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Relationship between Obesity and Sleep

Obesity is regarded as the root cause of several diseases like type 2 diabetes, hypertension, cardiovascular disease, etc. While consuming too many calories from unhealthy foods and lack of regular physical activity are known to be the leading causes of obesity, the top bariatric surgeons in India claim that improper sleep patterns can also be a major contributing factor to the disease.

In the last few decades, the statistics associated with obesity and its related disorders have been alarming. Observational and epidemiological studies suggest that there could be a strong link between sleep deprivation and obesity.

According to the top obesity surgeons in India, people tend to intake more energy if they are deprived of proper sleep. Energy balance is closely regulated by appetite hormones called leptin and ghrelin, which carry the message from the body to the brain centers that control the intake and expenditure of energy.

Let us now look at some of the major reasons why people who sleep less are at an increased risk of suffering from obesity:

People who sleep for lesser hours are often too tired to exercise or perform any other physical activity, which decreases the number of calories they burn through the day. This puts them at a higher risk of gaining weight.

As people who don’t get enough sleep are awake for longer durations, they have more opportunities to eat and may end up consuming more calories than the people who get 7-9 hours of daily sleep.

Sleep deprivation disrupts the balance of the key appetite hormones like leptin and ghrelin, which may increase the feeling of hunger in people who sleep less as compared to the people who get sufficient rest daily.

Lack of sleep is also known to increase cortisol release which can influence the eating behavior of people.

With kitchens stocked with tasty food items and lack of sleep becoming a common part of modern household, it is difficult for people to avoid food exposure at night. In order to keep a check on the daily calorie intake and maintain optimal weight, doctors suggest people to get between 7-9 hours of sleep every night.      

On the other hand, obesity is also related to a number of sleep disorders including sleep apnea, snoring, restless legs syndrome, etc. The process works both ways as weight gain is one of the biggest side-effects of improper sleep patterns, and obesity is a major contributing factor to weight gain.

While eating a healthy diet and regular physical activity can help you lose weight naturally, a weight loss surgery or bariatric surgery is often recommended for people who are suffering from extreme obesity or any obesity-related disease. However, it is important to undergo the procedure only at a top bariatric surgery hospital having world-renowned obesity surgeons who have helped a number of patients lose weight safely and effectively.

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Link between Obesity and Sense of Smell (Hyposmia)

Obesity is a global concern which affects millions of people all over the world. It is characterized by excessive accumulation of fat, and is usually a consequence of consuming too many calories without burning enough of them through regular physical activity.

According to the World Health Organization, the cases of obesity worldwide have almost tripled since 1975. While the top bariatric surgeons in India claim that obesity is a major cause of several diseases such as type 2 diabetes, cardiovascular diseases, hypertension, etc. a recent review concludes that people suffering from obesity may also have a reduced ability to detect and discriminate smell as compared to people who have a healthy weight.

As per the study, there is a strong connection between a person’s body weight and their ability to smell. It was concluded that the better a person can smell, the more likely he/she is to be of healthy weight. Medical experts say that smell plays a key role in determining the eating behavior of people, as a poor sense of smell can compel them to make unhealthy food choices, which puts them at a higher risk of suffering from obesity.  

Researchers found that obesity reduces a person’s ability to smell and identify odors, as it alters a person’s metabolism which affects their brain-gut communication pathways.

How Weight loss Surgery can help?

According to the top obesity surgeons in India, a bariatric surgery can not only help people lose weight quickly and effectively, but it can also re-establish the pathway between the gut and the brain. Research suggests that sleeve gastrectomy or stomach removal surgery can improve the sense of smell in obese patients as it can affect the gut-brain pathway by changing the nerves in the stomach. However, it is important to note that not all weight loss surgeries provide similar results.

Further, medical experts also suggest that it isn’t essentially the smaller size of the stomach that leads to weight loss, but the gut-brain pathway being reset might play a more critical role in boosting the weight loss process. In India, obesity has become a growing concern, especially in urban areas with around 30-65% of adults suffering from the problem. This increases their risk of developing a number of medical problems.

