Diabetes outcomes are very good with surgery
Weight loss with Roux-en Y bariatric surgery shows an average of 51% remission of diabetes
after 12 years.
Weight loss with Roux-en Y bariatric surgery
shows an
average of 51% remission of diabetes after 12
year
Roux-en Y is most effect but most invasive
Gastric Sleeve can yield similar results in
many cases |
|
Societal and
environmental factors
Weight loss m
ust
also take into account
societal and
environmental factors to
be
affective. Considering
the impact of sleep and
stress is an important
aspect of weight loss
therapy.
Sleep hygiene
When
sleep deprived, body:
Overproduces Ghrelin,
hormone that causes
increase in appetite
Decreases
Leptin, hormone that
gives feeling of satiety
Craves
sugary, fast acting
energy
Leads to
overeating and
overindulging
Stress
management
Stress hormones can increase insulin
resistance
Leads to sugar and salt cravings
Decreases energy
Interferes with sleep
Lifestyle
As
mentioned earlier, a sedentary lifestyle can increase
the risk of type 2 diabetes. Family and cultural
influences can also impact weight loss efforts. And,
socioeconomics can limit access to healthy food, time
for exercise and increase of stress.
Sedentary lifestyle
Cultural influences
Familial influences
Socioeconomics |
|
So, the
approach should be Individualized and Multidimensional.
When
working to achieve weight loss, consider a holistic
approach and allow for individualization.
Consider the patient's:
Mental Health
Physical Health
Injuries
Provide accountability
Meet patients where they are
Increase tools in their toolbox for weight loss
So remember, small changes can lead to large weight loss
results. Look for sustainable change over the long-term
for best results.
Stop consuming sugary beverages
Use salad plate instead of dinner
plate
Snack from refrigerator not
pantry
Eat protein and vegetables first
Find a fun way to stay active
|
|
Conclusion
We've learned is that
weight loss:
Can prevent comorbidities
Is a tool for diabetes management
Is multidimensional
Can be approached from many
angles
Needs to be individualized |
|