Metabolic Surgery for Diabetes...Can it stop Insulin Injections?

 Doctor: When did you get Mini Gastric Bypass surgery?

Patient: My surgery was done on December 28th. Doctor:It has been 4 months to your surgery. Patient:Yes! Doctor:You are going to complete 4 months after surgery. Patient:Yes! Doctor:What benefits do you get with this surgery? Patient:I have lost good amount of weight. Doctor:Ok. Patient:I am very active now. Doctor:Ok. Doctor:Blood Pressure and Blood Sugar levels are normal now. Doctor:How old your diabetes was? Patient:15 years. Doctor:Ok. Doctor:Before surgery, what were you taking for Diabetes? Patient:I was taking Insulin 50 units daily. Doctor:Ok. Patient:But after Bariatric surgery, I have never taken Insulin, not even once. Doctor:You didn't need. Patient:No! Doctor:My endocrinologist suggested me ,to take a Tablet to control blood sugar levels. Patient:Ok. Doctor:Keep in touch with your endocrinologist. Patient:Ok. Doctor:Here I want to tell you that even after surgery we can't cure Diabetes. Patient:Ok. Doctor:This can be cured by God, who created it. Patient:Ok. Doctor:We have controlled Blood sugar levels with this surgery. Patient:Ok. Doctor:Blood sugar levels are under control because of the bypass. Now, Food touches on the bypass point. Patient:Ok. Doctor:The bypass point on the intestine is more sensitive like the armpit area is more sensitive than chest area. Doctor:You can feel uneasiness after having carbohydrates or sugars because of bypass. This is called Dumping. Patient:Ok. Doctor:If you feel uneasy sometimes then check what you have eaten before? Patient:Ok. Doctor:Whenever you will eat sugar or carbs, this will touch directly on the new point of the intestine which will send stronger signals to the pancreas. Doctor:This is because of bypass, this point has never seen this much sugar and carbs before. Doctor:You will feel the same with breads and chapatis. Doctor:How much weight have you lost? Patient:I lost 19 Kg. Doctor:Ok. Doctor:Do you feel light now? Patient:Yes! a lot. Doctor:This is the starting, you will lose the weight gradually. Doctor:You will lose 80% of your extra weight in a year. Patient:Ok. Doctor:If you want perfect results then don't focus on chapatis. Eat less chapati and rice, and focus more on salad, curd, and vegetables. Patient:Ok. Doctor:Have you ever vomited after surgery? Patient:No. Doctor:Are you taking tablet for Diabetes? Patient:Yes! 1 tablet. Doctor:Your endocrinologist will adjust the dose when you will lose more weight. Patient:They asked me to come for follow up after 3 months. Doctor:Be in touch with your endocrinologist. Patient:Ok. Doctor:You got your blood tests done, vitamin B12 and Vitamin D are rather better as compared to before surgery. Patient:Yes! Doctor:This thing is actually ironic. Doctor:Because you are taking multivitamins regularly. Patient:Yes! Doctor:You are taking Vitamin D once in week and multivitamin daily. Patient:Yes! Doctor:With vitamins, if you do some exercise or yoga daily, it will improve your bone health. Patient:Ok. Doctor:I had nerve pain before surgery, and now I have no pain. Patient:Ok. Doctor:It could be vice versa too, if you don't take vitamins, and milk products and don't do any exercise, your bones will become weak. Patient:Ok. Doctor:Then you can have vitamin deficiency. Patient:Ok. Doctor:This surgery is a double-edged weapon. You need to handle this according to your body. Doctor:Earlier you were not losing weight and Blood sugar was uncontrolled, but after surgery, everything is under control. Patient:Yes! Doctor:God has given us the wisdom to do some changes inside, and everything can be controlled. Patient:Ok. Doctor:We need to have positive attitude and have to handle this surgery a little bit. Patient:I am very active. Doctor:You are active because you have lost good amount of weight. Doctor:Only that person will feel weak who has any deficiency. Patient:I have no deficiency. Doctor:To avoid any deficiency, take multivitamins and eat a protein-rich diet (more milk products). Doctor:Eat more fruits and vegetables. Doctor:We don't want you to lose muscle and bone mass. Doctor:To avoid that start doing some exercise. Doctor:Also take 1-1.5 liter of milk or milk products daily. Also take 1-1.5 liter of milk or milk products daily.