In such a scenario, doctors suggest patients to undergo a weight loss surgery at a top bariatric surgery hospital to effectively get rid of their extra weight. A successful bariatric surgery helps patients to live a longer life as it can direct them towards making healthier food and lifestyle choices.

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What Really Works for Weight-loss and What Doesn’t?

Fortunately or unfortunately, we’re living in an era where tasty, processed food items full of carbohydrates and added sugar are plentiful. Such delicious food products in combination with the sedentary work culture in most corporate offices has led to an increase in the number of obese people all around the world over the last few decades.

What earlier used to be a major part of a person’s normal day-to-day schedule is something which people now specifically need to take out time for – this includes activities such as walking, sports, etc. The decline of such physical activities accompanied by increasing stress is a major cause of expanding waistlines, weight increase and deteriorating health of people.

Let us now look at some of the key things that actually work in the weight-loss process:

1. Regular Exercise

Many people believe that exercise doesn’t help in weight loss as the food we consume contains far more calories than what we burn in one workout session. However, studies suggest that exercise helps us lose weight in more ways than one. Regular exercise helps in muscle building which allows us to burn more energy in the longer run. It develops toned muscles, creates a better body posture, and makes people look slimmer. The common trend is that when people feel good and fit, they look for healthier options which further boosts the weight-loss process. Also, evidence suggests that exercising, including aerobic activities prevents tummy fat from developing and reduces the risk of diseases like diabetes, high blood pressure, and heart conditions.

2. Dieting is Not an Ideal Way to Lose Weight

Eating less food won’t help you much in the long term. Yes, it will reduce the extra fat temporarily, but research suggests that 85% people regain all of their weight back in a year’s time if they lose all their weight purely by dieting. Replacing unhealthy food with healthier options such as fresh fruits, green vegetables and other healthy carbs will provide you with all essential vitamins, minerals and antioxidants your body needs to stay fit.

3. Stocking up on all Low-fat Foods doesn’t Always Help

In an attempt to lose weight fast, we often see people avoiding even the healthier food options. Staying away from processed food items is fine. But, unprocessed food products such as butter, yoghurt, cheese, coconut oil as well as other dairy and animal fats are natural and healthy. Avoiding processed food will automatically save you from refined carbs and sugar intake.

Obesity is the root cause of several diseases and can also lead to low self-esteem in people. In cases where the excess weight is hampering the physical and mental health of people, going for a weight loss surgery like bariatric surgery or gastric bypass surgery from the top 10 obesity surgeons in India is the best option. It is due to the effectiveness of the procedure and quality of doctors that bariatric surgery for diabetes from the best obesity surgeons in India is becoming increasingly popular nowadays.

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What is the Relation between Bariatric Surgery and Type 2 Diabetes in very Obese Adolescents?

It is a known fact that weight loss helps in controlling type 2 diabetes. According to a secondary analysis published online by JAMA Pediatrics, bariatric surgery can play a key role in controlling type 2 diabetes in very obese adolescents.

The number of obese patients with type 2 diabetes has seen an exponential rise in the last three decades. Bariatric surgery has been found to reduce blood glucose levels and return cholesterol and blood pressure levels to the normal range.

Most people with type 2 diabetes consume medications to control blood glucose levels. However, doctors say that nearly half of the very obese teenagers will require insulin therapy within a year of diagnosis.

Two studies “Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS)” and “Treatment Options of Type 2 Diabetes in Adolescent and Youth (TODAY)” were conducted to determine the effectiveness of bariatric surgery and medications respectively in controlling type 2 diabetes.

In Teen-LABS, a group of 63 teenagers were studied while TODAY studied 30 teenagers who were treated with medication. The results of Teen-LABS showed that teenagers who underwent the weight loss surgery had significantly lower risk of cardiovascular diseases. Although the results of TODAY also showed that medications effectively control blood glucose levels, it was found that after a two year gap, bariatric surgery showed better results in blood sugar control than medication.

Around 70% people involved in Teen-LABS study got a normal or below 5.7 A1c. On the contrary, only 10% of the participants could manage it through medication. Also, people who underwent bariatric surgery weighed around 29% less on an average as compared to the 3.7% increase in weight of people who took medications to control the condition.

