Preventing Microvascular Complications in Obese Diabetes Patients Using Weight Loss Surgery

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Diabetes Mellitus is a chronic metabolic condition,  Keto-T911  characterized by high levels of glucose in the blood, either due to insufficient insulin production or resistance of body cells to insulin. In addition, it is associated with a defect in the metabolism of fat, proteins and carbohydrates.

Many complications are associated with diabetes especially type 2. They include macrovascular complications - affecting large blood vessels - and macrovascular complications - affecting small blood vessels. Microvascular complications are named according to the organs affected. They include diabetic neuropathy, diabetic retinopathy and diabetic nephropathy, affecting nerves, the eyes and kidneys respectively. These account for some of the leading causes of blindness, amputation and dialysis in the West, pushing up health care costs. These complications have been associated with an increase in morbidity and mortality.
Key to delaying the onset or slowing the progression of these symptoms is the maintenance of near-normal or normal blood glucose levels in patients with diabetes type 2. Management options have traditionally included lifestyle modifications, drugs and eventually, insulin. These methods are limited in their effectiveness.
For obese diabetic patients, weight loss surgery has been proven to reduce the risk of microvascular complications by up to 4 folds, compared to individuals placed on regular medications. This discovery was recently highlighted in a German study.

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