How Does Weight Loss Surgery Affect Diabetes?

Type 2 diabetes mellitus (T2DM) is the most common form of diabetes.  Complications from this disease can lead to more serious health conditions such as hypertension and stroke.  Type 2 diabetes can also lead to premature death; in fact, studies show that the risk of premature death can be increased by as much as 80% in patients with T2DM.

According to the American Society for Metabolic and Bariatric Surgery, “Obesity is the primary cause for type 2 diabetes.” Therefore, most patients diagnosed with T2DM can improve their health by losing weight.

One of the most effective forms of weight loss treatments for obesity is bariatric surgery.  It has been found that undergoing bariatric surgery and adhering to a prescribed diabetes treatment plan can improve blood sugar levels and cause remission of the disease in most patients. The American Society for Metabolic and Bariatric Surgery reports that “Nearly all individuals who have bariatric surgery show improvement in their diabetic state.” Surgery may improve type 2 diabetes in approximately 90% of patients by either lowering blood sugar, reducing the dosage of medication needed or improving health problems associated with diabetes.

The two most popular bariatric surgeries are the sleeve gastrectomy and gastric bypass procedures. In the sleeve gastrectomy procedure, a large portion of the stomach is removed and a smaller, new stomach in the shape of a tube or “sleeve” is created.  During bypass surgery, a new small stomach pouch is created, and a section of the small bowel is bypassed. Both surgeries can offer excellent long-term results and positive outcomes in most patients. They are typically performed laparoscopically, utilizing a minimally invasive approach.   Laparoscopic surgery can offer patients several benefits including shorter hospital stays, shorter recovery time and less scarring.

Although bariatric surgery is considered safe, it is important that patients understand the risks of surgery. As with most major surgical procedures, the risks can include bleeding or other complications.

At Flushing Hospital’s Bariatric Surgical Center, procedures are performed utilizing minimally invasive techniques including robotic surgery. The Center also provides many compassionately delivered services to help patients succeed in every step of their weight loss journey including close physician monitoring, pre and post-surgical psychological evaluations, personalized diet and nutritional counseling as well as ongoing education and support groups.

For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-670-8908

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

New Year’s Weight Loss Goals

One of the most common New Year’s resolutions is losing weight.  For some, this goal can be accomplished through diet and exercise; however, for others losing weight may require more intensive approaches.

Losing a significant amount of weight can be very challenging, especially for people who are overweight or obese. Weight loss (bariatric surgery) has been proven to be a safe and effective way to overcome this challenge.

Bariatric surgery is performed on the stomach or intestines to reduce food intake or absorption, and induce weight loss. Weight loss surgery can also help those who are at risk of diabetes and hypertension to reduce their chances of developing these or other obesity-related diseases.

If you are interested in surgery, one of the first steps you should take is finding out if you are a good candidate.  Surgery may be appropriate for people who:

  • Have a body mass index  (BMI) over 40
  • Are over 100 lbs. over  their ideal body weight
  • Are experiencing disabling pain in weight-bearing joints
  • Have a BMI of 35 along with obesity-related disorders such as high blood pressure, diabetes, sleep apnea or degenerative joint disease.
  • Have tried to lose weight through diet and exercise but  have been unsuccessful

Choosing a weight loss surgery provider that is accredited by programs such as the Metabolic and Bariatric Surgery Accreditation and Quality Improvement Program (MBSAQIP®) is highly recommended. This accreditation ensures that your provider follows a high standard of care.

Flushing Hospital’s Bariatric Surgical Center is the first Bariatric Center of Excellence accredited by the MBSAQIP. The center provides care from a multi-disciplinary group of health care practitioners who are compassionate and fully invested in helping you in every step of your weight loss journey.

To learn more about Flushing Hospital’s Bariatric Surgical Center, please call 718-408-6977or 718-670-8908.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is Bariatric Surgery Right For You?

Obesity is a growing public health issue in our region.  According to NYC.gov, more than half of New Yorkers are overweight, and nearly a quarter qualify as obese.  The New York City Department of Health and Mental Hygiene, reports that an estimated 23% of the population living in Queens is obese.

These rates are concerning because people who are obese are at an increased risk for developing chronic diseases such as diabetes, stroke, hypertension, heart disease and some cancers.  However, the good news is the risks associated with many of these conditions can be significantly reduced by losing weight.

Diet and exercise are highly recommended methods of weight loss but they may not be enough to yield significant results for those who are obese.   Bariatric surgery offers an extremely effective weight loss solution for people who have tried and failed to lose weight by way of diet and exercise. Additionally, it has been shown to help improve several obesity-related health conditions.

The two most popular bariatric surgeries are the sleeve gastrectomy and gastric bypass procedures. In the sleeve gastrectomy operation, a large portion of the stomach is removed and a smaller, new stomach in the shape of a tube or “sleeve” is created.  During bypass surgery, a new small stomach pouch is created, and a section of the small bowel is bypassed. These surgeries are usually done through small incisions either laparoscopically or using the da Vinci surgical robot, ensuring a minimally invasive approach. Both surgeries offer excellent long-term results and positive outcomes in most patients.