According to the analysis, there were considerable improvements in kidney function, cholesterol levels, and blood pressure levels in people who went for the surgery.

Whether it is gastric bypass surgery or gastric sleeve surgery, any weight-loss surgery should only be considered after giving a deep thought. It is extremely important to follow the post bariatric surgery diet as directed by the doctor. Patients must also try and find out the exact cost of bariatric surgery from the hospital and ensure that the surgery is performed only by world-class doctors with rich experience in performing the procedure. A weight-loss surgery like bariatric surgery can potentially give you a new life. Follow all before and after-surgery precautions to get best results from the procedure.

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Is It True That Bariatric Surgery Reduces The Risk of Breast Cancer?

Evolved over many brainstorming sessions, trials and errors, and numerous innovations, bariatric surgery as we see today has emerged as one of the most effective methods to lose weight and regain the health that was lost due to many external and biological factors. It is just not meant to help the obese patient lose all the extra pounds he/she is carrying out, but bariatric surgery also helps with:

• Relieving stress and in a few cases even depression • Remission of Type 2 diabetes • Eliminating obstructive sleep apnea • Relieving joint pain • Improving fertility • Alleviating pregnancy complications • Reducing metabolic syndrome • Improving cardiovascular health • Controlling hypercholesterolemia (high cholesterol) • Relieving urinary stress incontinence • Improving conditions like asthma and many other lung diseases • Relaxing Gastroesophageal Reflux Disease (GERD)

A recent large retrospective study, carried on over 80,000 people, mainly focused on women, also revealed that bariatric surgery can reduce the risk of cancer. Over 22,000 bariatric patients participated in this study, which helped the researchers find that bariatric study can be association and could be effective at reducing the risk of cancer, especially cancer that is related to obesity. Few types of cancers which are known to be obesity associated are endometrial cancer, postmenopausal breast cancer, colon cancer, and pancreatic cancer.

An astonishing revelation of this study was the way how this simple weight loss surgery can reduce the risk of cancer. Although bariatric surgery can lower the risk of any type of cancer by 33 per cent, the greatest benefit that a patient can enjoy is the low risk of cancers associated with obesity. It was found during the study that patients who had undergone bariatric surgery were at a 41 per cent lower risk of colon cancer, 54 per cent lower risk of pancreatic cancer, 50 per cent lower risk of endometrial cancer and the chances of postmenopausal breast cancer dropped by 42 per cent.

At times when reports uncover that excess weight has been a prime factor behind developing cancer, such a news is a blessing for obese people who can consult a bariatric surgeon and get rid of their excess weight through either gastric bypass or gastric sleeve, followed by a proper diet and exercise regime.

An explanation for the lower risk of cancer could be that weight loss impacts the levels of estrogen, a hormone that is significantly linked to the female reproductive system. Estrogen levels play an important role in postmenopausal breast cancer as well as endometrial cancer. Also, weight loss reduces insulin resistance along with lowering the chances of diabetes, thus preventing pancreatic cancer.

As the greatest benefit of bariatric surgery was noted in relation to endometrial cancer and postmenopausal breast cancer, researchers could not find a similar association for men. Cancer has become one of the leading causes of death, with a higher prevalence in obese people. Bariatric surgery not only helps people live a healthier life, it has many positive life altering benefits, one of them being the prevention of cancer, which is reason alone to consider it!

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5 Things You Must Know Before A Bariatric Surgery

In a survey that look place in 2014, India ranked 5th with 9.8 million obese men, and at the 3rd position for having 20 million obese women. This is the same country that also competes with China for having the maximum number of underweight people. The degrading health of obese people has coaxed many of them to opt for weight loss surgery, also known as the bariatric surgery. While the solution looks simple – a surgery will help you lose all that weight – do you even know if bariatric surgery is meant for you? Or the results lure you to turn a blind eye and simply go for the procedure?

Whether your doctor recommends a gastric bypass surgery or gastric sleeve surgery for you, it is not just about shrinking the stomach. Bariatric surgery is a change of lifestyle, albeit one that you will be always thankful for if you understand everything about it before going under the knife. Here are a few things you must know about bariatric surgery so that you are well prepared to take this momentous step.

