I am Dr. Ramen Goel. Today we will talk about whether surgery should be offered to all uncontrolled diabetic patients? Now in last 10 years it has been accepted worldwide that metabolic surgery is a good option for diabetes control and gradually the cut off point has been reduced to 27.5 BMI. That is if someone is about 10 to 12 K.G. overweight he can get the surgery done to control his diabetes.
It is also been seen that this surgery work better if you do it early. If somebody has diabetes for last 6 months he will do a very well after surgery compared to those who have diabetes for last 20 years. So gradual realisation has come that surgery should be offered early and many physicians are actually sending patients who are actually prediabetic because their pancreatic function is quite good and after surgery if the pancreatic function is good the outcomes are better.
So for all uncontrollable diabetic, metabolic surgery is a good option. Don't considered as a last option. Don't wait till the pancreas are damaged irreversibly. It should be done at a stage and then it can give you disease free, drug free life for very long time and that's very important.
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