Diabetes and bariatric (gastric bypass) surgery

I attended Grand Rounds in the Department of Internal Medicine, at the University of Chicago, where I attended medical school (class of 1982 – check out the Afro and aviator glasses) and served 20 years on the faculty. I heard a lecture about obesity and diabetes. Dr. Ronald Cohen showed how even very shortly (only 2 weeks) after gastric bypass surgery, patients’ blood sugars were better controlled and that their fat cells made fewer chemicals that contribute to insulin resistant / high blood sugar / prediabetes.

jee 1982 pritzker

One astute attendee asked whether or not dietary changes could produce such rapid results. We know that a high animal (saturated) fat diet makes the pancreas have a harder time producing enough insulin to effectively drives sugar into cells (including muscle and liver). I also wonder if an exercise program can produce rapid changes. As I stated yesterday, my abrupt change in food quality and exercise when I entered the Structure House weight loss program (2 week stay 3.5 years ago) eventually resulted in lower blood sugars; I had had prediabetes.

I laughed noting that the boxed lunches provided for attendees featured cookies and chips – folks were wolfing them down!  Doctors:  heal thyselves!

Dr John Ellis MD

Board-certified anesthesiologist, with expertise in cardiovascular anesthesia and the implications of obesity and sleep apnea in anesthesia. See vascularanesthesia.com for professional information. Dr. Ellis has used the strategies in here to: (1) lose 120 lbs over 18 months, (2) stop all antihypertensive medicines, and (3) no longer need CPAP treatment for sleep apnea.

One Comment:

  1. I have no doubt that anti-obesity drugs could have benefits. I would just rather see tax policies that encourage more activity and better eating. But American society (stress, long commutes in cars, lack of sidewalks, subsidized corn and soy…) promotes obesity; we do little to disincentivize it. See Dr. Sharma on the rationale for developing weight loss drugs, especially to battle diabetes.
    http://networkedblogs.com/mZIn5

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