects the feet and legs. It can cause numbness, tingling, pain, and loss of sensation.
  4. Retinopathy: Diabetes can damage the blood vessels in the retina, leading to diabetic retinopathy. This condition can cause vision problems, including blurred vision, floaters, and eventually, vision loss if left untreated.
  5. Foot complications: Diabetes can lead to poor blood circulation and nerve damage in the feet, increasing the risk of foot ulcers, infections, and, in severe cases, amputation.
  6. Skin conditions: Uncontrolled diabetes can cause various skin problems, including bacterial and fungal infections, itching, dry skin, and slow wound healing.
  7. Gastroparesis: This condition affects the digestive system, causing delayed stomach emptying. It can lead to symptoms like nausea, vomiting, bloating, and problems with blood sugar control.
  8. Sexual dysfunction: Diabetes can contribute to sexual problems in both men and women, including erectile dysfunction in men and reduced libido and difficulty with arousal in women.
  9. Increased risk of infections: High blood sugar levels impair the immune system, making individuals with uncontrolled diabetes more susceptible to infections, such as urinary tract infections, skin infections, and respiratory infections.
  10. Increased risk of complications during pregnancy: Uncontrolled diabetes during pregnancy (gestational diabetes) can increase the risk of complications for both the mother and the baby, including preeclampsia, preterm birth, birth defects, and macrosomia (a large baby).

It’s important to note that these complications are not inevitable and can be minimized or prevented with proper diabetes management, including medication, blood sugar monitoring, a healthy diet, regular exercise, and lifestyle modifications.

Which is the most effective way to reverse the type 2 Diabetes?

The results of diabetes remission can vary depending on the individual and the specific treatment approach. Here’s an overview of the potential outcomes associated with different treatment modalities:


  • Medications:
    • Medications are the first line of treatment for newly diagnosed cases of diabetes.
    • The goal of medicines of diabetes is to control blood sugar levels and prevent complications.
    • Limitation: While medications can effectively manage diabetes, they generally do not lead to complete remission or cure.


  • Diet Therapy:
    • While diet therapy alone may not reverse diabetes entirely, it can contribute to improved glycemic control and weight management.
    • Adhering to a diabetes-friendly diet, such as one that focuses on whole foods, portion control, and carbohydrate monitoring, can have a positive impact on diabetes management.

Regular monitoring of blood sugar levels, routine medical check-ups, and ongoing support from healthcare providers are vital components of diabetes management, regardless of the chosen treatment modality.

How Diabetes type 2 can be reversed?

There are three ways to reverse type 2 Diabetes.

  • Diet
  • Medicines
  • Surgery
How metabolic surgery work to control the diabetes?

Metabolic surgery, also known as bariatric surgery, can help control diabetes through various mechanisms. While the exact mechanisms are not fully understood, several factors contribute to the beneficial effects of metabolic surgery on diabetes control. Here are some key ways metabolic surgery works to control diabetes:

  • Weight Loss:
    • Metabolic surgery promotes significant weight loss, which can have a positive impact on diabetes control.
    • Excess weight is often associated with insulin resistance, and losing weight can improve insulin sensitivity, allowing better regulation of blood sugar levels.


  • Hormonal Changes:
    • Metabolic surgery affects the release of gut hormones involved in glucose metabolism and appetite regulation. Procedures like gastric bypass and sleeve gastrectomy alter the gastrointestinal anatomy, leading to changes in the production and secretion of hormones such as glucagon-like peptide 1 (GLP-1) and peptide YY (PYY).
    • These hormones help stimulate insulin secretion, enhance glucose uptake, and promote satiety, resulting in better blood sugar control.


  • Improved Insulin Secretion:
    • Metabolic surgery can enhance insulin secretion by improving the function of pancreatic beta cells.
    • It has been observed that after surgery, there is an increase in the early phase insulin response to glucose, which helps manage blood sugar levels more effectively.


  • Changes in Intestinal Microbiota:
    • Metabolic surgery can influence the composition and activity of the gut microbiota, the collection of microorganisms residing in the digestive tract.
    • These changes in the microbiota have been associated with improved glucose metabolism and insulin sensitivity.


  • Reduced Inflammation:
    • Obesity and diabetes are often accompanied by chronic low-grade inflammation. Metabolic surgery has been found to reduce systemic inflammation, which can have a positive impact on insulin sensitivity and blood sugar control.

It’s important to note that the specific effects of metabolic surgery on diabetes can vary among individuals. and long-term success depends on adherence to lifestyle changes, such as maintaining a healthy diet and regular exercise.

Monitoring blood sugar levels, ongoing medical care, and support from healthcare professionals are essential components of post-surgery diabetes management.

Can metabolic surgery reverse the type 2 diabetes?

Yes. Diabetes type 2 can be reversed with metabolic surgery. Metabolic surgery, specifically bariatric surgery, has been shown to have a significant impact on improving or even reversing type 2 diabetes in many patients.

Several studies have demonstrated that metabolic surgery can lead to remission or substantial improvement of type 2 diabetes in a significant percentage of patients. The exact rates of diabetes remission vary depending on the type of surgery and individual factors such as the duration of diabetes and the severity of the condition.

Gastric bypass surgery has been particularly effective in achieving diabetes remission. Research has shown that a significant number of individuals experience immediate improvement in blood sugar control after gastric bypass surgery, often leading to complete remission or a marked reduction in the need for diabetes medication.

Sleeve gastrectomy, another common type of metabolic surgery, has also shown promising results in improving type 2 diabetes. While the remission rates may be slightly lower compared to gastric bypass, many patients still experience significant improvements in their blood sugar control and reduced reliance on diabetes medications.

It’s important to note that the effects of metabolic surgery on diabetes go beyond just weight loss. The surgery alters the hormonal signalling in the body, affecting the release of gut hormones that regulate insulin secretion and glucose metabolism.

Successful diabetes management following surgery still requires ongoing lifestyle changes, including a healthy diet, regular exercise, and adherence to medical recommendations.

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