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...better for those patients who address their diabetes early on. "If you have had diabetes for a long time, your response to surgery may not be as good as that of people who have had diabetes for a short period of time," he says. "People who have had a longer duration of diabetes may reduce their medication, but they may never be able to stop them completely...
...patient's physically smaller stomach (ghrelin is produced by glands in the stomach), leading to a reduction in food intake. Meanwhile, the smaller stomach more readily triggers hormones that signal satiety to the brain, sending the message that the body has taken in its fill of calories. But the longer this system has been overwhelmed with too much sugar and too many calories as occurs in diabetes, experts suspect, the more difficult it is to normalize the body's metabolic thresholds and molecular messages...
...have realistic expectations of what the surgery can do for them: People without diabetes have the best chance of losing weight and reaping the heart and metabolic benefits of being slimmer; among diabetes patients, those undergoing surgery early on in their disease might fare better than those who wait longer. Both Campos and Hamdy remind patients that surgery is never the final answer - weight-loss maintenance continues long after you're discharged from the hospital, and can only be done the old-fashioned way, with a healthy diet and exercise plan. Surgery, after all, can only...
...more intensely aware of others’ unspeakable distress than I was just a few months ago, less a victim to the desensitization that affects all of us as we see the news flashing dead bodies in front of our faces. Now it’s no longer easy to yawn or change the channel when the news turns to brutality far from home. Perhaps most importantly, I am cognizant of the need to break through the impatient flurry of 24-hour news, and I am driven to seek genuine human contact before finishing with a story...
...pulled away in his Fiat, Claudio, whose job was to work with Bologna's growing immigrant population, conceded that the issues facing the Roma were different. "You have to start with the kids," he said. "Too often, the parents are no longer really reachable." If this week's meeting in Brussels can answer the question of how to do that, it would be a breakthrough indeed...