You may or may not be a candidate for this surgery. BMI (body mass     index) is a decisive factor here, but exceptions are made depending on     prevailing health issues, or if diet and exercise did not work out in the     past. Although if you have a BMI over 40, you must consider going for a     gastric bypass surgery or gastric sleeve surgery.

Chances are that you may have heard about the temporary ‘band     surgery’. The major drawback of it is that once the band is removed,     people do not take much time in going back to their old habits. Why this weight loss surgery works is because the changes made are permanent. During bariatric sleeve surgery, around 80% of the stomach is removed; whereas in bariatric bypass surgery the stomach and small intestines are bisected into two segments.

Gastric bypass is often the choice for severely obese people, but     it lowers the calorie as well as nutritional absorption, and can result in     deficiencies if not taken care of.

Contrary to what is said about surgeries, bariatric surgery is a minimally     invasive laparoscopic procedure. Though it is done under general anaesthesia, in most cases the patient gets a discharge in 3-4 days.

Bariatric surgery is known to be one of the most effective and least risky procedure. Having said this, the care taken post bariatric surgery plays a very important role in determining the health of the patient in every     case.

This procedure is just the beginning of what is a lifelong commitment to health. It kick-starts the weight loss procedure but has to be followed by dietary and lifestyle changes; and once you stick to your surgeon’s advice, you will never have to look back to the obese and unhealthy you!

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5 Easiest New Year Resolutions For Weight Loss

For the fortunate, 2017 may have left you with a new home, a bigger family or a better pay cheque. And for the unfortunate, it may have left you with a heartbreak, a broken dream or a bigger belly. Now that 2018 is here, it is better not to lose hope that the next 365 days would turn the tables around. However, a proper effort is just as important as pure faith. For instance, those who took the new year resolution of ending 2018 with a flatter belly can use these methods of losing weight to get on with their aim:

1. Work out: The more you move, the more fat you will burn. Regard this as the Holy Grail of weight loss. Make exercising for 30 minutes four times a week your new year resolution and work towards that. While physical activities may sound tiring, nothing is easier than cycling or jogging once you get into a rhythm.

2. De-stress: Sleeping is important! And can there be a better way of losing weight than sleeping? A research in the U.K. found that people who slept for 3 to 5.5 hours consumed 385 calories more than people who slept 7 to 12 hours a night. Just as important as the quantity of sleep is its quality. So make sure to live a stress-free life with proper sleep.

3. Stop eating junk: Sugar is fine, so no need to hold back on your favourite dairy products. It is the added sugar that poses a problem. Ideally, one shouldn’t consume more than 36 grams of added sugar in a day – a margin that can be surpassed by a can of coke. So make avoiding junk your motto.

4. Start cooking: People who eat at least 5 home-cooked meals per week are 28% less likely to have an overweight BMI. Cooking gives you complete control over your diet. You can plan your calorie intake well in advance and there is no temptation that outdoor food so readily offers.

5. Quit smoking: What’s the best way to lose weight? Physical activity! What do you need to be physically active? Stamina! What kicks back stamina? Cigarettes! Quit the dreadful habit you already plan on kicking, for both your health and your weight.

These ideas are sure to help you achieve your desired waist size. And if somehow these fail, always keep bariatric surgery on the table. Because whether naturally or medically, a disease like obesity should be nullified. Contact the best bariatric surgeon possible to ensure a safe procedure and lose weight the surest way possible.

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Know the Most Effective Diet You Need to Follow From This New Year

We all wish to look fit and young. We all want to follow a diet plan that keeps us fit and makes us look younger.

But, how many of us actually follow a healthy diet plan dedicatedly to the end, or better still make it a part of our lifestyle?

With the increasing obesity rate, medical procedures like a bariatric surgery are helping people kick start weight loss. While it may do the initial work for those who opt it, we all ultimately need a diet plan that works for us. And even if you are talking about only a few extra kilos, you need a diet plan for weight loss that sticks around with your busy schedule.

Here is the most effective weight management diet plan for men, women and children that you must resolute to include in your lifestyle from New Year.

