Obesity, Diabetes and Sleeve Gastronomy

The modern lifestyle has changed the social habits of children and adults in the last 3 decades in most of the world, where for example, the heaviest day exercise is walking 30 yards from the office to the car and where it is cheaper to buy a drink a bottle of water, where children's bicycle and outdoor games have been supplemented by television monitors and computer, these changes have caused a disproportionate increase in the number of people with problems Obesity and Diabetes. Type 2 Diabetes Mellitus is a disorder in which blood glucose (simple sugar) in the blood are abnormally high.
This causes direct damage in cells, especially in the more sensitive or susceptible, those of the retina, kidneys, blood vessels and peripheral nerves, leading to what diabetics called "micro-angioneuropatia" means the condition of small blood vessels and peripheral nerves. This damage causes major diabetic complications, such as difficulty in wound healing, loss of skin sensation, circulatory disorders, the impairment of vision, kidney function, among many other complications.

It is important to note that 80 percent of diabetes patients are overweight or obese. Fat, particularly that found between the viscera (central fat) contributes strongly to the cell resistance to insulin, due to the secretion of some hormones by these fat cells.

There are several risk factors for Type 2 diabetes, the most important are age, genetic history, race (more common in Hispanic Americans) smoking, lack of exercise, consumption of soft drinks and products hyper-caloric fast absorbable (sugars and refined flour), diets rich in saturated fat (animal fat) and processed foods.

It has been shown that the style of food and exercise are the most important modifiable factors to counteract diabetes. Additionally, studies have shown that as the human small intestine is very long (4 to 7 meters), designed for a diet rich in fiber (such as primitives) and the high-fiber diet requires a long stay in digestive tract to be absorbed, however, the kind of modern food enhances the absorption of nutrients in the first meters not allowing nutrients to reach the last portion of the small intestine, where they also send satiety signals to the brain . Not being stimulated this portion, the individual requires large amounts of food to feel satisfied. And people tend to eat more and more.

Initial treatment of diabetes is mainly focused on reducing weight and improving the patient's lifestyle. In more advanced stages are also used oral or injected insulin. This treatment has been very beneficial in patients disciplined and orderly. Unfortunately, a large percentage of them are not, and there is a large number of hospitalizations and complications from diabetes today. This represents a great burden on the health sector and a high economic and social cost to the country.

Currently, there is also a surgical alternative for patients resistant to traditional treatments, it has been shown that different types of surgery for treating obesity and diabetes substantially improves with surprisingly few types of them partially or diabetes decreases totally not directly connected with weight loss as might be supposed. These include Gastric Sleeve reduces stomach size and Omentectomy which involves cutting the fat inside the abdomen covering the intestines in the manner of an apron, causing a decrease in cellular resistance to insulin is produced in the pancreas of the patient and used to make glucose (sugar) into these cells and thereby gain energy.

However, the benefits of these procedures have not been widely disseminated in the medical environment as it should be and on the other hand, the cost-benefit analysis although evident, are in early stages of study and know their reach to 10 or 15 years and it is now not considered as routine treatment for the management of diabetes without overweight or without obesity.

It was observed that the Sleeve Gastronomy and Mastectomy are procedures that have the advantage of not causing malnutrition and do help patients to lower blood glucose levels, lose weight, lower blood pressure and cholesterol, ie both have proven beneficial in obese patients as in non-obese.

The best thing you can do to prevent diabetes is to maintain a healthy lifestyle, avoiding excess weight with a balanced diet without refined sugars, exercise regularly, and occasionally performed a review of levels of blood glucose. If growth is detected it, consult with your doctor to decide which treatment is best for your case individually.

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