Word: weightfulness
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...despite the fact that diabetes patients lost less weight after surgery than patients without the disease, 90% of the former group still saw their blood-sugar levels fall after the procedure. That meant they could also cut back significantly on the amount of medication they needed. According to Dr. Osama Hamdy, director of the Obesity Clinical Program at Joslin Diabetes Center, the chances may be even 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...
...difference in weight loss between the two groups? Campos notes that although the procedure is the same from patient to patient, doctors currently do not use a standard size when creating the new stomach sac. Instead, surgeons use anatomical landmarks unique to each patient to determine the size of his or her new, smaller stomach. But because the stomach lining remains elastic and flexible, sometimes the small stapled-off pouches simply balloon back to a larger size, which explains why 5% to 15% of people who get gastric bypass surgery often experience little or no weight loss...
...death - particularly from obesity-related diseases, including diabetes and coronary artery disease - but that in some patients with diabetes the surgery is practically a cure, resulting in normalization of blood sugar, often within days. That's part of the reason that gastric bypass is now the most commonly performed weight-loss surgery in the U.S., with nearly 140,000 procedures done each year...
...study introduces a curious wrinkle in the evidence. Led by Dr. Guilherme Campos, director of the Bariatric Surgery Program at the University of California, San Francisco, the study found that gastric-bypass patients with diabetes did not lose as much weight as other patients after the surgery. Of the 310 patients in the study, 92% of those without diabetes were able to lose more than 40% of their excess weight - statistically, that's considered a successful procedure - while only 79% of diabetes patients were able to drop that much weight after one year. In both cases, doctors used the same...
...other reason for the weight-loss disparity, Campos says, may have something to do with the medications that diabetes patients take to control blood sugar. "One of the known factors for why diabetics have trouble controlling their weight is the types of medications they take," says Campos. "Diabetes is a consequence of being overweight, but [another complication] is having to take medications that add to weight gain. It's a double-edged sword, and a vicious cycle." The solution, he points out, may be to rely on newer anti-diabetes drugs, such as the DPP-IV inhibitors (like Januvia...