2 cups of fruits and 3 cups of vegetables every day is required to fulfil the need of vitamins, minerals and fibre. The best way to include these while having a busy work schedule is to have some of it for breakfast, and have the remaining as a snack between meals. Roasting, grilling, baking… there are many ways to make the same fruits and vegetables interesting.

We all love carbs in the form of pastas, pizzas, and those paranthas. While we cannot stop binging on them, replace the refined flour variety with whole grains. Many reputed brands offer whole grain variations while keeping the taste intact.

If you are a meat eater, then include fish and/or grilled/boiled chicken at least thrice a week. Again, avoid frying them and make use of low-fat sauces/dressings to make your food interesting.

Oil, clarified butter, and regular butter surely make the food tastier; but are these helping you get fitter? Not if you do not control their quantities. While we all need some fat in the diet on a daily basis, we need not have anything oily each time we sit down to eat. Keep a tab of what you eat every day to maintain a fine balance.

Dairy plays an important role in the lives of an Indian. We grew up on milk after all. But, now that we do not work out the same way, switch to low fat milk and have a cup full of yogurt every day.

A bowl of sprouts or lentils/legumes every day will provide you with the required protein. You can either have these as a traditional curry or jazz them up as a salad.

The key to a healthy diet is to break down a hearty meal into smaller portions and include a variety of colourful fruits, vegetables, lentils, legumes, etc. Have different vegetables and fruits every day to keep a variation going on. Same goes with other food items.

Along with, take out 15-30 minutes every day to indulge in any kind of exercise to maintain weight

.

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5 Tips to Build Muscle After a Sleeve Gastrectomy

Looking beautiful is not limited to having an appealing face, but goes beyond that. While there are many types of cosmetic surgeries that can enhance one’s aesthetic appeal, a gastric bypass and a gastric sleeve (bariatric surgery) can help one reduce those extra kilos and attain a smart look.

Undergoing a bariatric surgery today is quite common. Who doesn’t like losing those extra kilos after all! But, one problem that everyone faces is loose skin after bariatric surgery with no muscle mass. Once the fat is gone, many are left with a hanging flap of skin, which can be taken care of if you follow these five tips:

-      Once your diet of liquids and semi-solids is done with, start your calorie intake from healthy sources. Remember to go slow post bariatric surgery as the body needs time to adjust to the new internal changes. Brown rice, green leafy vegetables, sweet potatoes, whole grains, lentils, beans, bananas, there are many options to choose from for a diet that is rich in carbohydrates. Do not binge eat as it may hamper weight loss and its maintenance.

-      Start walking for minimum 30 minutes every day. One of the best forms of exercising, walking will not only help you maintain your lost weight, but will also aid in muscle building. Choose different terrains instead of walking on a treadmill as that will push your muscles to work harder and better. Also, walking puts less stress on the joints compared to other exercises, making it ideal for all age groups.

-      Under the guidance of a physiotherapist or a well-qualified trainer, engage in head to toe resistance training. While doing so make sure you lay emphasis on weaker body parts. Work on each muscle group on alternate days, leaving ample of time in between for healing. Upper arms and abdominal muscles tend to sag the most, therefore, make sure you work on them the most.

-      Eat every few hours and take it easy. Temptation can discourage you from gaining muscle. But a doughnut sacrificed today will help you in the long run. A gastric sleeve surgery or any medical procedure for that matter leaves the body and mind tired & weak. It is therefore important to eat food items that are truly healthy, home cooked, and fresh.

-      Maintain a food and workout journal and discuss it with your trainer from time to time. A journal will help you monitor your progress which is a morale booster in itself and will also assist you in identifying the problem areas.

A weight loss surgery like bariatric helps you lose the initial kilos, but maintaining your physical health is in your hands. Make healthy eating and exercising a part of your life if you wish to stay stronger all through.

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Obesity and Depression: The Ultimate Cure

Bariatric Surgery does wonders for individuals seeking weight loss options, depression prior to surgery in such individuals is commonly seen these days. Recent studies indicate that bariatric surgery might do well for body and mind simultaneously. Amongst obese population opting for weight loss programs, depression is one key element leading to eating disorders.

