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Weight Loss Surgery May Not Combat Diabetes Long-Term
NY Times ^ | NOVEMBER 28, 2012 | Anahad O'Connor

Posted on 11/29/2012 8:28:17 PM PST by neverdem

Weight loss surgery, which in recent years has been seen as an increasingly attractive option for treating Type 2 diabetes, may not be as effective against the disease as it was initially thought to be, according to a new report. The study found that many obese Type 2 diabetics who undergo gastric bypass surgery do not experience a remission of their disease, and of those that do, about a third redevelop diabetes within five years of their operation.

The findings contrast with the growing perception that surgery is essentially a cure for Type II diabetes. Earlier this year, two widely publicized studies reported that surgery worked better than drugs, diet and exercise in causing a remission of Type 2 diabetes in overweight people whose blood sugar was out of control, leading some experts to call for greater use of surgery in treating the disease. But the studies were small and relatively short, lasting under two years.

The latest study, published in the journal Obesity Surgery, tracked thousands of diabetics who had gastric bypass surgery for more than a decade. It found that many people whose diabetes at first went away were likely to have it return. While weight regain is a common problem among those who undergo bariatric surgery, regaining lost weight did not appear to be the cause of diabetes relapse. Instead, the study found that people whose diabetes was most severe or in its later stages when they had surgery were more likely to have a relapse, regardless of whether they regained weight.

“Some people are under the impression that you have surgery and you’re cured,” said Dr. Vivian Fonseca, the president for medicine and science for the American Diabetes Association, who was not involved in the study. “There have been a lot of claims about how wonderful...”

(Excerpt) Read more at well.blogs.nytimes.com ...


TOPICS: Culture/Society; News/Current Events; Testing
KEYWORDS: bariatricsurgery; diabetes; rouxenysurgery; type2diabetes
Robert Lustig’s “Sugar: The Bitter Truth” lecture
1 posted on 11/29/2012 8:28:34 PM PST by neverdem
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To: neverdem

Type 2 diabetes has a strong genetic link. It is likely that the diabetes precursor, insulin resistance, leads to weight gain rather than the other way around. There is much more that is unknown about diabetes than is known.

See the articles at www.junkfoodscience.blogspot.com


2 posted on 11/29/2012 8:42:44 PM PST by Pining_4_TX ( The state is the great fiction by which everybody seeks to live at the expense of everybody else. ~)
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To: neverdem; All

Dr. Atkins discovered back in the 1980s that the way to cure/prevent diabetes was to drastically reduce the amount of carbohydrate in the diet. We have only been consuming quantities of carbs for less than 10,000 years, and except for the rich, refined carbs for less than 150 years. So, Google your Atkins diets, there are 4—the initial severely limited carbs (20 gms or less, Induction Phase) which changes your metabolism from burning sugar (glucose), to burning fat (ketones), and thus causing the weight to come off easily without much hunger after the first 48 hours of change. Then the other 3 show you how to gradually increase your healthy carbs until you reach a stable point where you are happy with your weight level.

Just read an additional disturbing piece of information. It appears that modern hybrid wheat may have a different constituents and metabolic effect that promotes weight gain. This may be why gluten free diets help som people. I wonder if this is the same for hybrid rice and corn? So, if you want to eat carbs at all, what to eat? Perhaps millet, quinoa, teff, amaranth, kanef (ancient wheat, hopefully not yet hybridized), and perhaps some others. Also heirloom potatoes. Shop in ethnic markets and look for their favorite homeland foods.

Of course, you can pretty much eliminate carbs by eating vegetables, meat, seeds, nuts, cheese, and eggs. Plus a small amount of fruit if not on very low carbs.


3 posted on 11/29/2012 8:43:22 PM PST by gleeaikin
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To: neverdem
bariatric surgery is useless if they don't quit eating like a pig...
4 posted on 11/29/2012 8:43:36 PM PST by Chode (American Hedonist - *DTOM* -ww- NO Pity for the LAZY)
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To: neverdem

http://www.dailymail.co.uk/femail/article-2240003/Its-hell-feast-famine-diet-help-drop-dress-size—live-longer.html


5 posted on 11/29/2012 8:50:43 PM PST by opentalk
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To: gleeaikin

I think low-carb is the only cure for it...I lost half my body weight thru low-carbing and daily exercise and I no longer have any insulin resistance.


6 posted on 11/29/2012 9:00:20 PM PST by SoDak (Obama..change you can step in.)
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To: gleeaikin

I’m not a health nut ...far from it....but the govt and the food industry pretty much can do whatever they want....if they find a seed that is genetically cheaper to produce yet poor in nutrients, they’ll go with the cheaper for sure...


