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

Sleeve Gastrectomy

Amazing Facts about Diabetes

  • Global Prevalence: Diabetes is a global health concern, with an estimated 463 million adults worldwide living with diabetes in 2019. This number is expected to rise to 700 million by 2045. (Source)
  • Insulin Discovery: Insulin, a hormone responsible for regulating blood sugar levels, was discovered in 1921 by Sir Frederick Banting and Charles Best. This breakthrough revolutionized the treatment of type 1 diabetes and saved countless lives. (Source)
  • Types of Diabetes: There are different types of diabetes, including type 1 diabetes, type 2 diabetes, and gestational diabetes. Each type has its own causes, risk factors, and management strategies. (Source)
  • Diabetes and Mental Health: Diabetes can have an impact on mental health, and individuals with diabetes may experience increased stress, anxiety, and depression. It is important to address the emotional well-being of individuals with diabetes and provide them with the necessary support and resources. (Source)

4 Reasons for Early Treatment of  Diabetes

  1. Blood Sugar Control: Early treatment of diabetes helps in achieving and maintaining optimal blood sugar control. This reduces the risk of long-term complications associated with high blood sugar levels, such as cardiovascular disease, kidney damage, nerve damage, and vision problems.
  2. Prevention of Complications: Diabetes can lead to various complications, including heart disease, stroke, kidney failure, eye damage, and nerve damage.
  3. Lifestyle Modifications: Early treatment provides an opportunity for individuals to make necessary lifestyle modifications, such as adopting a healthy diet, engaging in regular physical activity, and maintaining a healthy weight. These lifestyle changes are crucial for blood sugar control, weight management, and overall health.
  4. Education and Support: Early treatment allows individuals to receive education and support from healthcare professionals, diabetes educators, and support groups. This helps in understanding the condition, learning self-management skills, and addressing any concerns or questions related to diabetes management.

Complications of Untreated Diabetes

  1. Cardiovascular Complications: Untreated diabetes can lead to various cardiovascular complications, including heart disease, stroke, and peripheral artery disease. Elevated blood sugar levels can damage blood vessels and increase the risk of these conditions.
  2. Kidney Disease: Diabetes is a leading cause of kidney disease, also known as diabetic nephropathy. Untreated diabetes can damage the kidneys over time, leading to reduced kidney function and potentially kidney failure.
  3. Nerve Damage: High blood sugar levels can cause nerve damage, known as diabetic neuropathy. This can result in numbness, tingling, or pain in the extremities, as well as problems with digestion, sexual function, and coordination.
  4. Eye Complications: Untreated diabetes can damage the blood vessels in the eyes, leading to diabetic retinopathy, cataracts, and glaucoma. These conditions can cause vision loss and even blindness if left untreated.

Celebrities who have Diabetes

Tom Hanks

The Oscar-winning actor announced he has type 2 diabetes when late-night host David Letterman commented on his newly slim figure in October 2013. “I went to the doctor and he said, ‘You know those high blood sugar numbers you’ve been dealing with since you were 36? Well, you’ve graduated. You’ve got type 2 diabetes, young man.'” Hanks added that the condition is controllable, but he joked that he couldn’t get back down to his high-school weight of 96 pounds. “I was a very skinny boy!” (Source) 

Salma Hayek

The Oscar-nominee had gestational diabetes, which happens during pregnancy, while expecting her daughter, Valentina. Hayek has a family history of diabetes. Experts say all women should get checked for gestational diabetes when they are 24-28 weeks pregnant. Those at risk for type 2 diabetes are checked at their first prenatal visit. Gestational diabetes usually goes away after delivery, but  it could return with a later pregnancy. It can also make you more likely to get type 2 diabetes later on. (Source) 

Billie Jean King

Tennis champion Billie Jean King was diagnosed with type 2 diabetes at age 63. According to King, she had previously had an eating disorder. (Source) 

Samantha Ruth Prabhu

Popular South Indian Actress was diagnosed with diabetes in 2013. She overcame it with healthy eating and exercising. (Source) 

Nick Jonas

Nick Jonas was diagnosed with type 1 diabetes at the young age of 13. But this never slowed him down. He learned to manage his diabetes with healthy eating and exercising. (Source) 

What is Sleeve Gastrectomy

Overview

Sleeve gastrectomy, also known as vertical sleeve gastrectomy or gastric sleeve surgery, is a surgical procedure that involves removing a portion of the stomach to create a smaller, banana-shaped sleeve. This restriction of the stomach size limits the amount of food it can hold, leading to reduced calorie intake and weight loss. While initially developed as a weight loss procedure, sleeve gastrectomy has shown remarkable effects in improving blood sugar control and even achieving remission in patients with type 2 diabetes.