With this is in mind, it is important to understand that bariatric surgery is a major operation, no matter which procedure is chosen.  Bariatric surgery is not an easy way out. It is an important decision to be made under strict physician supervision and with the support of loved ones.  The process is immersive and takes approximately 4-5 months of supervised dieting and being seen by multiple specialties for approval.

Although bariatric surgery is considered safe, it is very important that patients understand the risks of surgery. As with most major surgical procedures, the risks can include bleeding or other complications.

For those who would like to explore non-surgical weight loss procedures, there are options such as the FDA-approved Obalon Balloon System. This involves three air filled balloons inserted via a swallowed capsule. The patient is given no anesthesia and most people return to work the same day. The balloons stay in for six months after which they are removed via endoscopy. The procedure is generally very well tolerated with some side effects such as nausea and cramping. Studies have shown weight loss to continue beyond removal and many patients lose a significant amount of weight.

When deciding which procedure is best for you, it is recommended that you receive an expert consultation with a surgeon. Your physician can assess your health which can lead to the decision on which surgery is suitable for your needs.

To ensure the highest quality care and maximize your chances of a successful weight loss procedure, it is recommended that you receive treatment at a “Bariatric Center of Excellence”, such as Flushing Hospital Medical Center.

Flushing Hospital is the only Center of Excellence in Queens. The process to reach this designation is arduous and ensures that the center and the surgeons are of the highest quality and preparedness. Surgical outcomes are measured very strictly and the capability of both the surgeons and the center must be of the highest caliber when compared nationally.

To make an appointment, please call 718-408-6977.

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Why is it Important to Have a Psychological Evaluation Prior to Weight-Loss Surgery?

An important component of the pre and post-surgical care for all patients considering having bariatric surgery is speaking with a psychologist.

While some might find this surprising or unnecessary, it is actually a routine part of the surgical process for patients to meet with a psychologist. In fact, psychologists, like dieticians and other specialists are considered a vital part of the bariatric team.

While it is important to identify the reasons why a psychological evaluation is important,  it is equally as important is to dispel any false information as to why one is needed. An evaluation is not performed to determine if a patient has a mental illness. People with obesity are considered as psychologically “normal” as those with lower body mass indexes and they do not fit any specific psychological profile. Therefore, the psychologist’s main purpose is not to search for any underlying problems that might have caused a patient to become affected by obesity.

Instead, the purpose of a psychological evaluation is to put potential patients in the best environment needed to succeed. This can be done by identifying their strengths, such as a strong motivation to exercise as their weight is coming off. Other things a psychologist can learn from a patient include getting a complete understanding of the effects of surgery will have on them as well as if they have a supportive team at home. Conversely, a psychologist can also identify areas where a patient might need additional support after surgery. This may include issues such as depression or mood swings, lack of family support or triggers for past emotional eating.

The psychologist’s purpose is never to “fail” people and exclude them from surgery. In fact, studies have shown that a very small number (perhaps four percent) of individuals are found to be poor candidates based on their psychological evaluation results.
A typical evaluation includes psychological testing, such as personality tests and other questionnaires. This paperwork is often completed before meeting with the psychologist. A patient will also have a face-to-face interview with a psychologist. In some cases, he or she may request a family member accompany a patient to determine the level of support they are receiving at home. Subjects such as past and present eating habits, as well as activity levels are usually discussed during this meeting and patients are encouraged to share what is motivating them to have surgery and share their concerns.

Flushing Hospital’s Bariatric Surgical Center has recently been recognized as a Center of Excellence, which means it provides the highest level of care to our patients, before, during and after surgery. For more information, or to schedule an appointment, please call 718-670-8908.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Sleeve Gastrectomy Surgery

A person who is obese has far more weight than what is considered healthy for their body type. Obesity is a serious and at times life-threatening condition that can contribute to health problems such as diabetes, stroke, some cancers and heart disease.

In some cases losing weight can reduce the risk of developing these chronic health conditions.  According to the National Institute of Diabetes and Digestive and Kidney Diseases, “losing even 5 to 10 percent of your weight can delay or prevent some of these diseases.”

Maintaining a proper diet and exercising regularly are lifestyle modifications that can help combat obesity; however, not everyone who applies these practices is able to lose weight on their own. If diet or exercise does not yield sufficient results and a patient’s weight continues to pose a risk for developing complications, their doctor may suggest weight loss surgery.

One of the procedures a physician may recommend is a sleeve gastrectomy.  This operation is often utilized for patients who are too heavy to safely undergo other types of weight loss surgery.

A sleeve gastrectomy requires the surgical removal of part of the stomach. This permanently reduces its size by approximately 25% (about the size of a banana).  The surgeon then creates a new tube-shaped stomach or “gastric sleeve.” With a smaller stomach, food intake is restricted and the patient will feel fuller more quickly. This procedure is irreversible and usually performed laparoscopically.