Bariatric surgery India, has seen a boom in the last decade with more and more morbidly obese individuals understanding the fact that Bariatric surgery is the best way to lose weight for individuals who have failed to do so after various dietary and exercise regimens. In such individuals, depression has been commonly diagnosed with a higher percentage in younger individuals, which becomes chronic if left untreated for a longer duration.

Bariatric surgery has different type of procedures as per the patients existing medical condition, such as the gastric bypass surgery or the intra-gastric ballooning, that are used as weight loss modalities in different categories of morbidly obese individuals.

On a bigger platform the link between bariatric surgery and mental health has been on the top of researcher’s desk. In today’s era with education being the center of gravity, the role of psychiatrists and psychologists in building healthy minds has become absolutely essential.  

According to experts people undergoing bariatric surgery had almost twice the rate of binge eating disorder and depression as compared to that in general population.

Bariatric surgery being considered the best way to lose weight for individuals in the morbid category, depression has attracted similar interest with individuals and families seeking opinion at early stage to get rid of the related mental health problems. In spite of spreading so much awareness, a significant percentage of morbidly obese individuals don’t get the opportunity to seek opinion due to non-supporting factors like peer pressure, family and society which results in them being poor candidates for surgery. However, delayed realization of the fact that an individual is an eligible candidate for surgery doesn’t lay much impact on the weight loss after surgery but surely has major role on the magnitude of depression that an individual suffers.

The number of bariatric surgeries is increasing with the kind of dietary habits and sedentary lifestyle. In some cases realization for the need of undergoing bariatric surgery to lose weight comes at a later stage which hampers the recovery and outcome of the surgery. Health problems like diabetes and hypertension have always received the kind of attention but it`s not late to realize that mental health problems related to morbid obesity can be treated in the process of weight loss.

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Gastric Bypass Surgery

Gastric Bypass Surgery is a weight loss procedure that is being performed for more than 2 decades in some parts of the world. Over a period of time it has become a more popular with patients in India, in particular those with diabetes and other associated co morbid conditions.

Gastric Bypass Surgery is being performed over several years by Laparoscopic technique wherein three to five small holes are made for the same. By Laparoscopic instruments, a small size pouch of the stomach is made (app 30 ml to 50 ml in size), which is completely separated from rest of the stomach. This small pouch is attached to jejunum (a part of the small intestine) bypassing about 1.5 metres to about 2 meters of the initial small intestine.

The effect of this re-arrangement is a restricted intake of food and due to the bypass, some malabsorption- both of these leading to weight loss. Not only food restriction, there is some hormonal mechanism behind the weight loss as well as resolution of co morbidities. The later part of the small intestines secrete a number of hormones specially when exposed to undigested food directly in their lumen that control and modify the metabolism in our body to correct diabetes, control blood pressure and also control hunger. These hormones also increase our resting metabolic rate thereby increasing energy consumption even at rest. Roux-en- Y Gastric Bypass Surgery or the Gastric Bypass surgery the “Gold standard” among all of the Bariatric Surgical Procedures in the world.

After the surgery, most of the people can expect to lose 60 to 70% of their excess body weight over a 6 to 12 month period. There is a strict dietary follow up to promote healthy feeding habits post-surgery. There is restriction of calorie rich foods with addition of protein rich diets.

Post-surgery, there is a strong, positive effect on type 2 diabetes. There are certain hormones which are released from the later part of the small intestine which result in either complete resolution of diabetes or reduction the dosage of medicines for type 2 diabetes. Few patients experience complete cessation of anti-diabetes medicines form the day one post-surgery.

Gastric bypass surgery tends to have the strongest effect on high blood pressure, high cholesterol, and other obesity related health issues.

Most people will stay in hospital for two to three days after surgery. After the procedure one can start taking clear fluids like water, black tea, broth, juices etc. These will need to be sipped slowly in small amounts. During the next 4 to 6 weeks, we gradually increase the texture and volume of the food and switch over to normal healthy diet.

Since the surgery is now being performed at various centers in India routinely, in experienced hands it is virtually free of complications.

