Gastric Sleeve Surgery and Diabetes

The International Federation of Diabetes (IDF) estimates that there were 285 million adults with diabetes worldwide in 2010, and this number is expected to rise to 438 million by 2030. Obesity is also a global epidemic and if current trends continue through 2025, the global prevalence of obesity will rise to 18%. Obesity is also strongly linked to diabetes. Patients with a body mass index (BMI) greater than 35 kg/m2 are 40 times more likely to develop type 2 diabetes than people with a normal BMI. It is known that approximately one third of patients who have undergone bariatric surgery have type 2 diabetes.

Looking at the results in the early phase (first 6 months) after gastric surgery, an improvement of up to 80% can be seen in type 2 diabetes. Compared to gastric bypass, this rate is almost too close. It was observed that approximately 50% of the patients who were followed up in the third year after the operation had good glycemic control.

In the long-term follow-up of type 2 diabetic patients who underwent gastric surgery, more than 50% recurrence was observed.

Elderly, preoperative type 2 diabetes, poor preoperative sugar control, preoperative use of 2 or more sugar drugs, preoperative insulin use and postoperative weight gain, it is associated with recurrence of diabetes after gastric surgery.

The combination of high weight loss and shorter diabetic duration (5 years) with 2 or fewer diabetic drugs after gastric surgery is an important determinant in the management of type 2 diabetes.

Type 2 diabetics due to obesity: the sooner they have surgery after diagnosing diabetes, the longer they will get rid of diabetes.

Compared to drug therapy, gastric sleeve surgery is much more successful in treating diabetes.

In summary, gastric sleeve surgery is considered a good option in the management of type 2 diabetes associated with obesity.

Compared to other surgeries such as gastric bypass, there is no significant difference in long-term follow-up with the current information.

Gastric sleeve surgery is a reliable and uncomplicated method of metabolic surgery.