WHAT IS DIABETES?
It is a disease that develops when the pancreas does not produce enough insulin hormone in our body or if the insulin hormone it produces cannot be used effectively.
TYPE 1 DIABETES
It occurs when beta cells in the pancreas that produce insulin are damaged by an autoimmune process. Since patients have an absolute or relative insulin deficiency, they have to take the hormone insulin hormone from the outside (by injection) for life.
For this reason, Type 1 diabetes is also called Insulin Dependent Diabetes. Generally, 10% of the diabetes cases in the society are Type 1 diabetes cases.
TYPE 2 DIABETES
In type 2 diabetes, the body produces insulin, but it is either not enough, or the body cannot use this insulin adequately. There are two reasons why the body cannot use insulin:
Beta cells produce insulin, but the insulin it produces is not enough to lower blood sugar and meet the body's energy needs.
In a condition called “insulin resistance”, the cells of the body are not functioning well and are unable to allow glucose to pass inside
The Most Important Symptoms of Diabetes
Needing to urinate frequently
Sudden blurred vision
Wounds that do not heal
Sugar in the urine
Feeling of tingling and needling in the feet
Itching on the skin
Frequent vaginal or bladder infections
The Mechanism of Action of Diabetes
Effects of Diabetes;
kidney disease and kidney failure
muscle and bone diseases,
there is an increased risk of circulatory disorders that can lead to decreased libido and organ losses.
Metabolic Surgery Method
The first step of metabolic surgery begins with the removal of a part of the stomach (obesity sleeve).
In step 2, the point where the small intestine meets the large intestine is counted as 100 or 120 cm and this part is marked. Preference between 100 and 120 cm is determined by patient characteristics.
From this point, counting 150 cm more, the small intestine is cut at 250 cm from the junction of the small intestine with the large intestine.
The lower end of the cut is connected to the stomach. The upper end is connected to the 100th cm previously marked..
The only important point is that approximately 1/3 of the food passes through the duodenum, which is a natural route, and 2/3 through the last part of the small intestine, thanks to the new connection.
Purpose: To ensure that the insulin susceptibility hormone influences the nutrients that pass directly through both channels, to eliminate the insulin resistance, to make the insulin work and balance the blood sugar.
Patients Suitable for Surgery
All patients using and recommended insulin
C-peptide value> 0.8
Body Mass Index> 30
Results of Metabolic Surgery
The 5-year results of Transit Bipartition surgery were published in 2012, showing that patients lost 74% of their excess weight over the 5-year period and 86% of their blood glucose levels were controlled without medication.
In the 8-year results of which preliminary reports were published, it was reported that these rates were maintained in the same way.
Since surgical treatment increases insulin sensitivity, patients with shorter diabetes duration and higher endogenous insulin reserves benefit from metabolic surgery applications. In this group of patients, diabetic resolution can be achieved at rates close to 100%.
Patients can live for many years without any antidiabetic treatment. However, in patients with diabetes duration of 12 years or more, an improvement in blood sugar levels occurs months later, possibly due to weight loss.
The operation is an average of 2 hours and 3 days of hospitalization.
The patient's regular hemogram and crp values are followed during 3 days of hospitalization.
All of our patients who are discharged from the hospital will be included in the 2 (two) days regeneration program at Vitalica Wellness Clinic.
Foreign patients 1 week stay in Turkey will be sufficient.