What is Diabetes and what are its types?

Diabetes is a chronic metabolic disorder characterized by elevated blood sugar levels. There are mainly two types of diabetes: type 1 diabetes, which is an autoimmune condition where the pancreas does not produce enough insulin, and type 2 diabetes, which occurs when the body becomes resistant to the effects of insulin or does not produce enough insulin to maintain normal blood sugar levels. It is mostly associated with obesity and other lifestyle factors.

How does Sleeve Gastrectomy Help in the Treatment of Diabetes?

Sleeve gastrectomy has shown to have positive effects on diabetes through multiple mechanisms:
  1. Weight Loss: The significant weight loss achieved after sleeve gastrectomy helps improve insulin sensitivity and reduces insulin resistance, leading to better glycemic control.
  2. Gut Hormone Changes: The surgery alters the gut hormone levels, including an increase in glucagon-like peptide-1 (GLP-1) and a decrease in ghrelin. These hormonal changes promote satiety, reduce appetite, and enhance glucose regulation.
  3. Metabolic Changes: Sleeve gastrectomy impacts various metabolic processes, including glucose metabolism, lipid profile, and inflammation markers, which contribute to improved diabetes management.

Who needs Sleeve Gastrectomy

Sleeve Gastrectomy may be recommended for individuals who meet the following criteria:
  1. Obesity with type 2 diabetes: Sleeve gastrectomy is often considered for individuals who have a body mass index (BMI) of 35 or higher and have been diagnosed with type 2 diabetes. Obesity is a significant risk factor for developing and worsening diabetes, and weight loss surgery can help improve blood sugar control.
  2. Inadequate response to other treatments: If lifestyle modifications, medication, and other conventional treatments have not effectively controlled blood sugar levels in individuals with obesity and diabetes, sleeve gastrectomy may be considered as an alternative treatment option.
  3. Desire for long-term diabetes management: Sleeve gastrectomy is a surgical procedure that aims to achieve sustained weight loss and improve overall health. Individuals who are committed to long-term lifestyle changes, including dietary modifications and regular exercise, are more likely to benefit from this surgery and experience improved diabetes control.
  4. Evaluation by healthcare professionals: The decision to undergo sleeve gastrectomy for diabetes reversal should be made in consultation with a multidisciplinary healthcare team, including bariatric surgeons, endocrinologists, dietitians, and other specialists. They will assess the individual’s specific circumstances, medical history, and overall health to determine if the procedure is appropriate and can potentially provide significant benefits in terms of diabetes management.
It’s important to note that eligibility for sleeve gastrectomy for diabetes reversal may vary depending on individual factors and the guidelines set by healthcare professionals and relevant medical associations. It is always recommended to consult with a healthcare provider to assess your specific situation and determine the most appropriate treatment options for managing your diabetes.

