Bariatric surgery in cure obesity and diabetes second type.

 Randomizing controlling researches comparing bariatric surgery/decreasing stomach surgery/ with remedies are shown, that lowering weight affecting on diabetes remission/as leading condition for health without laboratory and clinical signs of diseases:

1.73 perc. of patients, suffering from diabetes 2 nd type are lead remission for diabetes, defined as glycated hemoglobin HbA1c <6.2 perc., without using anti diabetes remedies , in 24 months after surgery of stomach bypass by Roux-en-Y and weight lowering on 20 perc.

2. 42 perc. of patients suffering from diabetes on 8 years are lead remission for diabetes, defined as HbA1c <_ 6.0 perc. Without remedies using against diabetes , in 12 months after surgery a stomach bypass, but 28 perc. lead are weight lowered.

3.75 perc. of patients suffered from diabetes on 6 years, lead remission a diabetes, defining as HbA1c <6.5 perc. Without remedies against diabetes in 24 months after surgery a stomach bypass, but 33 perc. lead  are weight lowered.

Does are good results?

But, take attention, please:

 Continuation remission diabetes after bariatric surgery decreasing with time and tied with restoring of weight, just on 50 perc. patients staying in remission,without diabetes signs on 5-10 times after surgery.

 In difference from weight lost m, lead with bariatric surgery, diets orb remedies,which conditioned of negative energy balance, surgery removing faty acid as with liposuction,as prescribed, not gives metabolic benefit.

For example ,researches Direct shown, that removing A  many  quantities subcutaneous fatty tissue in belly with liposuction  , as 10 gr of tissue fatty, that for equivalent for weight lost on 12 perc. and lowering common fatty body mass on 20 perc, is not improving sensitiveness of liver or skeleton muscles to insulin and level of cholesterol in women's  with obesity or in women's  with obesity and diabetes of 2 nd type . Removing on 30 perc. of fatty tissue, a belly with liposuction   not improves sensitiveness of an all organism to insulin in children's with obesity and diabetes of 2 nd type.

These results allowing to predisposition, that for leading metabolic advantages a weight lost is must be caused of negative energy balance or by effects through on chains of insulin resistance. Lowering weight affecting a clear influence on insulin effect and 5 perc. lowering weight improves sensitiveness of much organs /fatty tissues, liver, skeleton muscles  /to insulin .And reminding research by Direct evidences,that significant weight lowering helps lead to remission in diabetes of second type .For example, are 57 perc. of participants, lost are 10-15 perc. of body mass , and 86 perc. , lost >_ 15 perc. of body mass, lead diabetes remission. 

So, pluses and minuses,  surgery for decreasing stomach.Table  4.  As pluses and minuses for bariatric surgery. 

Yes, for surgery decreasing stomach:

1.Improving level glucose  in blood,after surgery and fast lowering level of glucose within a few hours or days, its tied with changes of meal mobility in gastric system.

1.Againsy surgery for stomach decreasing.

All kinds of surgeries will risk for complications, which leading to diseases and dead. Oftenly complications after surgery bariatric on 13-21 perc.

2. Different finances costs for systems a health care, one surgery is expensive till a few 1000 euro.

3. A risk high for a long-terms side-effects, and these are hard enduring remedies, destroying absorbing vitamins and minerals, needing in repeating surgery, infection, not hermetically anastomosis, venous thromboembolic complications as blood circulation worsening.

4. Shortening diabetes on second type remission, a how you are informed before,that on 90 perc. of patients keeping diabetes in remission for 5-10 years after surgery.

5. And on 25 perc. of patients after surgery returning in initial weight in ten years, also on 20 perc. of patients are not lost enough weight after bariatric surgery, as less on 50 perc. Abundant  weight.

Yes, for bariatric surgery.

2. High frequency of a short time remission for diabetes of 2 nd type , then  in non surgery cure.