Diabetes procedures:

Diabetes is a chronic (lifelong) disease
marked by high levels of sugar in the
blood.
Type 1 diabetes is a chronic (lifelong)
disease that occurs when the
pancreas does not produce enough
insulin to properly control blood sugar
levels.
Type 2 diabetes is a chronic (lifelong)
disease marked by high levels of sugar
(glucose) in the blood. Type 2
diabetes is the most common form of
diabetes.


WEIGHT- LOSS  SURGERY CURES
MANY OBESE PEOPLE OF THEIR
DIABETES
Weight-loss surgery can cure many
obese people -- perhaps more than
60% of them -- of their diabetes, at
least in the short term, suggests a new
analysis of several studies.

Though previous research had
suggested that weight-loss surgery
could reverse diabetes, researchers
from the Netherlands have formalized
the evidence a bit through a review of
nine studies published in the June
Archives of Surgery.

Among the studies included in the
analysis, 424 people with Type 2
diabetes underwent Roux-en-Y gastric
bypass surgery, in which the surgeon
creates a small pouch in the stomach
that restricts food intake and bypasses
part of the small intestines to cut down
on absorption. Within days of the
surgery, 83% of the subjects could
stop taking diabetes medications.

And among 211 patients who had
adjustable gastric banding, in which a
silicon band is fitted around the
stomach to restrict food intake, 62%
could stop taking their diabetes
medications in the months after
surgery.

The effect continued after one and two
years, the researchers found, but
appeared to wane after 10 years.



A STRICT DIET CAN REVERSE TYPE
2 DIABETES
The idea of the crash diet came from
the observation that gastric bypass
patients often quickly stopped being
Type 2 diabetics.
Many thought this was because
surgery affected gut hormones which
had a knock-on impact on the
pancreas.
But Prof Roy Taylor of Newcastle
University (UK)  thought it might really
be because the surgery severely
constrained what patients could eat.

He set up the diet experiment to test
his 'fat' hypothesis.

Prof Taylor asked 11 volunteers, all
recently diagnosed, to go on what he
admitted was an "extreme diet" of
specially formulated drinks and non-
starchy vegetables, for eight weeks.

After just a week, pre-breakfast
('fasting') blood sugar levels had
returned to normal, suggesting a
resumption of correct pancreas
function.
After eight weeks, all had managed to
reverse their diabetes. Three months
on, seven remained free of it.

Prof Taylor explained that too much fat
"clogged up" the operation of the
pancreas at a cellular level, preventing
normal secretion of insulin which
regulates blood sugar.
When this fat was removed - by way of
the diet - normal function resumed.

He said special MRI scans showed the
proportion of fat in volunteers'
pancreases dropped during the eight
weeks, from eight to six per cent.

He said: "This is a radical change in
understanding Type 2 diabetes. It will
change how we can explain it to people
newly diagnosed with the condition.
"While it has long been believed that
someone with Type 2 diabetes will
always have the disease, and that it
will steadily get worse, we have shown
that we can reverse the condition."




INDIAN DOCTOR: KEYHOLE
SURGERY CAN CURE DIABETES
Doctors at a specialized hospital in
Kerala treating diabetes using keyhole
surgery say more than 95 percent of
their patients left the hospital fully
cured of diabetes after treatment.

“It is now clear that intestinal hormone
GLP1 (glucagons-like peptide-1) levels
can regulate the insulin release from
pancreas. Hence by increasing GLP1
levels in the gut the diabetes gets
controlled,” said Dr Hafeez Rahman,
chairman of the Sunrise Hospital in
Kochi, and a well-known keyhole
surgeon and gynecologist.

“Keyhole surgeries like sleeve
gastrectomy and Ileal interposition are
found to stimulate GLP1 secretion and
give permanent cure for diabetes,”
added Dr. Rahman, also a visiting
specialist at the Medcare Hospital in
Dubai who has completed 48,000
laparoscopic surgeries since 1992.

“It is highly appreciable for a diabetic
patient to know that cure is possible,”
said Dr. Rahman. “It is an astonishing
fact that the number of diabetic
patients are increasing day by day.
Asians especially Indians have high
incidence of diabetes due to genetic
reasons. Life style changes and food
habits contribute to this increase”.

Diabetes affects all organs in the body
like eye, brain, heart, kidney and limbs.
Chronic renal problems and increased
myocardial infarctions are also
associated with diabetes, contributing
to early death.


ISLET CELL TRANSPLANTATION IN
CLINICAL TRIALS
The procedure takes around 30
minutes. First  a dye injected into the
vein that leads to the liver so that it
shows up under X-ray. Then  a needle
is put  into the vein and deliver the islet
cells to the patient.
The cells then lodge in the liver and
produce insulin. Islet cells that come
from donors  don't last for ever - they
last only between one to five years,
and there are not enough donors.

OTHER DEVELOPMENTS
Weight-Loss Surgery is effective Type
2 Diabetes Treatment;

LAP-BAND by Allergan;

EndoBarrier Gastrointestinal Liner by
GI Dynamics;