Obesity, cause, treatment and complication

Article by Reas Johnson

Morbid obesity is a very serious condition that can be life-threatening if the state is prolonged for an extended period of time.It is condition that describes an individual that has a BMI of 40 or above.

The number of medical conditions related to morbid obesity is truly enormous. Not many conditions have a list of associated diseases that are as long and serious as those related to morbid obesity.

But one of the most dangerous diseases connected to morbid obesity is a subtle disease; one that doesn’t seem dangerous… on the face of it. But diabetes (more specifically type-2 diabetes) can cause severe medical complications if left untreated in a morbidly obese individual. It is a disease that affects more that 220 million people worldwide.

Diabetes occurs when the body develops a resistance to the action of insulin which results in a building up of glucose in the blood and a lack of glucose in the muscles. Blood glucose levels rise above normal and the excess spills out into the urine.

Individuals who are morbidly obese are five times more likely to develop diabetes. However morbid obesity affects the heart so severely that the added complication of diabetes can be extremely life-threatening. Increased glucose in the blood makes it sticky; this stickiness prevents it from flowing properly in the veins and arteries of a morbidly obese person. This in turn leads to a complex range of cardiovascular problems. Morbidly obese individuals who also suffer from diabetes are more likely to get strokes and heart attacks. This is because their blood vessels are more clogged than normal through the build-up of fatty plaques commonly known as cholesterol.The incidence of coronary heart disease is more prevalent in morbidly obese individuals who are also diabetic.

It is therefore essential to make sure that you regularly go for medical check-ups if you are morbidly obese. It is extremely dangerous to leave diabetes untreated if you are carrying a lot of excess weight because of the myriad number of complications related to the condition.

Diabetes and morbid obesity are a dangerous combination of diseases. In most instances an individual’s diabetic state can be drastically reduced if they happen to lose the excess weight they carrying. So it is important that a heavily overweight individual should try and lose their excess weight as soon as possible before serious medical complications arise.

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Since 1995, numerous studies have published results showing that bariatric surgery and in particular the gastric bypass procedure cures type 2 diabetes.

It is thought that the cure is brought about by changes to the hormones produced by the digestive system as a result of surgery and not simply the loss of weight.

Understandably patients and surgeons have been delighted with these findings and demand for the gastric bypass has increased.

Another study which has been recently published shows that another type of bariatric surgery, the gastric band, is also effective at curing type 2 diabetes. During gastric band surgery a device called The LapBand®, is fitted by keyhole surgery. The LapBand is placed around the stomach and restricts food intake. The study’s lead author, Dr. John Dixon of Monash University Medical School in Melbourne, Australia comments: “It’s the best therapy for diabetes that we have today, and it’s very low risk.”

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Toni Russo, consultant bariatric nurse for Streamline Surgical said:

“The findings by Dr John Dixon are fantastic news and show that there is a real alternative for those patients who don’t want to undergo a gastric bypass procedure.”

Leading bariatric Surgeon Mr Guy Slater said:

“Studies like these are really positive as they indicate that bariatric surgery isn’t just a way to treat obesity, it can also offer many other health benefits. We can only hope that this message gets out to people so that they can consider the many benefits that bariatric surgery will bring to them.”

One of Mr Slater’s patients, 45 year old Gary from East Sussex has already seen the benefits that bariatric surgery can have not only on weight loss but also health. Gary explains:

“Weighing over 25 stone I was an ideal candidate for bariatric surgery. It was only after meeting with Mr Slater and researching the gastric bypass procedure that I realised I could also be rid of my type 2 diabetes. Since the surgery I have lost over 9 stone and I am no longer on any medication for diabetes which feels amazing.”

Bariatric surgery changes patient’s lives in so many ways, the curing of type 2 diabetes is just one of the many benefits.

Bariatric Surgery the side effects danger for type 2 diabetes

A study recently revealed that Bariatric surgery side effects are dangerous for those with type 2 diabetes and the reason may surprise you. The benefits of this surgery does not out way the risk. The problem with \this surgery is that it is very serious. This surgery will alter your digestive system and this is extremely risky. The diabetic already has a digestive problem which is a pancreas which does not produce good insulin. When a person has Bariatric surgery for type 2 diabetes they must understand that this surgery limits the amount of important nutrients that can be absorbed and this is big trouble for the diabetic. The problems get much worst than this.

