Gastric bypass surgery or lifestyle modification, or Nether one of them? March 6, 2018

People with worrisome levels of obesity and poor control of their type 2 diabetes face two dramatically different options to substantially improve their health: bariatric (weight loss) surgery or intensive lifestyle management.

This is Med Pro propaganda that weight loss will let us get rid of diabetes type 2. So, naive diabetics run in circle trying to lose weight and ... getting amputee, finally death.  The propaganda is so intenense that it looks like really weight loss is most important in diabetes type 2 treatment. In addition to that it even stated that diabetes type 2 caused by obesity, not vise versa.
     Well, right not it is studies run by Joslin Diabetes Center and they present prove that surgery is best solution to the problem. Let us see, how studies run, and what really those studies proved.

   "Our study demonstrates that in patients with mild-moderate obesity and type 2 diabetes, gastric bypass surgery leads to a sustained reduction in weight, improvement in glycemic control, and decrease in cardiovascular risk compared to a medical diabetes and weight management program," said lead author Donald C. Simonson, M.D., M.P.H., Sc.D., of the BWH Division of Endocrinology, Diabetes and Hypertension.

Study:
38 patients with moderate obesity, 230 pounds and BMI 36.3 with diabetes type 2.
     Sorry, what is the level of sugar in participants with diabetes type 2? Diabetes type 2 diagnosed with level of sugar above 120 mg/dl fasting, or 200 mg/dl random. It is the prove to be diagnosed with diabetes type 2. Diabetes type 2 is number 7 cause of Death in America. What is the level of sugar in blood those who die due to diabetes? In my personal study I had highest level 599 mg/dl, limit of my glucose meter. What was the real number I never was able to find. Still, there are publications in med journals that people come to ER with blood sugar level over 800 mg/dl.  There are big gap between numbers, and all covered by one diagnose, diabetes type 2.
     So, what were numbers on glucose meter for diabetics type 2? No data. So important data, the level of sugar in blood of diabetic, simple missed. Well, it is understandable that glycemic control improved, why not?

After three years, patients given surgery saw dramatically greater weight loss, averaging 55 pounds compared to 11 pounds for those in the lifestyle management intervention. The surgical cohort also lowered their hemoglobin A1c levels (a measure of blood sugar over several months) by an average of 1.79% compared to 0.39% for the lifestyle management cohort. Additionally, those given surgery showed significantly lower risk of coronary heart disease and stroke.

At first, pay attention, now the level of sugar appeared in study. It is improved by 1.79%. So, if diabetic type 2 A1c <7.2% then diabetic type 2 no longer diabetic type 2, right?
Second, according to the article, diabetic type 2 all those two years did not take any blood sugar lowering medicine, right? 
   Now, let us take closer look. For three years of studies life style modifications lead to lose only 11 pounds, and only 0.39% drop in A1c level. Life style modifications is number one treatment option to diabetics type 2, according to ADA recommendations. So, when diabetic type 2 come to clinic with A1c= 9,4% and had Rx to life style modifications, then say me, would this treatment or recommendations work? Just go to Joslin Diabetes Center to find out what is your own treatment options for diabetes type 2. Would this Diabetes Center ever capable to cure diabetes? I do not think so.
    On another hand as we do know very well from all those Med Pro publications, Diabetes type 2 is progressive disease. For three years, without any treatment but with only reduced diet, what would be happen with diabetic? It is obvious, diabetic type 2 would not have time to get healthy. The progress of disease and absence of right treatment will lead to premature death.
    Finally, the participants of the study were in weight 230 pounds. Not so high weight for diabetics type 2. With time our weight getting higher due to edema, water retention. It is high water retention. This is why and what happen when we get wounds on our legs. It is poor blood circulation and extreme edema. Weight loss surgery is almost mandatory and only treatment option for those with high BMI and body weight. But regardless how big or small our stomach is, our diabetics type 2 body never stop making water. Water stay in body, does not go away. It is edema. But any edema is pounds, BMI, and our bodies wide and round.


Gastric bypass surgery can give better control for diabetes and obesity than lifestyle modification
by Brigham and Women's Hospital
 https://www.sciencedaily.com/releases/2018/03/180305142420.htm?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+sciencedaily%2Fhealth_medicine%2Fdiabetes+%28Diabetes+News+--+ScienceDaily%29

via Ravenvoron