1) Have a BMI>32.5 and associated diseases like diabetes, hypertension, osteoarthritis, obstructive sleep apnea.
2) Have a BMI>37.5, with or without associated illnesses
3) Did not benefit from the weight loss management techniques
4) Are uncomfortable in performing routine activities due to excess weight
• Eliminates the portion of the stomach that produces the hunger stimulating hormone (Gherlin).
• Dumping Syndrome is not observed.
The Cons:
• A gastric sleeve is irreversible.
• There are chances of weight regain in case the patient does not adhere to a healthy lifestyle.
The Pros:
• Weight loss is quick and sustained (long term).
• Because weight loss is quick, weight-related health problems such as diabetes, high blood pressure, high cholesterol, arthritis, sleep apnea, and heartburn improve quickly.
The Cons:
• The surgery may result in dumping syndrome, which occurs when food moves too quickly through the stomach and intestines. Dumping syndrome can cause sweating, dizziness, nausea, and severe diarrhoea. Dumping syndrome happens in response to carbohydrate rich diet. However this can be easily avoided if you follow small dietary modifications suggested by the nutritionist.
• Staple line leak.
• Eat nutritious and balanced diet (high in protein and low in carbohydrates and fats).
• Exercise regularly.
• Regular follow up with your surgeon.
Being overweight places extra stress on your body in a variety of ways, including your body’s ability to maintain proper blood glucose levels. In fact, being overweight can cause your body to become resistant to insulin. If you already have diabetes, this means you will need to take even more insulin to get sugar into your cells. And if you don’t have diabetes, the prolonged effects of the insulin resistance can eventually cause you to develop the disease.
The good news is type 2 diabetes is largely preventable. Research studies have found that lifestyle changes and small amounts of weight loss in the range of 5-10% can prevent or delay the development of type 2 diabetes among high-risk adults. Lifestyle interventions including diet and moderate-intensity physical activity (such as walking for 150 minutes per week) were used in these research studies to produce small amounts of weight loss. The development of diabetes was reduced 40% to 60% during these studies that lasted 3 to 6 years. Preventing weight gain, increasing activity levels and working toward small amounts of weight loss if you are overweight can have a big impact on the likelihood that you will develop diabetes in the future. Managing your weight is the best thing you can do to prevent the development of diabetes.