Gastric bypass surgery cost in India is much less then rest of the countries in the world which is leading to a rise in the medical tourism business in the country. Not only the cost but the quality of care which these patients receive as compared to rest of the countries is exceptional. With these developments, India is going to attract much larger number of people from around the world seeking gastric bypass surgery in the coming years.

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Diabetes and Bariatric Surgery for Diabetes

What is Diabetes?

Diabetes is a metabolic disease in which a person experiences high blood glucose levels either because of body produces inadequate insulin or the body cells do not respond to the insulin produced by the body.

What are Symptoms of Diabetes?

Diabetes in many cases often goes undiagnosed because many of its symptoms seem so harmless.  Some of the common symptoms of diabetes are increased frequency of urination, especially at night, frequently feeling thirsty, weak and fatigued, unexplained loss of weight, genital itching or thrush, blurred vision and slow healing of cuts and wounds

What are various Types of Diabetes?

The three main types of diabetes are

  type 1 diabetes

  type 2 diabetes

  gestational diabetes

  Type 1 Diabetes –in this type, body does not produce enough insulin; this type of diabetes is also referred to as insulin dependent diabetes, juvenile diabetes or early onset diabetes.it usually develops before a person is 40 years old, in early adulthood or teenage. .Patients need to take insulin injections for the rest of their life. They must also monitor blood glucose levels and follow a strict diet.

  Type 2 Diabetes–In this type of diabetes body does not produce enough insulin or the cells in the body display resistance. Type 2 diabetes can be controlled by losing weight, healthy diet, exercise and medication. Overweight, inactivity and eating wrong foods contribute to risk of developing type 2 diabetes .The risk also increases with age.

  Gestational Diabetes– this type affects women during pregnancy. Some women develop gestational diabetes late in pregnancy. Some women have very high levels of glucose into their cells resulting in progressively rise of insulin. The majority with gestational diabetes patients can control their diabetes with exercise and diet, and 10% to 20% will require medications.. Undiagnosed or uncontrolled gestational diabetes can raise the risk of complications during childbirth.

What are the Causes of Diabetes?

Insufficient production of insulin (either absolutely or relative to the body’s needs), production of defective insulin, or inability of cells to use insulin properly and efficiently leads to hyperglycaemia and diabetes.

  Hereditary: This is one of the factors that affect a good proportion of people affected by diabetes. If either one of the parents or both have the diabetes the chances of their offspring getting the same is quite high.

  Age: Increased age is a factor which gives more possibility than in younger age. This disease may occur at any age, but 80% of cases occur after 50 year, incidences increase with the age.

  Poor Diet (Malnutrition Related Diabetes): Improper nutrition, low protein and fibre intake, high intake of refined products are few reasons for developing diabetes.

  Obesity: Obesity or excess body weight is one of the major contributors for people suffering with diabetes. In other words, a person who keeps a check on his weight has far lesser chances of being affected than someone who is overweight

  Sedentary Lifestyle: People with sedentary lifestyle are more prone to diabetes, when compared to those who exercise thrice a week, are at low risk of falling prey to diabetes.

  Stress: Either physical injury or emotional disturbance is frequently blamed as the initial cause of the disease. Any disturbance in Corticosteroid or ACTH therapy may lead to clinical signs of the disease.

  Sex: Diabetes is commonly seen in elderly especially males but, strongly in women and those females with multiple pregnancy or suffering from (PCOS) Polycystic Ovarian Syndrome.

  Hypertension: It has been reported in many studies that there is direct relation between high systolic pressure and diabetes.

  Serum lipids and lipoproteins: High triglyceride and cholesterol level in the blood is related to high blood sugars, in some cases it has been studied that risk is involved even with low HDL levels in circulating blood.

     WHY BARIATRIC SURGERY FOR DIABETES?

Even with all the advances in medical technology, it is hard to believe that there is no cure for type 2 diabetes .Diabetes is very serious medical condition with a high complications rate. A person suffering from this disease, their body does not produce or utilize body’s insulin causing high blood sugar levels. The medical treatment is expensive and not very effective or curative.

