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There are strict criterion for deciding which patient is apt candidate for diabetes surgery or metabolic surgery.
The major criterion are
1. Se insulin levels
2. Se c peptide
3. Se anti gad ab
4. Glycosylatd hb
the 1st and 2 nd investigation are to be done pre meal and post meal .
Once we know these investigations we have to evaluate the patient in great details with regards to his disease by detailed history taking and clinical examination on specific points.the basic intention of this evaluation is to know about the insulin reserve.
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Patients with diabetes have a higher risk of cardiovascular disease. Patients withdiabetes have a higher perioperative risk. They are more likely because of their disease to require surgery and those undergoing surgery are likely to be less well controlled and to have complications from their diabetes.
Metabolic and bariatric surgery and kind 2 diabetes
Nearly all individuals who have bariatric surgery show improvement in their diabetic kingdom. Bariatric surgeries executed in greater than a hundred thirty five,000 sufferers have been located to affect kind 2 diabetes in the following ways:
Surgical treatment improves kind 2 diabetes in almost 90 percent of sufferers by means of:
Lowering blood sugar
Decreasing the dosage and form of medication required
Improving diabetes-related health problems
Surgical procedure reasons type 2 diabetes to go into remission in 78 percentage of individuals by using:
Decreasing blood sugar ranges to normal ranges
Eliminating the need for diabetes medicinal drugs
Reason the improvement or remission of t2dm to ultimate for years