Weight loss surgery, commonly known as bariatric surgery, can be a significant game-changer for those who struggle with obesity, especially when it’s complicated by conditions such as type-2 diabetes. One such surgical procedure in the armamentarium of weight management is the Vertical Sleeve Gastrectomy (VSG). Apart from aiding in considerable weight reduction, this surgery can also lead to a significant amelioration of diabetes. This blog post aims to delve into the benefits of Vertical Sleeve Gastrectomy for diabetics.
Understanding Vertical Sleeve Gastrectomy
Vertical Sleeve Gastrectomy (VSG) is a type of bariatric surgery in which approximately 80% of the patient’s stomach is surgically removed, leaving behind a small, vertical or ‘sleeve’-like pouch. This restricted stomach capacity encourages reduced food intake and promotes weight loss.
VSG and Diabetes: The Remarkable Link
While VSG is primarily performed to treat obesity, its impact as a metabolic surgery, specifically on resolving type-2 diabetes, is profoundly transformative. A landmark study published in the New England Journal of Medicine revealed that nearly 40% of individuals undergoing VSG witnessed complete remission of their diabetes.
1. Resolution and Improvement of Diabetes
After Vertical Sleeve Gastrectomy, most patients experience a significant improvement in their glycated hemoglobin (HbA1c) levels, a key determinant of long-term blood glucose control. According to the American Society for Metabolic and Bariatric Surgery, many individuals experience complete remission of diabetes, meaning their blood glucose levels become normal without the requirement of medication.
2. Improved Insulin Sensitivity
With weight loss post-VSG, the body’s ability to use insulin efficiently increases, thereby improving insulin sensitivity. This enhanced sensitivity diminishes the load on pancreatic beta cells that produce insulin, lowering insulin resistance, a common trait in type-2 diabetics.
3. Alterations in Gut Hormones
VSG modifies the gut hormones involved in hunger control, satiety, and blood glucose regulation. Notably, it increases the secretion of glucagon-like peptide-1 (GLP-1), a hormone that stimulates insulin release, and peptide YY, which controls appetite and induces satiety. These hormonal changes favor improved glycemic control.
4. Promotes Healthy Lifestyle Changes
After surgery, patients follow a nutritious, portion-controlled, low-calorie diet paired with regular exercise, which can aid in the maintenance of blood glucose levels. A healthy lifestyle is crucial in managing type-2 diabetes.
Reduction in Associated Comorbidities
VSG often results in the amelioration of other obesity-related conditions like sleep apnea, hypertension, and lipid abnormalities, further aiding patients in achieving an overall healthy state.
Less is More: VSG as a Less Invasive Option
Compared to other bariatric surgeries, VSG is less invasive, offering potential benefits like shorter hospital stay, quicker recovery, fewer nutritional deficiencies, and lower risk of surgical complications, making this surgical option more favorable.
Every patient is unique, so the decision to undergo VSG should be customized. A multidisciplinary approach involving dietitians, endocrinologists, and bariatric surgeons is the cornerstone of patient-centered care. If you’re considering bariatric surgery and suffer from diabetes, consult your healthcare provider to discuss if Vertical Sleeve Gastrectomy could be the right option for you.
“This is an informational post, and should not substitute professional medical advice. It’s always essential to consult with a healthcare provider for personalized advice”