I am Dr. Arush Sabharwal from SCOD. Obesity and diabetes surgery today is very common. We all should understand the basis of the surgery. It is not meant for everybody. It is not a cosmetic surgery. If your BMI is less than 30, you should never undergo bariatric surgery. If you have any other issues like diabetes, hypertension, dyslipidemia, cholesterol, gout, varicose veins, snoring, breathlessness, day time sleepiness, lethargy, so you are the patient and you should contact the doctor immediately. Obesity and diabetes aisi problems hain jo apko or bhi problems deti hain body me. Diabetes ke sath apko kidneys, eyes, legs, sab kharab ho skta hai. Aaj ki date me diabetes HIV se bhi jyada dangerous hai.
70-80% obese patient me diabetes hota hai. But ye important nhi hai ki diabetics mota ho. Regular exercise kren. treatment hai laparoscopic sleeve gastrectomy me hum peat ka vo hissa nikal dete hain jis se apko bhook lgti hai or sugar hoti hai. Is treatment se apka sugar cure ho jata hai lekin apko protein and fibre jyada khana hota hai. Hmare pass team baithti hai jo patient follow up krte hain. Hmare dietition hain jo apke before and after surgery apke diet ka dhyan rkhti hain. Diet apke BMI pe depend krti hain. Diet apke 3 phase me divided hain. 1st phase me liquid diet dia jata hai and ye 2-3 weeks ka hota hai. Uske baad soft diet dia jata hai and ye 2 weeks ka hota hai. 5 weeks ke baad aap apni normal diet start krte hain. Surgery ke baad bhi apki diet healthy hi honi chaiye and routine test ki jrurat pdti hai. Hum follow up apka 1 year tak krte hain. 2nd year me apko every 6 months me ek baar diet follow up ke lia bulaya jayega. 3rd year ke baad apka sugar jab normal ho jata hai to apko aage 1 saal me 1 baar bulaya jata hai. Bacha bhi aap 1.5-2 years ke baad hi plan kren.