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Friday, 21 September 2012 15:51

Bariatric surgery : a new treatment for type 2 diabetes

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Only recently, Clinique du Nord has started offering bariatric surgery to diabetes patients. This treatment is thought to treat them from diabetes. However, this is causing much ruffle within the medical profession.
According to Dr Mukesh Sooknundun, Director of Clinique du Nord which is situated at Tombeau Bay, bariatric surgery is an efficient treatment for patients of type 2 diabetes. “The surgery is carried out at the level of the stomach to limit the absorption of nutrients, thus reducing the intake of calories of the person,” explains Dr Sooknundun.

He adds that bariatric surgery exists since 1952. It was first practised in the United States and is basically meant for obese persons who, despite several diets and exercises, are unable to reduce their weight. “The surgeons were astonished when they noted that the first patient on whom bariatric surgery was carried out also experienced a decrease in the blood sugar level. The aim of the surgery was to help the obese person to lose weight. In March 2011 in New York, the International Diabetes Federation (IDF) recommended this surgery as a treatment for type 2 diabetes,” he underlined.

Dr Sooknundun adds that the newest and lighter form of bariatric surgery is offered to diabetes patients. Small incisions are carried out on the patient known as keyhole surgery. The efficiency rate is 80 to 85%. Up to now, six patients have undergone this surgery at Clinique du Nord. “Their blood sugar level has gone down to the normal level and we continue to follow their case,” pointed out the Director of the clinic.
This surgery has started a polemic within the medical profession. Some doctors believe that the clinic is misleading the population. “Experts are doing research on treatment for diabetes for years but have not been successful. Can a small surgery help in the treatment of diabetes?” said a doctor from the Ministry of Health. “We are ready to organise a talk for doctors to shed light on the matter,” responded Dr Sooknundun.

Efficiency challenged
Bariatric surgery is finally not that efficient in the treatment of diabetes, according to a British study published in January 2012. Previous studies concluded that almost 80% of diabetes patients were treated with a bariatric surgery. However, the study by Imperial College, London, indicates that only 41% of the patients are recovering from diabetes. The British researchers reviewed the data of more than 200 patients suffering from type 2 diabetes so as to evaluate the efficiency of three types of bariatric surgery by applying more strict criteria.

Nonetheless, the researchers confirmed that it is the most efficient treatment for diabetes. “A patient who has undergone a bariatric surgery will not necessarily stop his medicines for the treatment of diabetes,” pointed out Dr Carel le Roux of Imperial College. According to him, the surgery combined with the medicines help more efficiently in the fight against diabetes than only one of them.

Diabetes link to breast cancer in post-menopausal women
Post-menopausal women who have Type 2 diabetes appear to have a 27% greater risk of developing breast cancer, experts say. An international team, writing in the British Journal of Cancer, examined 40 separate studies looking at the potential link between breast cancer and diabetes. The authors have also suggested that a high body mass index (BMI), which is often associated with diabetes, may be an underlying contributing factor.

British people of South Asian, African or African Caribbean descent are significantly more likely to develop Type 2 diabetes than their European counterparts, researchers have warned. The researchers said the rates were “astonishingly high.” The findings were published in the journal Diabetes Care. Some ethnic groups are already known to have a higher risk of Type 2 diabetes. Fellow researcher, Dr Nish Chaturvedi, said genetics could not explain the difference either as there were similar levels of “risky genes” across all groups. She said: “There is something else that puts them at higher risk and we are not sure what that is.”daughter was still alive: “I moved the coverings aside... and I touched her hand and then uncovered her face. That’s where I heard a tiny little cry. I fell to my knees. My husband didn't know what to do. We were just crying and I laughed and cried, cries and laughter.” The parents had planned to name her Lucia Abigail, but decided to change the name after the baby’s “miracle” survival.



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