Type 2 diabetes is not operated
04/16/2013 2:58 p.m.
Not of the clearest messages that have been given in the National Diabetes Congress held these days in Seville is that diabetes is not operated or has for now cure.The Spanish Diabetes Society (SED) Organizer of the Congress, denounces the advertising claims of surgical clinics that erroneously claim that "diabetes is operated and heals along with their complications."
It is true that bariatric or metabolic surgery (techniques that regulate intake and appetite and modify food absorption, such as gastric band, gastric ball or gastric bypass), has meant a great advance in the treatment of obesity andits complications, and, among them, especially type 2 diabetes. The standardization of laparoscopic surgery and mixed techniques with a very small morbidity and mortality has substantially changed the indications and management of the process.
According to Dr. Clotilde Vázquez, head of the Endocrinology and Nutrition Service of the Ramón y Cajal hospital in Madrid, “in the case of people with obese type 2 diabetes, good results in terms of weight loss and, above all, improvementMetabolic are spectacular.In fact, the indications of the ADA (American Diabetes Association), when the body mass index is greater than 35 (which is equivalent to grade 2 obesity), are based on a very good degree of scientific evidence ”.
From the results obtained with the different techniques of surgery in type 2 diabetes associated with obesity, the optimism of being before a powerful, efficient procedure, which, as long as it is well indicated, and accompanied by specific dietary-therapeutic measures, specific measures,Get results in the short and medium term higher than changes in lifestyle and classic drugs, including insulin.
Diabetes is not operated
However, surgery is a risk with risk, which requires subsequent follow -ups, dramatically modifies food tolerance and almost always requires a subsequent pharmacological treatment.Disadvantages, all of them, minors compared to potential benefits, but cannot be ignored.In short, diabetes is not operated.Surgical procedures constitute an effective and cost/effective treatment measure in cases where excess fat plays an important role.
Diabetes is not operated
"But we must not forget," explains Dr. Vázquez, "that the existence of very effective drugs in the treatment of obesity and diabetes together allows spectacular achievements without surgery.And above all, in diabetic patients with normal or lightweight weight, the results of medium and long term surgery are uncertain and insufficient. ”
Conclusions
1. The first and most important is that type 2 diabetes is not cured, and the remission of diabetes is not achieved in 100% of cases with bariatric surgery (or metabolic surgery).This is very important, because many advertising claims are being seen in recent months announcing the healing of diabetes with this surgery and patients may believe that the results are guaranteed in all cases, which is not true at all.Therefore diabetes is not operated.
2. Type 2 diabetes can go into remission with surgery, but it is very important to individualize the cases, the type and duration of diabetes and the patient's surgical risk, as well as advise well about the type of surgery.
3. It seems clear that the lower the evolution of diabetes, and minors are the complications of it, the greater the remission rate seems.
Uncertainty about its long -term results
There are still many areas ofUncertainty: The most important are time to advise surgery and the type of surgical technique that must be performed.Nor do we know how long the remission will be maintained once it is achieved, that is, what happens at 10 or 15 years after surgery: Does diabetes recurrence again?We know that from the two years of performing obesity surgery, weight begins to recover, and it is known that in some patients in which this weight recovery is striking over the years, diabetes may appear again, althoughIt is usually of less intensity and is usually controlled better and with less medication than before surgery.In any case, we do not know in a precise way the long -term results and more studies are needed, although it has been demonstrated in recent years that the surgical treatment of type 2 diabetes that is accompanied by obesity is much more effective than themedical treatment.
Given the contribution of this surgery as an effective alternative treatment in type 2 diabetes, the main scientific societies -Spanish Diabetes Society (SED), Spanish Society of Obesity Surgery and Metabolic Diseases (DRY);Spanish Society of Endocrinology and Nutrition (SEEN), and Spanish Society for the Study of Obesity (SEEDO)- involved in the management of obesity and diabetes have developed a positioning document in relation to metabolic surgery in type 2 diabetesRecently presented, whose objective is to define in which patients it would be advisable to do this intervention, what their indications are and explain the referral criteria.
Thirst recommendations
It is very important to advise patients with obesity and diabetes who are interested in metabolic surgery as a treatment that come to centers that have multidisciplinary obesity surgery units and have extensive experience in the surgical and medical management of these patients,so that they can receive the best possible and individualized attention, weighing not only the surgery pros but also cons (surgical risk, long -term complications).
“It is necessary that they leave already, and once and for all, sensational holders on the healing of diabetes with metabolic surgery, which are used as an advertising claim.Patients with type 2 diabetes have the right to be well informed about metabolic surgery and access this type of therapy with total guarantee and rigor, since it has proven to be very effective in achieving the complete or partial remission of diabetes, although notHe is exempt from risks and short, medium and long term complications, ”concludes Dr. Clotilde Vázquez.