Bariatric Surgery (metabolic surgery for diabetes) - Bariatric surgery is a set of abdominal surgeries which are effective in helping people suffering from obesity lose significant amount of weight .metabolic surgery for diabetes has an effect on insulin production and utilization, making it curative and able to reverse type 2 diabetes back into remission.

It costs less than the cost of three years of medical aid spends on medications and injections. bariatric surgery in selected  cures diabetes completely.

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Metabolic surgery for Diabetes: longevity for the Kidneys

Renal impairment is common in obese people. Obesity plays a major role in declined renal function over years. Diabetic kidney disease, which is the most frequent cause of end-stage kidney disease has a major contribution coming from obesity.

Obese patients have an increased rate of renal hyper-filtration with increasing body mass index (BMI) and is associated with chronic kidney disease as well.

Metabolic Surgery for Diabetes can reduce weight and renal protein excretion at the same time can prove beneficial in reducing the risk due to Chronic Kidney Disease. A Possible cure of Type 2 diabetes and hypertension post bariatric surgery adds on to the positive effects.

Metabolic surgery for diabetes and renal function together as an entity has become the most discussed topic in medical fraternity.

The significant reduction in body weight and lean body mass after bariatric surgery results in a decrease in serum creatinine, which can be wrongly interpreted as an improvement in renal function. These changes can occur as early as 6 months and correlate with the degree of weight loss.

Metabolic surgery for diabetes is beneficial for obese patients with kidney inflammatory disease, several recent observations have suggested that the raised gut hormones may enhance the anti-inflammatory effects of gastric bypass surgery.

Bariatric surgery for diabetes improves renal function in those with renal impairment. It may also improve renal outcomes in patients with established longstanding kidney disease. However, it should be remembered that renal impairment has also been associated with increased operative mortality.

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Do You Feel Dizzy After Your Gastric Bypass Surgery?

Reactive hypoglycemia is a rare yet serious complication following gastric bypass surgery. Glucose is the only fuel on which brain can function. Blood glucose levels between 82 to 110 mg/dl are considered to be normal. Blood glucose levels below the normal range may lead to cessation of brain activity. People suffering from diabetes if take an increased dose of insulin, can experience a medical condition called reactive hypoglycemia as over dosage of insulin tends to drop the blood glucose below normal range. This condition can be seen in patient post gastric bypass surgery which may present with variety of symptoms.

If a person feels that even after a meal the blood sugar levels might be low, it is advised to check the blood sugar levels using a glucometer. Ideal method of checking would be to do blood sugar levels prior to the meal then an hour later and after two hours of meals. Hypoglycemia here can be differentiated into mild (below 75 mg/dl), moderate (between 40-74 mg/dl) and severe (below 39 mg/dl) with various symptoms such as increased heart rate, sweating, anxiety, nausea, impaired vision, dizziness, drowsiness and in some cases unconsciousness depending on severity of hypoglycemia. It is advisable to contact your physician in such scenarios as early as possible to seek appropriate medical advice/treatment.

As a post gastric bypass surgery patient it is necessary for you and clinician to understand the changes happening in your body post-surgery. It is important to maintain log of all important elements in a post bariatric surgery patient such as food log, blood sugar levels to determine timings of low levels at given times in a day.

Reactive hypoglycemia can be managed by following dietary advice given by your nutritionist post gastric bypass surgery which will include eating your proteins first followed by complex carbohydrates and fats will be last on the menu. You will understand your body better by finding out the foods that benefit or those aggravating episodes of reactive hypoglycemia.

People suffering from diabetes when get into hypoglycemia are advised to take candy to bring their blood sugar levels to normal. This does not work with patients suffering from hypoglycemia post gastric bypass surgery, having a candy in such a condition might cause a new chain of altered symptoms.

The need of the hour in reactive hypoglycemia would be a cocktail of nutrients and not a shot of sugar, for example having few grapes followed by a slice of cheese. The rule of thumb is easy to follow which is to have carbohydrates to survive the crash followed by protein and fat balanced to maintain the glucose levels.

According to Dr Atul NC Peters, one of the top bariatric surgeon in Delhi, reactive hypoglycemia for any patient is a complicated situation but with proper guidance by your bariatric surgeon it can be managed well enough not to cause any life threatening problems.