Most patients experience several health benefits after receiving a sleeve gastrectomy, some of which may include:

  • Significant weight loss
  • Controlled type 2 diabetes
  • Improved cholesterol
  • Lowered blood pressure

Each case is unique to the individual and it is important to keep in mind that all surgical procedures have their risks.  Please speak with your doctor about which weight loss surgeries may be best for you.

Overcoming obesity can be difficult. You may have tried several weight loss treatments or methods to lose weight, but were unsuccessful. Fortunately, bariatric surgery is an option that often yields results and success stories. Flushing Hospital Medical Center offers a unique and multidisciplinary program that involves a complete mind, body and wellness approach to weight loss surgery. For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-670-8908.

 

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Is Gastric Bypass Surgery Right For You?

Is being overweight affecting your health and overall quality of life? For several people,the answer is yes. Obesity is a disease that affects more than one-third of people in the United States. It is the second leading cause of preventable death.

The contributing factors that can lead to obesity include metabolic, pre-existing health conditions, eating disorders, environment and genetics.

Overcoming obesity can be difficult. You may have tried several weight loss treatments or methods that include diet and exercise to lose weight, but were unsuccessful. Bariatric (weight loss) surgery is an option that has proven to be effective in producing significant weight loss.

One of the most commonly performed types of bariatric surgery is gastric bypass surgery. The procedure requires a surgeon to divide the stomach into two parts (one small and one large). The surgeon may use staples or vertical banding to create a small pouch from the upper part of the stomach.

The small pouch is then directly attached to the small intestine bypassing the rest of the stomach and the upper part of the small intestine. This limits the amount of food that can be eaten and reduces the fat and calories that can be absorbed. The larger part of the stomach will remain intact to produce digestive juices. This surgery is usually performed laparoscopically.

The benefits of having this procedure may include:
•Accelerated weight loss
•Improvement in quality of life
•Improvement in obesity- related medical conditions such as diabetes, hypertension or high cholesterol

There are several accepted medical criteria that will determine if you are a candidate for surgery. You may be eligible if:
•You have a body mass index (BMI) over 40
•Are 100 lbs. or more over your ideal body weight
•Are experiencing disabling pain in weight-bearing joints
•You have a BMI of 35 along with obesity-related disorders such as high blood pressure, diabetes, sleep apnea or degenerative joint disease.
•Your efforts to lose weight through diet and exercise have been unsuccessful

If you meet these requirements and are considering moving forward with bypass surgery, there a few things you can expect after the procedure:
•You may experience pain at the incision site; however, your medical team will be available to help you in keeping your pain under control.
•There is a possibility that you may experience discomfort from the gas used during laparoscopic surgery.
•You will be asked to walk on the day of your surgery as frequently as possible. This will promote circulation and prevent blood from clotting.
•To prevent possible complications such as pneumonia, you may be asked to take deep breaths and breathe into an instrument called an incentive spirometer and cough frequently.
•You will be given ice chips and water to sip, if these are not rejected by the body, you will be placed on a clear liquid diet. Gradually you will be able to ingest solid foods.
•Prior to discharge, the surgeon, nurse or discharge coordinator will instruct you to follow a specific diet.

When combined with eating a healthy diet and exercise, gastric bypass surgery can offer long-term weight loss success. It is important to keep in mind that each case is unique to the individual and it is suggested that you consult a bariatric surgeon for an assessment.

Flushing Hospital Medical Center offers a unique and multidisciplinary program that involves a complete mind, body and wellness approach to weight loss surgery. For more information about the Bariatric Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-670-8908

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.

Tips for Keeping the Weight You Lost-Off

before and after weight loss - CONTESTLosing weight is a great achievement but is only half the battle. The new challenge that lies ahead is keeping the pounds you have lost from returning.

The key to keeping the weight off is to make long-term lifestyle changes that will not only keep you looking good but improve your overall health.  Following these tips can help you along your journey of maintaining a healthy weight:

  • Stick to a low-calorie diet- It has been shown that eating a diet that is low-fat and low-calorie can help maintain weight loss.
  • Remain physically active- Do not abandon your exercise routine once you have shed pounds. Find a regimen that you can incorporate into your schedule.
  • Get enough sleep- Studies show that people who are sleep-deprived are more likely to crave unhealthy food.
  • Do not skip meals- Skipping meals may make you hungrier than normal and cause you to overeat.
  • Self-monitoring- Routinely weigh yourself and track your food intake to ensure you are maintaining a healthy weight.
  • Plan meals ahead and stock your kitchen- Planning healthy meals ahead and stocking your kitchen with healthy food can lessen the chances of you diverting back to unhealthy eating habits.

For information about the Bariatric(Weight Loss) Surgery Services at Flushing Hospital or procedures performed by our doctors, please call 718-670-8908

All content of this newsletter is intended for general information purposes only and is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. Please consult a medical professional before adopting any of the suggestions on this page. You must never disregard professional medical advice or delay seeking medical treatment based upon any content of this newsletter. PROMPTLY CONSULT YOUR PHYSICIAN OR CALL 911 IF YOU BELIEVE YOU HAVE A MEDICAL EMERGENCY.