04/16/2013 2:58 p.m.
Thanks for the information, I also believe that today the diabetes is not cured by Quirofano if they are not putting a new pancreas.
04/16/2013 6:04 p.m.
I do not understand so much contradiction, your title of the post with the content of your message:
"According to Dr. Clotilde Vázquez, head of the Endocrinology and Nutrition Service of the Ramón y Cajal Hospital in Madrid,“ in the case of people with obese type 2 diabetes, good results in terms of weight loss and, above all, ofMetabolic improvement are spectacular."
"2. Type 2 diabetes can go into remission with surgery, but it is very important to individualize cases, diabetes type and duration and patient's surgical risk, as well as advise well about the type of surgery."
And I could paste more pieces, I have rectified in my message in another thread, it is worth generalizing, so I made the correction that in the cases of type II overweight, but here you are also generalizing that it is not operated when there are casesin that if it can be operated to resolve.
You have accused me of grateful the scam for informing what I know firsthand since I know personally cases that have resolved their type II diabetes, and more when I do not benefit me with it and in fact if I write it is why it seems to meVery unfair that all information is not being given to patients who can benefit from it, that in fact a high percentage of those affected by type II are obese, but even if it were 1% of all type II diabeticsthat could benefit from the progress that exists in this regard because it would be worth it.
Thank you for erasing the news of the days organized by patients by the way, and that you know, I am neither a doctor, nor of any clinics, I am a bariatric patient, which has diabetic relatives and I know operated diabetic patients to solve their type II diabetes, the last Saturday in the days my soul broke when I heard the cases of the ex-diabeticof the speakers operated for this purpose era a doctor from Valencia ... It is a shame what is happening the truth.
05/06/2013 9:55 a.m.
At least I know what you have come to this forum.
I have erased the second thread because you put the same as in the first, and duplication information ... and that is why I delete it, that the space on the server is not eternal.
In this thread that reflotes I have not opined anything, I have limited myself to copying a news of Canaldiabetes.com in which a press release is echoed from the Spanish Diabetes Society.
In the other thread, I have posted the same news as here ... exactly the same, with the same link.
Where is the contradiction?
What asked you to rectify are 2 things:
- Diabetes is not operated or heals ... at least for the moment.And I have argued it with a news of the Spanish society Diabetes.
- Not general.There are many types of diabetes (type 1, type2, lada, mody, gestational ...) if you put that diabetes are operated you are lying and leading to confusion to many people who read it and by ignorance (not to mention despair)He wants to improve his state of health.
Because I insist again, it seems that you jump what you do not like to read, there is only surgical improvement in some cases of obesity+type 2 diabetes.
The rest of the types of diabetes or contemplate ... They can have obesity, but they do not improve with surgery.
If these 2 things that I tell you are not able to contemplate it I will also erase the other thread.
So you can see that there is no world conspiracy to hide metabolic surgery, I give you another opportunity
In the other thread I have detailed the current indications for metabolic surgery (BMI & GT; 35, less 10 years evolution, no insulin treatment ...), recommendations that thirst, not me.
I insist, so far I have only opined this: I agree with the thirst in which sensationalist holders must be cut off, they lead to patients and create authentic problems with professionals.
If any person reads this and the operation is raised, which is reported well.
Not everything is pink.
Complications can be serious and have precisely a low incidence.
And now I am going to comment on metabolic surgery and its complications.
Look where I work in a digestive medicine hospital service.Public, for more signs.
And I've been seeing a few cases of complications, and all quite serious: stenosis, fistulas, hemorrhages and even perforations ... and I speak only of the digestive section, which is the one I have seen.
But the difficulties on the part of the anesthetist are very large within the operation itself ... several times we have been very close to losing patients due to lung embolisms in different interventions.
And nutritionally is another problem ... diarrhea, poor absorption of food and nutritional deficiencies (minor with gastric band).
I repeat what I said:
If anyone wants to operate obesity and also have type 2 diabetes, which is reported well.
There are advantages and disadvantages. It does not always go well or there is full guarantee of improvement.
05/06/2013 12:57 p.m.
You have also confirmed what I imagined with respect to who you are, because a normal person does not answer those forms, because I only enter the intention of informing of a day, since I have been one of the organizers, andThe truth is that it feels very bad that a thread is erased and it seems that what I said is not true, when if it is and I have seen it and I see with my own eyes, what I am not going to nowPaste the last consensus of Seedo and Seco because it is not going to be erased because I am doubling it, so I inform you that it is on the other side.
