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What is metabolic surgery?

Metabolic surgery, alias bariatric surgery, refers to a field that includes surgical procedures aimed at healing metabolic health problems caused by excessive fat accumulation. These surgical methods are generally intended to enhance type 2 diabetes, hypertension, high cholesterol, sleep apnea and similar metabolic disorders due to obesity. Fundamentally, there are two main surgical methods, which method is suitable for a patient is designated by the physician-patient interview.

Does type 2 diabetes enhance with metabolic surgery?

Yes. Type 2 diabetes is one of the conditions associated with obesity, and, metabolic surgery is admitted an effective strategy for the recovery of type 2 diabetes, particularly in obese individuals. Surgical procedures such as gastric bypass or sleeve gastrectomy, providing weight loss, may positively affect blood glucose levels by diminishing insulin resistance as well.
 
Nevertheless, each patient is one of a kind and the convenience of metabolic surgery should be determined through a detailed preliminary evaluation and the evaluation of the attending physician. General health status, obesity level, and metabolic status of the patient should be regarded prior to surgical intervention. Furthermore, the patient’s adaptation to lifestyle changes and regular follow-up are substantial to maintain success following surgery.

Who is eligible for metabolic surgery?

Specific criteria for identifying eligible candidates for metabolic surgery:

a). Body Mass Index (BMI): Individuals with a BMI above 35 and obesity-induced metabolic problems i.e. type 2 diabetes, hypertension, sleep apnea syndrome, and high cholesterol should be taken into account.

b). Type 2 Diabetes: Individuals with obesity-induced type 2 diabetes and having difficulty controlling blood glucose levels may be among the applicants for metabolic surgery.

c). Age and General Health Status: Obesity and metabolic surgery can be implemented between the ages of 18 and 65. It is determined by considering general health status, age and other medical factors.

d). Diet and Exercise History: Metabolic surgery may be taken into account in cases where the applicants have not been able to achieve or maintain weight loss in spite of previous diet and exercise programs. Nonetheless, it should be remembered that subsequent to any intervention for obesity, it does not achieve the desired outcome without being supported by exercise and diet.

e. Metabolic Conditions: High insulin resistance, metabolic syndrome, and similar conditions are factors that might be taken into account for metabolic surgery.

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