Management of Obesity With Type 2 Diabetes in Patients

By Dr. Pradeep Chowbey in Bariatric Surgery / Metabolic

Nov 16 , 2020 | 2 min read

Edward Stanley quotes “Those who do not find time for exercising will have to find time for illness”. 

Not very long ago, the prevalence of both diabetes and obesity meant a dead end to a healthy and long living. Of the people who are diagnosed with type2 diabetes, about 80-90% suffer from obesity. This established an interesting link between diabetes and obesity. Understanding what causes diabetes will allow us to prevent the disease in the future.

As per the statistics of American Heart Association, 1 in 3 children are either overweight or obese and NONE of them qualify to meet the diet and physical activity recommendations. Moreover, less than 5 years of children spend around 35 hours per week in a day care, where they do not meet their daily calories intake.

Know the Risk Factors

The risk factors for virtually all diseases multiplied several times with the co-existence of obesity and diabetes reduces the life span of all individuals. The quality of life of such patients deteriorates extremely. Obesity increases the risk of developing:

  • Type-2 diabetes mellitus,
  • Heart diseases,
  • Hypertension and Stroke,
  • Infertility and
  • Certain types of cancer.

Being overweight places a lot of stress on your body as it reduces the body’s ability to maintain glucose levels. In fact, being overweight causes your body to become resistant to insulin. It is estimated that globally more than one billion adults are overweight and at least 300 million are clinically obese.


What are the Treatment Options?

The traditional approach to treat type-2 diabetes is by oral medications and insulin therapy. However, in the recent years, advanced scientific developments have opened a new channel of life for people who are diabetic as well as obese (Diabesity) — “Bariatric and Metabolic Surgery”. Diabesity’ is the term that has been coined to appropriately express diabetes in association with obesity, 60% of type-2 diabetics are obese.

Even though the medication approach towards this disease has advanced over the years, very few patients attain normal blood sugar levels, leaving the patients susceptible to a majority of severe effects.

Treatment focuses on the remission of both diabetes and obesity. The need of hour is to provide surgical interventions for a long-term metabolic outcome. Hence, the concept of Metabolic Surgery is fast gaining momentum. It is an attractive proposition for those who have been consigned to take pills for lifestyle diseases for the rest of their lives. The medical fraternity has acknowledged laparoscopic surgery for obesity and diabetes (bariatric and metabolic surgery) as one of the most promising and breakthrough developments in the last decade, which has delivered excellent patient outcomes.

Success Rates

With the help of endoscopic (keyhole) technique, bariatric surgery can be performed with minimal invasion. The procedure involves two to three days hospitalisation and the patient can move around on the same day of the surgery. Recovery is fast and the patients lose six to eight kilograms of weight on an average per month. 82 – 92 % operated (metabolic surgery) patients show resolution of diabetes, which is an overwhelming outcome and may not need any medications for diabetes.