That it should beIn my second message I also widespread and I think I rectified my mistake (as to the only overweight type II and if the specialized medical team indicates it), but we are going to answer were no ways and more when I am a patientwith the only intention of informing about those days he was organizing with other patients and not with another intention.
And the truth is that way of acting gives that thinking here can only be published what interests the owner or the moderators of this forum and I have published a reality, and I also tell you that I do not say it, it is also collected in theLast consensus made by Seedo and Dry and if you don't know what I am talking about (I suppose if you know ..) Well, the link of the news published about that consensus on the Seedo website is in the other Lao.
greetings
05/06/2013 2:07 p.m.
I am a person (I and my fellow moderators) who are up to the hat of people who want to deceive or cheat with diabetes as an excuse, in this forum and in a few more in which I participate.
In your case, the thread that you opened has not been directly erased because a part of what you counted was true, as I wrote it ... I warned you that you would rectify a part (other types of diabetes and replace cure for remission) because it seemed interesting to meYour contribution, whenever you would clarify what I asked for the open thread (which I have done)
because?
Because saying that diabetes is operated or heals inciting confusion ... and this is an open forum that reads a lot of people although later they do not participate.
What do you think a mother of an 8 -year -old girl can think if you read that diabetes is cured?
Will you not feel disappointed if you go to your doctor with your news and the doctor tells you that it is only for type 2 and obese?
Imagine that a 15 -year -old girl with type 1 diabetes reads it ... are you able to imagine what can happen to the head thanks to the headline "Diabetes is cured"?
Is it really so difficult to understand that as moderators we have to ensure that?
Do you think that if that happened, the mother or the kid would enter the forum to read news that are not 100% truthful?
I don't know where is the censorship you hint ... You keep writing what you want.
The forms?
If you say that diabetes (dry) you operate you are lying and scarce ... which is what I told you.
The previous experience in the forum advises not to be with half inks, because selling we have had many and unfortunately we will have more.
The consensus
I have already posted the indications of surgery ... I don't know what else you want to do now.
05/06/2013 2:48 p.m.
I think you already explained the reason for my answer to the first post.
My intention was not to go with half inks, but before your first response because I think that my reaction was not happy to say, and more when you first did not operate (when there are specific case that is possible), and then theFinal phrase, the scam, to see I understand that there will be malicious people who will enter to try to scam, with things that really does not cure, that also happens even in obesity, when they try to sell the miracle pills and others, and II have suffered it in my own meats and not because I have taken since with that if before operating I was careful and if I have come to take pills it has always been with the indication of the doctor and under its supervision, but I have reachedSuffering in my meats as a seller took some photos of my thinning and the spy to sell their miracle product, super strong ...
I have tried to rectify, well I rectify if you want, instead of saying that it is "resolved" because we will say that "refers", I understand your reasons why you prefer to use that word, in the days a specialist also explained us even theDiabetes resolution percentages depending on the technique used, we are going that the explanations that occurred there in my opinion true and without the intention of deceiving or cheating, even told us that in more than 90% because insulin or pills stopped being administered, anotherSmall percentage although it improved it quite Au had to continue administering some type of pharmacological treatment, but come on it is a pretty good advance in these cases and in my opinion and even the opinion of those who have gone through the surgery process to send their diabetes withWe think surgery is important that people who have this possibility because they should at least know it, and especially in the event that we also consider it that it is very important to enter into the hands of a specialized medical team for it, thanIt is always those who in these cases are the ones that must assess each case and indicate whether or not to be suitable for this type of surgery, in things of course, either to send their dibetes or obesity always has to be performed by a multidisciplinary teamand experienced, especially for surgery to be a success and with the minimum possible risks.
I understand what you comment, and I see the politics that you use in this forum to review, but the truth is that I felt attacked and you have to understand it, and more for the forms, I think it would have been correct to ask my rectification in another way onlyThat, and more when the only intention I had first was to report a day that I together with other patients were going to perform, in case any patient might interest him to attend, in fact in the same days the indications of thisSurgery, which is only possible in patient with certain requirements, (type 2 plus obesity), because I want you to understand why my anger more, and give thanks that I am not reconerous and do not consider me the truth bad person, let's not think "to take you out" but I just want you to understand the reason for my anger.
And well, to finish, as one thing does not take away the other than thanking you for not eraseing my thread, the truth is that I came to think that you would erase all, especially when you see an interview of the days and a man who heldThis type of intervention, but well in a way I understand what you say, (I am administrator of a forum), that of not repeating in a forum the same theme, that if I did it was why I did not know how first to locate it, andAs I saw about the events section, then I put the interview with news.