How to prepare for Sleeve Gastrectomy

Preparing for sleeve gastrectomy for diabetes reversal involves several important steps to ensure a safe and successful surgery. Here are some key aspects to consider:
  1. Consultation with healthcare professionals: Schedule a comprehensive consultation with a bariatric surgeon and a multidisciplinary team specializing in diabetes management. They will evaluate your medical history, conduct necessary tests, and discuss the potential benefits and risks of the surgery.
  2. Medical evaluation: Undergo a thorough medical evaluation to assess your overall health and determine if you are a suitable candidate for sleeve gastrectomy. This may include blood tests, imaging tests, and other diagnostic procedures.
  3. Lifestyle modifications: Adopt healthy lifestyle habits to optimize your chances of success with the surgery. This may involve making dietary changes, increasing physical activity, and quitting smoking if applicable. Following a balanced diet and maintaining a healthy weight can improve surgical outcomes and enhance diabetes management.
  4. Nutritional counseling: Meet with a registered dietitian to receive personalized nutritional guidance. They will help you develop a pre-operative diet plan, which may involve reducing calorie intake, increasing protein consumption, and incorporating a variety of nutrient-rich foods. Following a proper pre-operative diet can help prepare your body for surgery and promote healing.
  5. Medication management: Review your current medications with your healthcare team. They will guide you on which medications to continue, adjust, or temporarily discontinue before the surgery. It is essential to follow their recommendations to ensure a safe and smooth procedure.
  6. Psychological evaluation and support: Seek psychological evaluation and counseling if recommended by your healthcare team. Addressing any emotional or psychological factors related to eating habits and weight management can contribute to long-term success after sleeve gastrectomy.
  7. Education and support programs: Participate in education programs and support groups designed for individuals undergoing sleeve gastrectomy. These resources can provide valuable information, guidance, and emotional support throughout your journey.
  8. Pre-operative tests and instructions: Complete any pre-operative tests and follow the instructions provided by your healthcare team. This may include fasting before the surgery, stopping certain medications, and following specific guidelines regarding hygiene and preparation.
Remember, each individual’s preparation for sleeve gastrectomy may vary, and it is crucial to follow the personalized instructions provided by your healthcare team. They will guide you through the process and ensure you are well-prepared physically and emotionally for the surgery and the subsequent diabetes management journey.

Benefits of Sleeve Gastrectomy

  1. Improved Glycemic Control: Sleeve gastrectomy has been associated with a high rate of diabetes remission or significant improvement in blood sugar control.
  2. Weight Loss: The procedure facilitates substantial weight loss, which is crucial for managing obesity-related diabetes.
  3. Reduced Medication Dependency: Many individuals experience a reduction in the need for diabetes medications or insulin following sleeve gastrectomy.
  4. Enhanced Quality of Life: Better diabetes control and weight loss contribute to improved overall health, increased energy levels, and enhanced quality of life.

Risks of Sleeve Gastrectomy

  1. Surgical Risks: As with any surgical procedure, sleeve gastrectomy carries risks such as bleeding, infection, and adverse reactions to anesthesia. However, these risks are relatively low, especially when performed by experienced surgeons.
  2. Nutritional Deficiencies: Following sleeve gastrectomy, individuals need to adhere to a lifelong commitment to a well-balanced diet and take appropriate supplements to prevent nutritional deficiencies.
  3. Gastroesophageal Reflux Disease (GERD): Some individuals may experience an increase in GERD symptoms post-surgery. However, proper dietary modifications and medication can help manage this condition effectively.
  4. Long-Term Outcomes: While sleeve gastrectomy has shown promising short-term outcomes in diabetes management, long-term data on its efficacy and durability are still being studied.

What to do after Sleeve Gastrectomy

After undergoing sleeve gastrectomy for diabetes reversal, it is essential to follow a comprehensive post-operative plan to optimize your health and manage diabetes effectively. Here are some important considerations:
  1. Follow your surgeon’s instructions: Adhere to the specific guidelines provided by your bariatric surgeon regarding diet, physical activity, medication management, and follow-up appointments. They will provide detailed instructions tailored to your individual needs.
  2. Gradual transition to a new diet: Begin with a clear liquid diet immediately after surgery, as instructed by your healthcare team. Gradually progress to a pureed and soft food diet before transitioning to solid foods. Follow the recommended portion sizes and guidelines provided by your dietitian.
  3. Adopt a balanced and nutritious diet: Emphasize protein-rich foods, such as lean meats, poultry, fish, eggs, and legumes, to support healing and maintain muscle mass. Include a variety of fruits, vegetables, whole grains, and healthy fats to ensure adequate nutrient intake. Limit sugary foods, processed snacks, and high-calorie beverages.
  4. Regular physical activity: Engage in regular physical activity as advised by your healthcare team. Gradually increase your activity level, starting with light exercises and gradually progressing to more intense workouts. Regular physical activity can improve insulin sensitivity, promote weight loss, and enhance overall health.
  5. Medication management: Follow your healthcare team’s recommendations regarding medication usage. You may need adjustments to your diabetes medications or other medications you were taking prior to surgery. Regularly monitor your blood sugar levels and report any significant changes or concerns to your healthcare provider.
  6. Attend follow-up appointments: Attend all scheduled follow-up appointments with your bariatric surgeon, endocrinologist, and other healthcare professionals involved in your diabetes management. These appointments are crucial for monitoring your progress, evaluating diabetes control, and addressing any concerns or complications.
  7. Embrace a supportive lifestyle: Surround yourself with a supportive network of family, friends, or support groups who understand your journey and can provide encouragement and accountability. Seek emotional support if needed and address any psychological factors that may impact your long-term success.
  8. Continual education: Stay informed about diabetes management strategies, lifestyle modifications, and advances in bariatric surgery and diabetes treatment. Attend educational programs and support groups to expand your knowledge and stay motivated on your journey.
Remember, the success of diabetes reversal after sleeve gastrectomy depends on your commitment to lifestyle changes, adherence to medical recommendations, and ongoing collaboration with your healthcare team. By following a comprehensive post-operative plan, you can optimize your health, manage diabetes effectively, and achieve long-term success.

