How Weight Loss Surgery Affects Diabetes with Dr. Hector Perez

Dr. Hector Perez, Bariatric Surgeon, Cancun

Dr. Hector Perez is an experienced board certified surgeon specializing in bariatric weight loss surgery in Cancun. Today he discusses how weight loss surgery affects Diabetes.

Video Transcript

Hello, my name is Dr. Hector Perez. I am a bariatric surgeon here in Cancun with Ready4aChange. Today we’re going to talk about Diabetes, Type II Diabetes, and bariatric surgery.

Will Bariatric Surgery Help Control Diabetes?

The first question we get from our patients is, “Will bariatric surgery assist me in controlling my diabetes?” And the answer is yes. All endocrinologists and family medical doctors around the world ask diabetic patients to lose weight. And that’s very important because when you lose weight your cells are prone to work with your own insulin. So, yes, it will help you to get a better control of your diabetes.

Will I Still Have to Use Insulin or Metformin After Bariatric Surgery?

The next question is, “Will I still have to use insulin or metformin?” That’s a tricky question. Why? Because it depends on many factors. The first factor is how long have you been a diabetic. It’s not the same if you’ve been a diabetic for 1 or 2 year, or more than 10 years. It’s not the same if you’re just using oral medication or if you’ve already started insulin. In the case of patients just with oral medication, it’s fair to say with bariatric surgery your diabetes is going to go into remission. You won’t need any more oral pills. If you are already using insulin, you may go down from insulin to oral medication.

Which Bariatric Weight Loss Surgery is Best for Diabetes

Another important factor is, “Which surgery is better for me?” If you’re just one year diabetic with big BMI, getting a gastric sleeve will most likely get you to stop medication and go into diabetic remission. But if you’ve been diabetic for more than five years using insulin, your surgery of choice would be a gastric bypass. Because it’s shown that by bypassing the duodenum and pancreas – in that particular place we have more than 50 different hormones and factors that affect diabetes – and by bypassing that part, blood sugar levels go back to almost normal. And many, many patients using insulin stop taking insulin or in the worst case scenario patients with insulin go down to oral medication, and that’s always a much easier way to control diabetes.

After Bariatric Surgery, Will I Still Have to Check My Blood Sugar?

And the last question is, “Will I always have to check for my blood sugar?” And the answer is yes. Unfortunately, you have already been diagnosed as a diabetic patient so when you get your bariatric surgery – and even if you go into remission, and most likely you will – you will have to check your blood sugar at least once a year because if your pancreas was already very harmed, probably in 5 to 10 years after surgery you might start being a diabetic once again. If you’re thin, your control is going to be much, much easier.

I hope this answers your question about diabetes.