Saturday, March 24, 2012

Gut surgery cures for Type 2 Diabetes ? Be careful!!!!!

I was recently ask for my opinion regarding a surgical procedure that may cure Type 2 Diabetes.
I have attached the discription of the planned surgery below.

I have noticed that some surgeons tell patient that various gastrointestinal surgeries will cure Type 2 Diabetes. I think what they really mean is that gastrointestinal surgery will help patients manage their diabetes. 

 Surgery may help manage the Type 2 Diabetes,
 but it will not cure diabetes because of one problem :

 Insulin deficiency. 

Insulin deficiency is a basic component of Type 2 diabetes.
Type 2 diabetes is associated with a progressive process of beta cell damage and failure over years with worsening insulin deficiency. The slide below was produced by the International Diabetes center illustrates  the process.

Don't be discouraged by the above slide.
Some of the newer diabetes medications are able to slow the damage and help preserve Beta cell function
see my discussion Feb. 9 ,2012    Glucophage failed , Now what should I do ?

Surgery is not risk free
Surgically altering the gut ,especially the ilium , is not without risk,and will not change a genetically driven process in the Beta cells of the pancreas

 If you are thinking about this type of surgery be sure to ask about the significant serious side effects. I have taken care of some very sick people who have had older similar procedures. Talk to your primary care doctor for advice and ask for another surgical opinion.

Have fun ,be smart , be careful and defeat diabetes
David Calder,MD

 The purpose of the study is to determine if by performing surgery we can cure Type II Diabetes. The surgical procedures: a sleeve gastrectomy, cutting out a portion of the stomach, which provides restriction of caloric intake and rapid gastric emptying. ileal transposition which involves repositioning a 150cm segment of the ileum into the jejunum causing improved glucose homeostasis. Condition Intervention Type 2 Diabetes Mellitus Procedure: Sleeve Gastrectomy and Ileal transposition Dietary Supplement: dietary and medical management


  1. Risks and all, I think a lot of diabetics will find this surgery handy. Given their conditions, they'll definitely need all the help they can get.

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  3. Its really great review to know about this information..Thanks a lot for sharing your post.


Your comments and questions are appreciated. David Calder,MD