Obesity is the main cause of diabetes and Is gastric resection effective?

Obesity is the main cause of diabetes and Is gastric resection effective?  Visceral fat obesity has a higher risk of diabetes than subcutaneous fat obesity.

In 2007, the professor of China-Japan Hospital and her research team conducted a national survey and published the findings in the New England Journal of Medicine: The prevalence of diabetes in China has risen to 9.7%, and the number of patients is as high as 92.4 million .

At that time, it was difficult for everyone to accept, and some even wrote to the New England Journal of Medicine to question this result.

However, 15 years before the professor announced this number, Jared Diamond, a professor at the University of California, Los Angeles School of Medicine, who was famous for his Pulitzer Prize-winning popular science book “Guns, Germs, and Steel”, published in the journal Nature The author said, “Chinese people’s lifestyle is changing, and diabetes will cause serious public health problems.”

Obesity is the main cause of diabetes. Diabetes is a disease in which blood sugar levels (the concentration of glucose in the blood) are abnormally high. The blood sugar level can be kept normal under the action of the hormone insulin, but if you are obese, it is difficult for insulin to work and the blood sugar level will rise. Insulin needs work when it consumes glucose on the muscles or becomes stored in the liver and fat cells, but once obese, its effect will decline.

Visceral fat obesity has a higher risk of diabetes than subcutaneous fat obesity. Visceral fat obesity is obesity caused by the accumulation of fat around the internal organs, and is common in middle-aged men.

In order to change obesity, gastric surgery can be performed

Affected by lifestyle habits, type 2 diabetes, which is prone to develop after middle age, and people with high obesity can eliminate obesity and improve diabetes by making the stomach smaller through surgery. The amount of food eaten is reduced, the food that is eaten is not easily digested and absorbed, the hormones that control appetite change, and I don’t want to eat too much.

The operation is performed using a laparoscope. Make 5 small holes in the abdomen to insert medical instruments. A part of the stomach is removed and the remaining stomach is sutured. Because the shape of the stomach becomes the same shape as the sleeve (sleeve) of the clothes, it is called “sleeve gastrectomy”.

This is an example of Mr. A who underwent this operation. Mr. A is a 42-year-old male with 7 years of diabetes experience. His height is 170cm and his weight is 110kg. After the operation, he was reduced to 80kg. HbA1c (hemoglobin), which shows the average blood sugar level, dropped from 8.5% to 6.7 to 6.8%. The basic goal for adults with HbA1c diabetes is less than 7.0%. Mr. A achieved this goal that he could not achieve before through the operation. Mr. A has high blood pressure, but his blood pressure has become normal after the operation.

After the operation, you can’t eat hard things, and you can’t eat too much. If you eat too much, the stomach may not be able to stand it.

Conditions for receiving sleeve gastrectomy

People undergoing this operation need to suffer from diseases such as obesity and diabetes, have not been improved after receiving professional treatment for more than 6 months, and they need to be between 18 and 65 years old. There are other relevant indicators that need to meet the standards.

(source:internet, reference only)

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