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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 must 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

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