And well, I just hope you understand why of my answers as well asI understand the reasons that you expose your way of acting, and I promise you that next to avoid confusion I will specify more to avoid confusion, I do not intend to deceive anyone, I just hope that this is clear to you, only that I think thisI progress because people who can be suitable for it should know him, at least have this information, unfortunately misinformation there are everywhere
Thanks for reading me
Vanesa Millán
05/06/2013 10:09 p.m.
Vanesa, although there are cases to which that surgery is doing well, you are talking about a percentage so small that forces you to have a quite small mouth, especially when in forums like this, almost all are type 1, and manyof them inexperienced people who would open the meats when reading that diabetes is cured.I am also with thirst to say that I hope with those headlines.I, like Owash, also made a copy and hit the news of Channel Diabetes, since it is rigorous and precise, and it is necessary to limit certain statements when talking about these things.And after several days, a person entered a little in the line of yours, defending that technique with cape and sword and belittling the warnings of thirst on this subject.You have to be very careful with these things, believe me.We talk about a life disease, and it is very important to take care of how it is said and how the different advances or techniques that appear.This is an alternative for very specific profiles of people, and also nothing is known about the long term.So talking about healing is an audacity, and also induces the remaining 99% of the diabetics collective who are not candidates to operate with this technique.
05/07/2013 4:44 a.m.
ISCI / debut: 1986 / HbA1c: 5,5%
I think it has already been very clear what we want in this forum, Vanesa does not like "sensationalism" or the great headlines that confuse, nothing more ... that's why we sin sin of being a bit strict?It can be, but we want this forum to continue to be .....
05/07/2013 6:11 a.m.
I do not defend the cape and sword, but it is of interest that it is known that this possibility exists and more when the majority of diabetics are of type II and of them most suffer obesity, we already know that those of the type I are between 1 and 5% of the total diabetic people, and those of other types such as gestational lamps or diabetes have even lower incidence, taking into account this it would be an error to say that only a small percentage can benefit because it is not so.
As one says that I know that he was a candidate and he operated on it, "every year that is without high glucose is a year that gained the disease"
Every advance in medicine is good, and I of course if it were type II diabetics I would like to know that this alternative exists, in fact my mother -in -law is, of type II and why it is not overweight that if it had not already operated,In my case my grandmother already died and was overweight type II and because of it he had problems in view and others, his also diabetic mother, also suffered from ulcers on his feet and more things, I also have an aunt with type II diabetes thatcontrols with pharmacological treatment and sport (she is not obese)
But that and in this if I do unable, and it is super important, this should always value an expert and specialized medical team, at least we are lucky here in Aragon that the issue of bariatric surgeons is very controlled, there are very fewthat they are authorized to do this type of surgery, hopefully the control they have with this in my community will also do it in the rest of the communities because with it, many people would not run the risk of consequences because they are operated by inexperienced, because it does not leaveIf it were a serious operation, and of course it is after it is super important to bring control of life by an endocrine, in my case I am very good, almost 6 years of operated, the only anemia that Pille was in pregnancy, I currently have everythingAt normal levels, I am in my ideal weight, I measure 1.66 and weight 62 kg, and despite carrying a Biliopancreatic bypass El Water I only visited it once a day, just as before operating, and what surprised me the most was thatHard surgery one hour, I did not go through the UVI and on the third day I was already in my house, luckily in my city we had very good surgeons, both in private and social security, and if it had not been the caseOf course I would have looked for other options, but I will look and pray and ask for help and advice of my friends who are surgeons (from other areas) and luckily it was not necessary to get out of my city.
I hope you do not misunderstand my words since I am not writing with bad intentions, much less, but sometimes communication through messages can be misunderstood and can lead to confusion.
Greetings, and I hope that the day comes that medicine advances so much that both affected people of type I, type II and others can solve their illness, I will never stop believing in medicine, that if the one with a scientific basis and does notthe one that lacks this.
05/07/2013 7:15 a.m.
Sometimes, I have been somewhat incredulous towards the opinions of doctors, especially when their first suggestion is to visit the operating room, because some with the purpose of receiving the economic benefits of their work, only follow a minimum health protocol for each caseThey attend without going a little further.Personally and I know that many of you too, I like to investigate on my own and try, what works for me and what I do not, especially with regard to a healthy eating and as an alternative to the drugs.Eye, always under medical supervision and within logical parameters, because the idea is to achieve a balance between traditional and alternative or natural medicine, right?In the same way, each body or organism is different and not everyone works, so I share this material that I found on the web, it seems to me that it gives interesting tips that many could serve and take advantage. bit.ly/2oytlmc hits and good health for all.
10/10/2019 7:23 p.m.