Know Metabolic Surgery and Surgical Procedures to Prevent Diabetes in Obese People

According to Riskesdas data collected by the Ministry of Health in 2013, around 12 million Indonesians suffer from diabetes. This figure is expected to reach 21.3 million in 2030.

Obesity is one of the main risk factors for diabetes. Adding fat deposits in the body will disrupt the work of insulin to control blood sugar levels, thus making the body resistant to insulin. Insulin resistance increases your risk of diabetes. Healthy living, exercising regularly and taking diabetes medications like metformin are the main ways to control diabetes risk. But there are alternatives that can be used to cure diabetes in obese people. Introducing, metabolic operations.
What is metabolic surgery?

Metabolic surgery is a gastrointestinal surgery whose concept was developed from bariatric surgery for obese people. According to the American Society for Metabolic and Bariatric Surgery and based on other research, this operation is very effective in the treatment of the final stage of obesity.

One type of bariatric surgery involves cutting a small portion of the small intestine called bypass intestine. This action is done by combining the upper part of the stomach with the small intestine, so that your stomach fills up quickly and a few calories are absorbed by food.

Partial cuts of the small intestine will be able to control the symptoms of type 2 diabetes such as hyperglycemia. This operation can also reduce the risk of other diseases such as sleep apnea and some cancers that may appear as a set of metabolic syndrome, due to high blood sugar and cholesterol levels and excess stomach fat resulting from your obesity.
The benefits of metabolic surgery to cure diabetes are obese people

After metabolic surgery, the patient's glycemic control will be better and can last between 5 and 15 years. This causes remission of diabetes in 30 to 63% of patients.

Glycemic control is better because of the weight loss that occurs after surgery. Weight loss will increase insulin sensitivity and increase insulin expenditure. In addition to changes in digestive hormones, bile metabolism and fat also play a role in weight loss.

In addition to increasing glycemic control, research shows that there is a reduced risk of cardiovascular disease and an improvement in the quality of life for patients who have had this surgery.

Who can undergo metabolic surgery?

Maybe you consider yourself big and interested in doing metabolic operations. But unfortunately, there are several conditions that must be met in order to carry out this medical treatment, namely:

Having a body mass index greater than 40 kg / m2. This operation will only be done on people with very fat bodies.
Having a body mass index greater than 35 kg / m2 if blood glucose remains high (hyperglycemia) after lifestyle changes and optimal drug treatment.
Has a body mass index of 30.0 to 34.9 kg / m2 if hyperglycemia is not controlled by oral or injection drugs (including insulin)
Obesity is accompanied by certain chronic diseases such as type 2 diabetes or hypertension
Commit to a healthy lifestyle after successful metabolic surgery and regular doctor visits.
Dare to take risks that might occur.

If you have all of the above conditions and are interested in this action to cure diabetes, you should first consult a doctor.
What are the risks of this surgery?

Metabolic surgical interventions can already be performed with laparoscopy, which avoids major surgical risks. Metabolic surgery is classified as a medical procedure with minimal risk of death. only 0.1-0.5%. Weak cholecystectomy (removal of the gallbladder) or hysterectomy (removal of the uterus)

But while this sounds promising, this operation involves a variety of risks and side effects. The most common are some nutritional deficiencies. The reason is that changing the shape of the digestive organs can cause your body to not absorb maximum nutrients. This lack of vitamins and minerals can be easily treated by providing food supplements.

The risk of hypoglycemia (low blood sugar) is rare, but not impossible. This is caused by increased insulin or hypoglycemia hypersulinemia. People who have undergone this procedure experience an increase in excessive insulin secretion after consuming food.

The ADA advises you not to go through this metabolic process if you have a history of alcoholism, drug addiction, major depression, suicidal tendencies or other mental health problems. New operations can be carried out when this condition is processed.