Insulin hormone, produced in beta cells of pancreas, is required to keep blood sugar under control. In type 2 diabetes, insulin doesn’t work properly (increased insulin resistance) despite normal insulin production, leading to high blood sugars. As disease progresses insulin production comes down even in type 2 diabetes.
Several hormones and genes control insulin production and insulin resistance. These hormones include GLP1, peptide YY, GIP, ghrelin, and anti-incretins. Ghrelin is produced in fundus part of stomach. It acts against insulin and increases insulin resistance. GLP1 and peptide YY are produced in distal ileum (last part of small intestine). These increase insulin production and reduce insulin resistance. Factors like intake of unhealthy foods, lack of physical activity, irregular food habits, stress, lack of sleep and changes in circadian rhythm can alter these hormones and genes, increase insulin resistance leading to type 2 diabetes.
Obesity and type 2 diabetes often go hand in hand. Excess weight leads to increased insulin resistance and inadequate insulin production. If you have excess weight, check your blood sugars, as chances of getting diabetes are significantly high.
Insulin hormone, produced in beta cells of pancreas, is required to keep blood sugar under control. In type 2 diabetes, insulin doesn’t work properly (increased insulin resistance) despite normal insulin production, leading to high blood sugars. As disease progresses insulin production comes down even in type 2 diabetes.
Several hormones and genes control insulin production and insulin resistance. These hormones include GLP1, peptide YY, GIP, ghrelin, and anti-incretins. Ghrelin is produced in fundus part of stomach. It acts against insulin and increases insulin resistance. GLP1 and peptide YY are produced in distal ileum (last part of small intestine). These increase insulin production and reduce insulin resistance. Factors like intake of unhealthy foods, lack of physical activity, irregular food habits, stress, lack of sleep and changes in circadian rhythm can alter these hormones and genes, increase insulin resistance leading to type 2 diabetes.
Obesity and type 2 diabetes often go hand in hand. Excess weight leads to increased insulin resistance and inadequate insulin production. If you have excess weight, check your blood sugars, as chances of getting diabetes are significantly high.
ARE YOU SUFFERING FROM DIABETES AND OBESITY?
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Lifestyle modifications are necessary to maintain fitness and prevent diabetes. These modifications include healthy diet, regular exercise, taking healthy food on regular timings, adequate sleep and leading stress free life.
Majority of the individuals with mild type 2 diabetes benefit from lifestyle modifications. Lifestyle modifications can control blood sugars, even without medications.
Those diabetic individuals, who don’t respond to lifestyle modifications, need medications to control blood sugars. Initially oral medications are required. As disease progresses, some individuals require insulin injections to control type 2 diabetes.
ARE YOU SUFFERING FROM SEVERE DIABETES?
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Uncontrolled diabetes leads to
Heart attack
Brain stroke
Kidney failure
Non healing ulcers in legs
Gangrene of toes or limbs
Erectile dysfunction
Cataract
Blindness
Neuropathy.
It is important to keep your blood sugars under control to prevent these complications.
ARE YOU SUFFERING FROM UNCONTROLLED DIABETES?
METABOLIC SURGERY RESULTS IN LONG TERM REMISSION FROM DIABETES
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Metabolic surgery is scientifically proven, very safe method for long term remission from type 2 diabetes. Sleeve gastrectomy and diversion procedures alter several hormones and genes controlling insulin production and sensitivity. These alterations result in sufficient insulin production and reduced insulin resistance leading to long term control of blood sugars without the need for tablets or insulin.
These are performed on stomach and intestine by laparoscopic method (by putting small holes on tummy). Metabolic and bariatric surgeries are essentially same. If the purpose of surgery is remission from diabetes and other co-morbid medical conditions, it is called metabolic surgery. If the purpose of surgery is weight loss, then it is called bariatric surgery.
Individuals suffering from type 2 diabetes with excess weight benefit from metabolic surgery. Metabolic surgery helps individuals with uncontrolled type 2 diabetes regardless of their weight.
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