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Obesity Surgery: Less Successful for Diabetics?

By Theresa Tamkins | September 15, 2008

A gastric bypass is a radical operation for desperate people. But a new study shows that this dramatic procedure—during which surgeons fashion a tiny new pouch that bypasses the old, larger stomach and part of the small intestine—isn’t always a weight-loss home run.

Certain patients—5% to 15%—lose some, but not all, of their excess weight after surgery. The new research, published today in Archives of Surgery, shows that people with type 2 diabetes are three times as likely as those without diabetes to fall into this group.

The study wasn’t a huge surprise to me. Here at Health.com, we’ve talked to patients who’ve had these types of surgeries—including two women with type 2 diabetes who underwent weight-loss surgery, with different results—as well as the experts who treat them.

So why do some people with diabetes have a more difficult time shedding massive amounts of weight?

Next: Why it’s hard to lose weight if you have diabetes



Comments (3)

The following content represents the opinions of Health.com users. It is not editorially reviewed for medical or factual accuracy. It does not constitute medical advice. See your doctor for medical advice.
  • patty

    If you want a 98% chance of eliminating type 2 diabetes; the RNY or Lap Band won’t do it for you. The best shot you have is the Duodenal Switch. The DS is another type of surgery primarily used for weight loss that includes gastric restriction and intestinal bypass. The resolution of diabetes is usually immediate and has nothing to do with diet, exercise, or weightloss. The surgery has been done in Europe to cure diabetes for 15 years now. My normal weight husband had the surgery more than 5 years ago in Spain. He had the intestinal bypass only because his weight was normal. He never needed any diabetes meds post-op and he eats as he pleases. Even sugar and carbohydrates. The tradeoff for getting rid of his diabetes is taking vitamins twice a day and eating a high protein diet for the rest of his life.

  • francis

    what i have to say is that am interested

  • susan

    I have been trying to get insurance coverage for a Roux EN Y Gastric By Pass for over a year. Why do they make it so hard to get coverage when I need it for my health so badly? I have Type 2 Diabetes which is causing some problems with my kidneys, HBP, high Cholesteral, and other problems because of my weight.

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