Lots of interesting stuff in this article from Myrtle Beach Online – it even addresses the mortality rate of an experienced gastric band surgeon versus an inexperienced one (hint – make sure your surgeon has performed more than 20 procedures). Mostly, though, it’s about how effective weight loss surgery is at sending diabetes into remission, and how much safer the Lap Band procedure is as opposed to the gastric bypass procedure. Lap band procedures have a success rate of 76 percent curing diabetes II.
Four years ago, Dr. Donald Balder of Conway Medical Center’s Weight Loss Center began performing weight loss surgery to treat diabetes in patients.
A recent landmark study out of Australia provides the strongest evidence yet that weight-loss surgery can send Type II diabetes into remission.
The Journal of the American Medical Association published the results of a study in January that stated patients who underwent surgery to reduce their stomach size were five times more likely to witness a disappearance in their diabetes over the next two years than patients undergoing standard c
That’s impressive. Patients who undergo weight loss surgery are five times as likely to see a remission in their diabetes as people who use standard treatment – ie, drugs, diet and exercise.
What I didn’t know was that a lot of doctors had concerns that since the Lap Band procedure is so much less dramatic than gastric bypass that it might not work as well. However, that has proven to not be the case.
According to Balder, many doctors felt that the newer lap-band procedure, which has been done in Australia for more than a decade, wouldn’t resolve diabetes as effectively as gastric bypass surgery.
“We feel as though there’s some sort of hormonal changes that go on when we staple the stomach, which is why they didn’t think the band would cause the same changes,” he said.
“But the band has caused the same changes without the increased risk of death and all of the complications of weight loss surgery.”
And:
Gastric bypass, which has been studied extensively in the United States, has a cure rate for Type II diabetes of about 84 percent.
Susan Michaels of Loris is a local patient whose diabetes is now remission and who is off insulin.
One of these patients is Susan Michaels of Loris, who had Type II diabetes for five years and took insulin as well as two types of blood pressure medication. After finding that dieting and exercising proved unsuccessful in her attempts at weight loss, Michaels read about the link between diabetes and weight-loss surgery in the newspaper.
“I turned 50 last year and just thought after 25 years of being obese I needed to do something other than what I have done,” she said. Since her lap-band surgery at the Weight Loss Center in May, Michaels has lost 54 pounds and no longer needs insulin.
“It’s a wonderful feeling to no longer need diabetes medication. I exercise easier and eat so much less than I did before banding. I am now down to one blood pressure medication and may be off that by the end of the month,” Michaels said.
“I do not have to say I’m diabetic anymore. I feel so much better about my health and am still working on losing even more weight,” Michaels said
And the numbers are here:
Blood tests showed diabetes remission in 22 of the 29 surgery patients after two years and an average weight loss of 46 pounds, while only four of the 26 patients in the standard care-group eliminated their diabetes, losing an average of three pounds.
“This new study that comes out of Australia is very remarkable in that it has a nearly 76 percent cure rate for Type II diabetes, which is an extraordinarily high cure rate for a difficult disease,” Balder said.
And for people who are lower weight and have Class 1 diabetes, it’s even more effective. One hundred percent of those people saw their disease remission. Insurance isn’t likely to pay for that now, but hopefully, with enough people challenging that, it will change.
Weight-loss surgery can help patients with Class I diabetes, or a body mass index of 30 to 34.9, and Class II diabetes, or a body mass index of 35 to 39.9, although weight-loss surgery is currently focused on morbidly obese patients, Balder said.
“Another study in Australia done on people with Class 1 diabetes showed that folks who had lap band at that weight all lost their diabetes, but unfortunately we haven’t gotten insurance to pay for that smaller weight category here yet,” Balder said.
It has taken me a few weeks to cover this, but it did need to be covered. Diabetes is terrible disease. Both my mother and my grandfather died in their early sixties from heart disease because of it – it’s not to be taken lightly. Lorraine Kay, whose interview I will have up today, is legally blind because of her diabetes. The costs to that disease are tremendous. This research is very, very good news.
It’s a beautiful day in Los Angeles. The sky is that bright, bright blue and the sunlight is beaming off the clouds. Flowers are blooming like mad and it’s baby plant green everywhere you look. The wind is a bit brisk, so allergies are acting up everywhere. But I’m going out for a walk and it should be a lovely one. I hope you get a nice nature break as well.