80 years old, heart patient. Nevertheless, a ruptured gall bladder was successfully treated with binoculars.

Celebrities who have Diabetes

Tom Hanks

The Oscar-winning actor announced he has type 2 diabetes when late-night host David Letterman commented on his newly slim figure in October 2013. “I went to the doctor and he said, ‘You know those high blood sugar numbers you’ve been dealing with since you were 36? Well, you’ve graduated. You’ve got type 2 diabetes, young man.'” Hanks added that the condition is controllable, but he joked that he couldn’t get back down to his high-school weight of 96 pounds. “I was a very skinny boy!”

Salma Hayek

The Oscar-nominee had gestational diabetes, which happens during pregnancy, while expecting her daughter, Valentina. Hayek has a family history of diabetes. Experts say all women should get checked for gestational diabetes when they are 24-28 weeks pregnant. Those at risk for type 2 diabetes are checked at their first prenatal visit. Gestational diabetes usually goes away after delivery, but it could return with a later pregnancy. It can also make you more likely to get type 2 diabetes later on.

Billie Jean King

Tennis champion Billie Jean King was diagnosed with type 2 diabetes at age 63. According to King, she had previously had an eating disorder.

Samantha Ruth Prabhu

Popular South Indian Actress was diagnosed with diabetes in 2013. She overcame it with healthy eating and exercising.

Nick Jonas

Nick Jonas was diagnosed with type 1 diabetes at the young age of 13. But this never slowed him down. He learned to manage his diabetes with healthy eating and exercising

Amazing Facts about Diabetes

Diabetes is a global health concern, with an estimated 463 million adults worldwide living with diabetes in 2019. This number is expected to rise to 700 million by 2045. (Source)

Insulin, a hormone responsible for regulating blood sugar levels, was discovered in 1921 by Sir Frederick Banting and Charles Best. This breakthrough revolutionized the treatment of type 1 diabetes and saved countless lives. (Source)

There are different types of diabetes, including type 1 diabetes, type 2 diabetes, and gestational diabetes. Each type has its own causes, risk factors, and management strategies. (Source)

Diabetes can have an impact on mental health, and individuals with diabetes may experience increased stress, anxiety, and depression. It is important to address the emotional well-being of individuals with diabetes and provide them with the necessary support and resources. (Source)

4 Reasons for Early Treatment of Diabetes

Complications of Untreated Diabetes

What is Sleeve Gastrectomy

Sleeve gastrectomy, also known as vertical sleeve gastrectomy or gastric sleeve surgery, is a surgical procedure that involves removing a portion of the stomach to create a smaller, banana-shaped sleeve. This restriction of the stomach size limits the amount of food it can hold, leading to reduced calorie intake and weight loss. While initially developed as a weight loss procedure, sleeve gastrectomy has shown remarkable effects in improving blood sugar control and even achieving remission in patients with type 2 diabetes.

What is Diabetes and what are its types?

Diabetes is a chronic metabolic disorder characterized by elevated blood sugar levels. There are mainly two types of diabetes: type 1 diabetes, which is an autoimmune condition where the pancreas does not produce enough insulin, and type 2 diabetes, which occurs when the body becomes resistant to the effects of insulin or does not produce enough insulin to maintain normal blood sugar levels. It is mostly associated with obesity and other lifestyle factors.

