health

Call for gastric surgery to be standard diabetes treatment

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That's really sick. I can understand how the surgery is the last chance for some. But that really shoud stay the last treatment you propose after all the rest (preventive food education to avoid obesity/diabetes, lifestyle changes for overweight pple, psy support for those with ED, insuline monitoring ...).

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Recently, the New York Times published a big on a study by the National Institutes of Health (US) following participants in the TV show "Biggest Loser". What the study found is that almost all contestants regained weight, even if they worked hard to maintain lifestyle changes. These individuals also had a respite from their typical life responsibilities to concentrate all day, every day for an extended period of time on a lifestyle change with a team of coaches. In short, the folks who worked the hardest and were best set up for success were largely unsuccessful.

Reportedly, each individual brain has a "set point" for a target weight. It will give your body signals to consume more until you reach that set point. Your metabolism slows -- and it won't speed up again once you're back to what you weighed. So, you feel like you're starving yourself forever.

These people are facing a choice between a long, drawn out struggle that will consume a significant portion of their energy and self-control every day or a relatively quick intervention. It is, in the long run, a less expensive medical intervention, and it allows them to shift their focus to the other things in their lives that matter, like their jobs, taking care of their homes and families, and pursuit of their interests.

If doctors who deal with this disease and its impact on patients and families every day are coming together to make a recommendation, who are we to say they don't know what they're talking about?

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Don't get gastric surgery for diabetse

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TV show "Biggest Loser". What the study found is that almost all contestants regained weight,

You expected what from a super reality show ? There are clinics that do a great job, with long term success (and no ridiculous exhaustion of patients). But do you understand that in real life, the people getting surgery also regain weight... unless they change their lifestyle. In Europe, the surgery has good success rate because until 5 yeas ago, they allowed it exclusively for persons that had got success in losing a big chunk of weight and changing their habits, so the op gives them a leap toward the goal, and they maintain thanks to continous good lifestyle. In the US, you get the op if you ask and can afford. The huge majority of people regain within a few years (stomach tissues regrows as they over-eat, etc).

These people are facing a choice between a long, drawn out struggle...or a relatively quick intervention. It is, in the long run, a less expensive medical intervention,

No a choice between an expensive operation (with risks and side effects) and a compulsory struggle. Or the struggle, for free.

If doctors who deal with this disease and its impact on patients and families every day are coming together to make a recommendation,

Read again. That's only the doctors that sell the operation that recommend it :

Francesco Rubin, a professor and chair of metabolic and bariatric surgery....London Philip Schauer, director of the Cleveland Clinic’s bariatric and metabolic centre in the United States

And the third is working for drug makers (so they are not really believing the ops will be a success and make the drugs sell well :

Nick Finer, a ...senior scientist with Novo Nordisk,

They are not telling you the opinions of the other doctors that deal with it differently.

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