This is far from natural and does even more damage. The diabetic already has an overworked kidney which must dump blood sugar from the body so the body can function. This surgery hurts the kidneys even more and causes it to work even harder. This means pains in the back and waist. Here is the critical important point, the kidneys are weakened after this surgery plus there is an increase in kidney stones. What this means is that the formation of stones is revealing that the kidneys do not have the right water balance. It is clear that this surgery does dangerous things to the body. Bariatric surgery for type 2 diabetes is dangerous and not recommended.

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Studies show that the obese or diabetic person can reverse diabetes and obesity when the right natural diet is used. The benefit of this is no side effects. This is what you want.

The obese or diabetic person may feel that they have tried dieting and it has not helped and now they must resort to this dangerous surgery. studies now show why dieting does not help it is because only a healing diet can reverse diabetes and obesity. Most diets for obesity and diabetes do not heal the cause of the problem and this is why people cannot lose weight. Often the heavy person eats less than the thin person but still can’t lose weight. A diet to reverse diabetes that heals the root cause has now been used in 10 countries and it works to reverse obesity and Type 2 diabetes. Click HERE type 2 diabetes cure

It is important for the person who is interested in Bariatric surgery for diabetes to realize that often you lose your heat and live in pain. No surgery is worth losing your kidneys.

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How many times have you wondered what surgery is right for you and what will make the largest difference with your type II diabetes? You’re not the only one asking these questions. Bariatric Surgeons, Primary Care Physicians, OB/GYNs and Endocrinologists ask themselves the same questions, daily. It’s only been recently that enough data has been collected to begin answering these questions.

So many variables exist with every patient. Not every patient seeking has the same amount of weight to loose, nor the same amount or type of insulin or medication requirement for managing their current diabetes.

There’s no set formula for choosing a particular surgery, yet data is beginning to show that consideration of risks and benefits lie heavily in the amount of weight loss needed to reach your optimal health.

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Do you have a significant amount of weight to loose? Are you concerned with your continued high amounts of insulin or medication you’re taking to manage your diabetes? Multiple studies are showing a direct correlation between the amount of weight-loss obtained post-surgery and the amount of actual reduction or resolution of type II diabetes. Two predictors of diabetes remission found within some of the most recent studies were, greatest weight loss and shortest history of diabetes.

It’s easy to believe that Gastric Bypass is the best procedure for one with diabetes type II when research data shows an 84% resolution of the diabetes post-op, especially when compared to patients who have had Lap Band surgery with a resolution of only 69%. It’s apparent that the greater the , the greater the resolution of type II diabetes. If this is truly the case, why isn’t everyone getting Gastric Bypass?

Multiple factors need to be considered when choosing the actual type of bariatric surgery. How much weight do you really want or need to loose? What’s your gender? How do you carry your weight? How many other conditions are you dealing with beyond your diabetes? Do you need to loose a large amount of weight in a short period of time? These are all questions that your bariatric surgeon and you will discuss.

One consistent outcome seen throughout multiple studies has been the significant reduction of diabetic medication use and need, post bariatric surgery. Within a 3 year period post surgery, most patients have all had a reduction in diabetic medication use by of 2/3, regardless of what procedure was performed. What does this mean to you and your physicians overseeing your care? Your immediate needs for optimizing your health are of utmost concern. The more drastic your need, the more drastic the measures required to reach your goals for health and ultimate safety.