7 posted on 11/29/2012 9:24:12 PM PST by cherry
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To: Chode

I knew a woman who had weighed around 500 and when I met her she was about 350 they say. She had a lap band and despite this when I’d go into her cube there was junk food all over - mostly candy. UGH.

She was in such bad shape, always gone, could barely walk, eventually got forced out for legitimate reasons. What a sad life.


8 posted on 11/29/2012 9:39:31 PM PST by Aria ( 2008 & 2012 weren't elections - both were a coup d'etat.)
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To: neverdem

changing diet is the cure. plus some herbs that support and rebuild the liver, kidneys, and pancreas.


9 posted on 11/29/2012 10:46:16 PM PST by Secret Agent Man (I can neither confirm or deny that; even if I could, I couldn't - it's classified.)
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To: SoDak

Good job. I’ve gotten down from 210 to 160 with a low-carb diet and a lot of weight lifting exercise. I have noticed that sugars don’t have the same effect now.

What ever the case, a low sugar, low carb diet seems to be the key. Don’t feed insulin resistance and you will do better.


10 posted on 11/29/2012 11:04:42 PM PST by MediaMole
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To: neverdem
It is the blood that is bad and result is diabetes....is that close at all? What not just do blood transfusions on people? Wouldn't diabetes go away? Or am I being too simple?
11 posted on 11/30/2012 4:08:03 AM PST by napscoordinator (GOP Candidate 2020 - "Bloomberg 2020 - We vote for whatever crap the GOP puts in front of us.")
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To: neverdem

I got my blood, weight and health back in order eating a Nutritarian diet. Also see “Alton Brown Diet” in your nearest browser.

If you struggle with regularity on a low-carb diet, check out the above two approaches.

The common thing absent from these diets is highly processed foods. In particular, processed grains and sugars. When you cook, your ingredients should not have ingredients!


12 posted on 11/30/2012 4:25:58 AM PST by IamConservative (The soul of my lifes journey is Liberty!)
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To: Aria
yup, if you don't change your mindset AND lifestyle, it's a waste of time and money...
13 posted on 11/30/2012 4:50:13 AM PST by Chode (American Hedonist - *DTOM* -ww- NO Pity for the LAZY)
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To: napscoordinator
It is the blood that is bad and result is diabetes....is that close at all? What not just do blood transfusions on people? Wouldn't diabetes go away? Or am I being too simple?

Diabetes is a very complex disease with at least 3 types in which glucose in the blood is elevated. Click on the link for a very quick introduction.

14 posted on 11/30/2012 4:15:27 PM PST by neverdem ( Xin loi min oi)
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To: SoDak; cherry; All

So glad to hear that low carb has worked so well for you. Dr. Atkins came up with that approach after working with 35,000 patients about half of whom were prediabetic or diabetic. So far as seeds are concerned, the breeders can do amazing things if they choose the right path. For example, there is now corn that has twice the oil content it had a hundred years ago. Good for the corn oil producers.


15 posted on 11/30/2012 9:45:43 PM PST by gleeaikin
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To: napscoordinator; IamConservative; All

The blood gets bad because you take in the wrong fuel. Imagine trying to run your car on kerosene, and the result would be engine trouble. Imagine if you lived in the Garden of Eden what you would have eaten, and try eating that way. Could you afford to have a blood transfusion every day? Would you even want to? Not to mention the risk of blood borne diseases like hepatitis, AIDS, and the like.

Whenever you take in more fuel than the body needs it stores it in the liver and then as fat. If you take a lot of sweets or starch at once, the pancreas tries extra hard to process this storage. If you eat this way a lot, after a while the pancreas gets sick or worn out and fails to do its job right and you end up with dangerously high blood sugar. Also, if it overcorrects which it does more and more as it gets stressed and overworked then it will push the blood sugar very low and you will feel weak, dizzy, and often with a panicky desire to eat. Then if you grab candy, pie or even pizza it will just jump way up again. After a while the poor pancreas just can’t take it any more. IF you don’t mistreat your pancreas, your blood will be fine and you won’t get diabetes.

The Atkins diet books explain ways to keep regular. Mix a tablespoon of psylium seed with a glass of water or other beverage and take once or twice a day. Also the diet calls for drinking 8 glasses of water a day which reduces drying out. At any rate it works, and after 48 hours you don’t experience unpleasant hunger. Just Google for more information.


16 posted on 11/30/2012 10:08:34 PM PST by gleeaikin
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