a cure

By saber32 Latest Reply 2011-09-09 10:58:54 -0500
Started 2011-09-05 04:44:49 -0500

I was wandering if any one knows if thay came close to get a cure for diabets yet ?

4 replies

flipmom 2011-09-09 10:58:54 -0500 Report

a very well-respected bariatric surgeon in San Francisco, John Rabkin, M.D. the roux-en-Y gastric bypass (RGB) improves type 2 diabetes via at least three different mechanisms:

1. The surgery decreases caloric intake immediately after the procedure because food intake is restricted by the small volume of the created stomach pouch, which holds only 1 ounce. The decrease in food intake, particularly refined carbohydrates, which are not well-tolerated after this procedure, can help stabilize blood sugar levels and immediately improves control of diabetes.

2. The significant amount of weight loss that results from the surgery improves insulin resistance over time.

3. There are changes in hormones and caloric processing because the food ingested bypasses the segment of the small intestine closest to where it attaches to the stomach (the duodenum and proximal jejunum), but not quite as much as you mentioned (not one-third of the small intestine). Because of the anatomical changes resulting from the surgery, it appears that these hormonal changes are greater than would be seen with weight loss via diet and exercise, but no research has yet to compare the two directly and evaluate hormonal changes.

The overall outcome is complete resolution of type 2 diabetes in greater than 70 percent of patients with diabetes before the procedure.

Unfortunately, as many RGB patients regain weight over time, the durability of the cure isn't as high as with a newer procedure called the duodenal switch.

In this procedure, there is a much larger pouch created (4 to 5 ounces), and the complete stomach anatomy is preserved, which helps preserve more normal stomach function. In this procedure, the rearrangement of the intestines leads not only to some restriction of food, but also causes your body to absorb significantly fewer calories, which has a more lasting effect.

Rabkin, a leader in this procedure, reports that he has had a 96 percent cure of type 2 diabetes at one year after surgery, which has persisted for five and 10 years post -op and seems to be similarly durable out past 15 years post-op.

Hope this helps. I strongly recommend spending a considerable amount of time with your surgeon if you are considering either of these procedures, as both have important lifestyle-related issues that should be discussed to determine the best procedure for you for the long term. (source/Diet and Fitness Expert Dr. Melina Jampolis Physician Nutrition Specialist)

spiritwalker 2011-09-05 17:31:56 -0500 Report

They have been working on it for over 50 years. At least these days we know what to
do to control it. Diabetics years ago died within a year of diagnosis. The first thing they
did many years ago was to remove all food. There are still books around that talk
about patients being given black coffee or tea and broth. We can check our bg, monitor our carbs, exercise and take off weight and lead a healthy life. Its our
choices that decide what kind of life we lead.

jayabee52 2011-09-05 10:21:54 -0500 Report

There are folks who claim that they have "the cure" but usually they are peddling snake oil remedies, OR their definition of "cure" would be what I would call "maintainence" or "control" of my diabetes, but not a cure. I manage my diabetes without medication simply by what I eat & drink. Some would call that a "cure". However if I should stray from the straight and narrow of my eating plan I know for a fact that I am not cured. I have readings which are between 150 and 200 +. That is no cure.