Bariatric procedures used for treating severe obesity has been studied as a cure for type 2 diabetes mellitus. Studies have found that more than 75% of type 2 diabetes patients who undergo bariatric surgery no longer experience symptoms and no longer require insulin or other medications. Obesity and type 2 diabetes are interrelated. Nearly 24 million Americans are affected by diabetes. About 50 percent of men and 70 percent of women who have the disease are obese; therefore bariatric surgery can have a sustained and meaningful effect on fighting both diseases. In a study published by The American Journal of Medicine, 621 patients were studied from 1990 to April 2006. The results are as follows: Study Results Complete resolution of diabetes – 78.10% Improved conditions – 8.50% No changes – 13.40% For years, researchers had assumed that weight loss alone was responsible for this benefit. However, new findings are demonstrating that hormonal and metabolic changes caused by the surgery, were responsible. The surgery helped patients lower fasting glucose, fasting insulin, and hemoglobin level. According to the Wall Street Journal, diabetes can “quickly recede” when bariatric surgery “alters the intestinal tract and diverts food away from hormones in the small intestine that help regulate blood sugar levels”. Lowering hemoglobin (A1C) to below or around 7% has been shown to reduce microvascular and neuropathic complications of type 1 and type 2 diabetes. Therefore, for microvascular disease prevention, the A1C goal for nonpregnant adults in general is 7%. On the other hand, researchers observed a progressive relationship between diabetes resolution and the weight loss operation performed: Surgery Type Laparoscopic adjustable gastric banding – 56.70% Resolution results – 46.20 Weight Loss Gastroplasty – 79.90% Resolution results – 55.50% Weight Loss Gastric bypass – 80.30% Resolution results – 59.70% Weight Loss Biliopancreatic diversion/duodenal switch – 95.10% Resolution results – 63.60% Weight Loss This study suggests that people with Type 2 diabetes and morbid obesity who get surgery before becoming insulin-dependent have the greatest chance for complete resolution and avoiding the progression of diabetes. However, physical activity and behavior modification are important for maintaining weight loss and for completely resolving diabetes. On the other hand, the Agency for Healthcare Research and Quality (AHRQ) recently reported bariatric surgery is safer than ever. The risk of death from bariatric surgery has declined from 0.89 percent in 1998, to 0.19 percent in 2004.6. “The severity of the diabetes at the time of surgery and the regain of excess weight loss long-term seem to be the primary determinants of long-term diabetes resolution after gastric bypass surgery,” said James W. Maher, MD, professor of Surgery at Virginia Commonwealth University. Although there are a number of effective, noninvasive treatments for diabetes, the American Society for Metabolic & Bariatric surgery (ASMBS) support the idea that Bariatric surgery should be considered for treating type 2 diabetes in morbidly obese adults, specially if the diabetes is difficult to control with lifestyle and pharmacologic therapy. Finally, there is still insufficient evidence regarding the benefits of weight loss surgery in patients with BMI <35 kg/m2 as a way of treating diabetes. Therefore, it is advised that patients talk to a specialist about their particular situation.

You just got a diagnosis of Type two diabetes. Does that now mean one can not go to their favourite Mexican restaurant again? The answer is a no. You can enjoy Mexican food. You can actually enjoy just about any food you want. There is definitely one proviso though. Therefore, you must watch what you eat as well how much you eat. Mexican restaurants serve many foods high in carbohydrates. Be aware of what you are eating. That basket of chips they bring to the table is the place to start using caution. The corn in the tortillas contains high levels of carbohydrates. The deep fried chips bring high levels of fat. Some salsas have a really high degree of salt or sodium.

What else does one need to watch when eating at a Mexican restaurant? Rice is not your friend. They make many of the rice dishes with highly refined white rice. Having too much rice can easily spike blood glucose levels. Beans may be another red flag. Legumes are good sources for healthy fats and fiber. Beans in a Mexican restaurant will likely send your glucose into the stratosphere. Refried beans have added fat and calories that is usually saturated. The refrying breaks down the fiber value as well. You get the taste of beans but none of the nutritional value. Tortillas, either corn or flour, are not good either. Both come from refined grains that hold little nutritional value and high levels of carbohydrates.

What can you eat at a Mexican restaurant? Chicken fajitas are a good choice. You get a pile of chicken and vegetables. You can moderate the level of sour cream and cheese you add as well as the tortillas you eat with it. Shrimp fajitas are also good options. Soft tacos with chicken or broiled fish are another option. Ordering a taco salad and then not eating the deep fried shell is also another option. All of these options allow you to control the amount of rice, tortillas, and beans you eat.

Portion control is the vital with any restaurant. If you order an entrée, consider asking for a box at the beginning of the meal. Put half in the box and take it home with you. You get to enjoy your food and don’t have to deal with a glucose spike in the process. Getting a diagnosis of the type 2 Diabetes doesn’t mean you have to stop eating your favorite foods. It is a question of getting control of portion size and regulating when you eat.