Types of Diabetic Surgery

  1. Roux-en-Y Gastric Bypass: This procedure involves creating a small pouch from the stomach and connecting it directly to the small intestine, bypassing a portion of the stomach and upper intestine. It restricts food intake and alters the digestive process, leading to weight loss and improved glycemic control.
  2. Sleeve Gastrectomy: In this surgery, a large portion of the stomach is removed, leaving behind a smaller, banana-shaped pouch. This reduces the stomach’s capacity, limiting food intake and influencing hormonal changes that can improve blood sugar control.
  3. Biliopancreatic Diversion with Duodenal Switch: This complex procedure involves a sleeve gastrectomy to reduce the stomach’s size and rerouting the small intestine to limit nutrient absorption. It leads to substantial weight loss and significant improvements in diabetes management.

How does Sleeve Gastrectomy Help in the Treatment of Diabetes?

Sleeve gastrectomy has shown to have positive effects on diabetes through multiple mechanisms:

  1. Weight Loss: The significant weight loss achieved after sleeve gastrectomy helps improve insulin sensitivity and reduces insulin resistance, leading to better glycemic control.
  2. Gut Hormone Changes: The surgery alters the gut hormone levels, including an increase in glucagon-like peptide-1 (GLP-1) and a decrease in ghrelin. These hormonal changes promote satiety, reduce appetite, and enhance glucose regulation.
  3. Metabolic Changes: Sleeve gastrectomy impacts various metabolic processes, including glucose metabolism, lipid profile, and inflammation markers, which contribute to improved diabetes management.

Who needs Sleeve Gastrectomy

Sleeve Gastrectomy may be recommended for individuals who meet the following criteria:

  1. Obesity with type 2 diabetes: Sleeve gastrectomy is often considered for individuals who have a body mass index (BMI) of 35 or higher and have been diagnosed with type 2 diabetes. Obesity is a significant risk factor for developing and worsening diabetes, and weight loss surgery can help improve blood sugar control.
  2. Inadequate response to other treatments: If lifestyle modifications, medication, and other conventional treatments have not effectively controlled blood sugar levels in individuals with obesity and diabetes, sleeve gastrectomy may be considered as an alternative treatment option.
  3. Desire for long-term diabetes management: Sleeve gastrectomy is a surgical procedure that aims to achieve sustained weight loss and improve overall health. Individuals who are committed to long-term lifestyle changes, including dietary modifications and regular exercise, are more likely to benefit from this surgery and experience improved diabetes control.
  4. Evaluation by healthcare professionals: The decision to undergo sleeve gastrectomy for diabetes reversal should be made in consultation with a multidisciplinary healthcare team, including bariatric surgeons, endocrinologists, dietitians, and other specialists. They will assess the individual’s specific circumstances, medical history, and overall health to determine if the procedure is appropriate and can potentially provide significant benefits in terms of diabetes management.

It’s important to note that eligibility for sleeve gastrectomy for diabetes reversal may vary depending on individual factors and the guidelines set by healthcare professionals and relevant medical associations. It is always recommended to consult with a healthcare provider to assess your specific situation and determine the most appropriate treatment options for managing your diabetes.

How to prepare for Sleeve Gastrectomy

Preparing for sleeve gastrectomy for diabetes reversal involves several important steps to ensure a safe and successful surgery. Here are some key aspects to consider:

Remember, each individual’s preparation for sleeve gastrectomy may vary, and it is crucial to follow the personalized instructions provided by your healthcare team. They will guide you through the process and ensure you are well-prepared physically and emotionally for the surgery and the subsequent diabetes management journey.

Benefits of Sleeve Gastrectomy

Risks of Sleeve Gastrectomy

What to do after Sleeve Gastrectomy

After undergoing sleeve gastrectomy for diabetes reversal, it is essential to follow a comprehensive post-operative plan to optimize your health and manage diabetes effectively. Here are some important considerations:

Remember, the success of diabetes reversal after sleeve gastrectomy depends on your commitment to lifestyle changes, adherence to medical recommendations, and ongoing collaboration with your healthcare team. By following a comprehensive post-operative plan, you can optimize your health, manage diabetes effectively, and achieve long-term success.

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