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Reduce Diabetes Levels and Lose Weight
by Doctor Luis Javier Cárdenas
Gastrointestinal Surgeon | Obesity | Advanced Laparoscopy
Center for the treatment of Obesity and Metabolic Diseases Obesity Panama
Actualmente en el mundo la diabetes esta incluida dentro de las enfermedades crónico degenerativas, es silenciosa, pero con complicaciones graves que van desde la ceguera, insuficiencia renal, impotencia, aumento de riesgo de infarto al corazón, macro angiopatías con disminución de la circulación de las extremidades con perdida de la sensibilidad, infecciones, necrosis y amputaciones.
El problema sucede cuando la glucosa absorbida por el intestino en la dieta no puede ser introducida en el músculo y queda mucha glucosa circulando agotando la función de las células betas del páncreas.
For which the goals to follow are:
a) Reduce the intake in volume of carbohydrates, fats, and decrease their absorption
b) Improve insulin resistance by 80%
c) Prevent apoptosis (death) of beta cells of the Pancreas
d) Stimulate GLP-1 earlier
e) Avoid hyperglucagonemia
This is how the Metabolic Surgery, which understands different surgical techniques aimed at improving or remitting metabolic disorders such as diabetes, hyperlipidemia (cholesterol, high triglycerides) and hypertension in order to decrease or stop taking medications.
The best technique must be chosen between the surgeon and the patient, to be a candidate, it is important that you have adequate Pancreatic Reserve (determined by laboratory tests), know your level of insulin resistance and the years of suffering from the disease, since we know there is a relationship in terms of the percentage of remission success that is associated to the evolution of the disease.
Patients who have been diabetic for less than 5 years have a better success rate than those who are 5 to 10 years old, and the latter have a better success rate than those who have more than 10 years of suffering from the disease.
Similarly, those who have not used insulin, or who have been using it for a short time, have better results than those who have used insulin for years, so we conclude that the best candidate is the one who decides to have surgery the earliest.