Research shows that adopting a diet in line with Mediterranean eating habits can help approach Diabetes Type 2 without taking tablets. What exactly do they mean by a Mediterranean diet? This diet comes from the cultures that ring the Mediterranean Sea including Italian, Greek, and others. It contains a diet rich in vegetables and whole grains. Surprisingly it also contains 30% of calories coming from fat sources. The most source of fat though is olive oil. The diet also replaces most red meat consumption with fish and chicken. No more than 50% of daily calories can come from carbohydrates.

What is the result of adopting this diet on those with Type two diabetes? Nothing is really a miracle. However many patients gain better control on this diet than with a low fat diet. They also demonstrated significant improvements in heart health. Weight loss happens as well. Studies have shown that this diet helps some hold off the need for medications. How does this diet do it? The diet focuses on replacing saturated fats with healthier versions. It additionally focuses on increasing the levels of fresh fruits and vegetables in your diet. All of this helps realign your health into a better mode.

Its great to know adopting a diet in the style of the Mediterranean eating habits bring many good great to the table of a individual with Diabetes Type 2. The diet focuses on eating more fish and chicken than red meat. That will lower the amount of saturated fat in your diet. The diet also emphasizes meat as equal or subordinate to plant-based foods. That means chicken or fish is not the main part of the meal. It balances with good hearty sized portions of wholegrains and veggies. Many meals do not contain fish or chicken. The main source of fat in this diet comes from the use of olive oil in cooking.

The addition of fresh fruits and vegetables can increase the ingestion of healthy fiber. Fiber really helps those with type 2 Diabetes in 2 ways. The first is that it helps to control how rapidly the body absorbs food. This helps keep glucose levels steady. The second benefit is that it helps with weight control and heart health. Those additional factors mean that you are healthier all together. The best part of this diet is that it’s rich in many nutrients that benefit the health of everyone. It is a good diet for the entire family to adopt along with the diabetic.

Studies show that oral hygiene plays a role in overall health. Researchers have found that people who have periodontal disease have in increased risk of stroke, heart attack, and type II diabetes. The same harmful bacteria found in the mouth have been found in arterial plaques that cause heart disease. Saving your teeth can also save your life!

In conjunction with the in-office treatment you will receive, there are several things you can do at home to prevent and maintain your periodontal condition.

Coenzyme Q10, also known as CoQ10, is an antioxidant recommended by many dentists for the prevention and treatment of periodontal disease. CoQ10 is found in every cell of your body, particularly in the heart and oral tissues.

Researchers found that people with periodontal disease had a deficiency of this essential nutrient. It is recommended that you take at least 30mg two times per day. This is not a magic pill, you still need to brush, floss, and see your dental hygienist at least twice per year. Every day, bacteria that naturally builds up in the oral cavity, along with food particles, form a sticky, clear film on your teeth. This film is called plaque, and it forms above the gumline and below the gumline on the root surface. Plaque forms regardless of whether you eat or not.

Plaque that is not removed by brushing and flossing. It becomes hard and is unable to be removed with a toothbrush or floss. This hard plaques is called tartar. These tartar deposits produce toxins from the bacteria which cause inflammation. Inflammation of the gums is called gingivitis, and it is reversible. The inflammation below the gumline breaks down the bone and other supporting structures. This breakdown causes a space to form between the tooth and the gum, called a pocket. The breakdown of the bone and pocket formation is called periodontitis, and it is not reversible.

It is recommended that you have a dental phophylaxis or “cleaning” at least two times a year. Unfortunately, even with regular visits gingivitis and periodontitis still occur. In fact, it is estimated that 80% of adults have some severity of bone loss.

Another at-home option is to use a waterpik, which is an oral irrigator. The waterpik uses a high-powered, pulsating stream of water to gently clean around the gumline. There is also an attachment called a pik pocket, which is designed to clean periodontal pockets. In clinical studies the waterpik was 93% more effective than floss.

Doing one or both of these easy oral healthcare practices could save your teeth and your life.

