What is Diabetes?


Diabetes is a chronic disease that occurs when the pancreas is no longer able to make insulin, or when the body cannot make good use of the insulin it produces.

Insulin is a hormone made by the pancreas, that acts like a key to let glucose from the food we eat pass from the blood stream into the cells in the body to produce energy. All carbohydrate foods are broken down into glucose in the blood. Insulin helps glucose get into the cells.

Not being able to produce insulin or use it effectively leads to raised glucose levels in the blood (known as hyperglycaemia). Over the long-term high glucose levels are associated with damage to the body and failure of various organs and tissues.

An individual without diabetes does not exceed 120 mg / dl in fasting blood glucose levels and 140 mg / dl in satiety (two hours after eating). If the level of blood sugar measured in fasting or satiety is above these values, it indicates the presence of diabetes.

Whether a person has diabetes is determined by Fasting Blood Glucose (FBS) or Oral Glucose Tolerance Test (OGTT). The measurement of FBS is 100-125 mg / dl, which is the secret sugar (pre-diabetes) signal. The presence of diabetes mellitus is greater than 126 mg / dl or more.

Blood glucose value is important in OGTT after 2 hours ingestion of glucose-rich fluid. If the blood glucose level of the second hour is 140-199 mg / dl, then diabetes is diabetes inspudus, if latent sugar is 200 mg / dl or higher it called as diabetes.

 

 

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1- Type 1 Diabetes
2- Type 2 Diabetes

Type 1 diabetes can develop at any age, but occurs most frequently in children and adolescents. When you have type 1 diabetes, your body produces very little or no insulin, which means that you need daily insulin injections to maintain blood glucose levels under control.

Type 2 diabetes is more common in adults and accounts for around 90% of all diabetes cases. When you have type 2 diabetes, your body does not make good use of the insulin that it produces. The cornerstone of type 2 diabetes treatment is healthy lifestyle, including increased physical activity and healthy diet. However, over time most people with type 2 diabetes will require oral drugs and/or insulin to keep their blood glucose levels under control.

 

First of all, this method is only suitable for patients with Type 2 diabetes. Body mass index should be 30 or above.

You should not have any heart condition. In addition, the level and activity of the insulin stores of the patients should be sufficient.

There should have a mini check-up is available for this.

Bariatric dietitian control is performed before surgery.

Blood values (hemogram), pulmonary function test, etc. procedures are applied and the operation is decided based on the results.

This method is called ileal interposition surgery. This application is a procedure involving the stomach, duodenum and small intestine. The left-upper external part of the stomach is removed, the duodenum is closed off, which slightly alters the stomach's orientation, and the final part of the small intestine is switched with a part from the beginning.

 

It is a Laparoscopic surgery.

The operation is carried out by using laparoscopic surgery (closed surgery) method, which has become widespread in recent years, by drilling 5 holes with a size of 0.5 - 1 cm in the abdominal region with robotic arms.

With this method, the operation takes about 1 hour and minimizes the complications that may occur during the operation. In addition, this method accelerates the healing process in the postoperative period.

You can leave from hospital about 3-4 days and return to work after 10 days.

The 2/3 of the stomach is removed with surgery. With the shrinking stomach volume, the feeling of satiety comes immediately. In addition, since there is no appetite hormone in the extracted section, patients can lose 70-80% of their excess weight at the end of the first year.

Since the stomach is intervened postoperatively, there is a feeding period provided that the first 15 days is liquid and the next 15 days is puree and then solids are passed. Food and drinks to be consumed during this period are told to the patients by the bariatric dietitian. There is no dietary requirement for weight gain.

Small incisions of the incision disappear after a certain period of time. This process is accelerated as a result of robotic surgery.