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Getting a diagnosis of type 2 diabetes can hit you up the side of the head. Many people find themselves sitting on the couch staring at the wall. How did it happen? Why did it happen? Where do you go from here? All of these are common questions that those with a new diagnosis ask. They suddenly must step into a whole new world of medical terms and testing. In order to stay on top of their disease, they must start making changes to their lives. It can be extremely overwhelming for anyone. You might know it can indeed be also overwhelming for members of their family also.

So, how do you deal with this diagnosis of Type two diabetes? If you are having real issues with the diagnosis, seek the help of a trained therapist. They can help you work through the emotional issues that come up after a diagnosis. Seeking the help of a religious leader or teacher is another way to deal with it. Many newly diagnosed people with Diabetes 2 find a high level of comfort in joining support groups designed just for individuals with Type 2 Diabetes in a similar situation. Seeking help from others is not a sign of weakness. It is a strong message to yourself that you will not be defeated in the face of this disease.

Another way to cope with your diagnosis of type 2 diabetes is self-education. In order to get ahead of this disease getting accurate information is very important. Find leading resources in the field on the web and start finding out more about the disease. What causes it? How does one treat it? There is a host of treatment options out there. Its great to know many people find they can manage their Diabetes Type 2 naturally with a Diabetes Type 2 sufferer’s eating plan and exercise. Others may need medications or insulin. Some people have dramatically improved through a vigorous regime of diet changes and specific exercises. Getting more information never hurts.

A final way to cope with your diagnosis of type 2 Diabetes is to do nothing about it. Ignoring something makes it seem to disappear. You can stay at home and deal with the rising problems that will follow. You may face severe nerve damage and blood circulation problems that may lead to amputation. You will face increased risks for heart disease that could lead to heart attack or stroke. You will eventually face death at an early age and definitely leave your family devastated. It is an option that some choose to follow. However, is it the right one?

There are many children of all races with type 1 diabetes. It is suspected that environmental factors trigger type 1 diabetes, but the exact cause of this disease still evade medical researchers. Typical signs and symptoms of this diabetes are that the children are forever thirsty, they drink a lot of water and they pass urine very frequently. Because the sugar level in their blood is high, there is also a lot of sugar in their urine. It is the high sugar level in the bladder which cause them to drink a lot of water, and that causes them to visit the bathroom so frequently. They do wet their beds also sometimes, especially if they are very young. If this condition goes untreated, these children will also burn fat for energy, and they will lose weight.

What must parents do, if they notice these symptoms in their child?
They need to take the child to their faily doctor for a medical checkup immediately, so that he/she can test for type 1 diabetes . A urine sample will be taken and tested. If there is sugar in the urine, a finger prick test must also be performed. Any high blood sugar reading will indicate that the child has diabetes type 1. No other tests are actually required.

What is the treatment for type 1 diabetes ?
First and foremost, a child diagnosed with type 1 diabetes needs a lot of medical and parental guidance. Guidance is especially required as far as the lifestyle adjustments are concerned. The parents must realise that the child has to continue with his/her life as normally as possible. However, the disease has to be managed properly so that further complications in their adulthood are prevented, or at least minimised. This must be done in the least traumatic way possible.

Blood sugar levels must be contolled through the following methods:

1) Insulin must be administered by injection. The majority of children of 5 years and older, quickly learn to inject themselves four times per day. The administration of these injections are not painful, as the needles are thin, sharp and short.

2) A healthy diet must be followed. The parents must help the child to manage his/her blood sugar levels properly, through adjustments. For example if the child has to attend a party, they need to work out what the child can eat and drink, and how much, bearing the insulin in mind, so that the blood sugar level is maitained on a healthy and constant level. Parents must assist the child to lead a normal, quality life.

3) Regular exercise must be maintained. There are many many child diabetics who participate in sports. These children need to be encouraged to participate in sports, or else they need to exercise regularly.

What are te long-term affects of type 1 diabetes on the health of children?
If these children can learn to manage their blood sugar levels, they will have the same risks as the average person to suffer from heart and circulatory problems, kidney disease, blindness or neuropathy. They must be motivated from the word go to control and manage their blood sugar levels properly. A child with a constant high blood sugar level has a 30 % of developing terminal kidney failure in 10 years’ time.