How Does Bariatric Surgery Help Reduce The Risk Of Heart Disease In People With Diabetes?
There are many things you have to think about when you have diabetes. How’s my blood sugar? Is this ulcer on my leg severe? Is my heart healthy?
Heart disease – which is already the leading cause of death in India – is even more concerning for people with diabetes. But there is new hope: a study showed that bariatric surgery could lower the risk of heart disease in people with diabetes.
This article provided by Dr Venu Gopal Pareek gives information about how bariatric surgery helps reduce the risk of heart disease in people with diabetes?
Bariatric Surgery: Initial Care?
Bariatric surgery is any procedure used in the gastrointestinal system to facilitate weight loss. Bariatric surgery can also be called metabolic surgery because it affects the patient’s metabolism by causing weight loss and changing the gastrointestinal system’s physiology.
This difference is essential for patients with obesity and type 2 diabetes. In this case, bariatric surgery is a weight loss solution as it positively affects the treatment of type 2 diabetes.
What Causes Heart Disease?
The reasons for coronary heart sickness vary depending on the kind of heart disease. Coronary artery disease or coronary artery disease is the most common heart disease type caused by atherosclerosis.
Atherosclerosis is a buildup of fatty plaque in the arteries that thickens and hardens the artery walls. This plaque buildup can separate from the artery walls (a process called rupture). Clots form around them, and as the clot travels through the arteries, it can block blood flow to the heart (heart attack), brain (stroke), or lungs (pulmonary embolism), depriving them of oxygen and destroying tissue. Atherosclerosis often develops due to corrective lifestyle factors such as a sedentary lifestyle, poor diet, and smoking.
If you have diabetes, high blood sugar damages blood vessels over time. This makes blood vessels more prone to rupture, which is why people with diabetes are at a higher risk of heart attacks and strokes.
Other important controlled factors in heart disease are:
- High blood pressure
- High cholesterol
- Obesity – Body Mass Index (BMI) of more than 30 kg / m2 (you can check your BMI with the calculator)
- Morbid obesity – a BMI of 40 or more or a BMI of 35 or more with concomitant obesity-related diseases such as high blood pressure or diabetes
Studies show that bariatric surgery helps the heart.
The Journal of the American Medical Association (JAMA) has published a significant and essential retrospective study linking metabolic surgery with a reduced risk of adverse cardiovascular events such as stroke, heart attack or death in patients with type 2 diabetes and obesity.
The authors reviewed and compared the results of 287,438 patients who received regular metabolic and non-surgical care. The study concluded that bariatric surgery positively impacted patients with type 2 diabetes, reducing obesity and as a proven treatment for type 2 diabetes.
Other studies have shown that people with type 2 diabetes and obesity find it more challenging to meet long-term health goals with medications and lifestyle changes such as diet and exercise. In this particular group of patients, cardiovascular disease is a significant cause of illness and a risk of death.
How are heart disease and diabetes linked?
If you have diabetes, you are more likely to develop heart disease, which increases your chances of a heart attack or stroke. Heart disease and stroke are the leading causes of death in adults with diabetes. The risk of loss of life from coronary heart sickness or stroke is doubled in grown-up patients with diabetes, and they’ll expand heart sickness at a younger age than adults without diabetes.
If you have diabetes, you need to control your blood sugar (or blood sugar) to protect your heart. If high blood sugar is left untreated, damage not only to your blood vessels but also to the nerves that control your blood vessels, and your heart can be damaged. The longer you have untreated diabetes, the greater your risk of developing heart disease.
When you are overweight or obese, your ability to manage diabetes becomes more complex and your risk of other health problems increases. Even if you are not overweight, excess belly fat around your waist can increase your heart disease chances.
How does bariatric surgery help reduce the risk of heart disease in people with diabetes?
According to the JAMA study and other studies:
- The use of non-insulin drugs in diabetes, insulin, renin-angiotensin system blockers, other antihypertensive drugs, lipid-lowering therapy, and aspirin were significantly lower after metabolic surgery than conventional non-surgical treatment.
- Metabolic surgery was associated with a significantly lower risk of death over eight years.
- Metabolic surgery is associated with decreased glucose levels and blood pressure control, all of which significantly reduce heart failure risk.
- A significantly lower incidence of diabetic nephropathy was observed in surgical patients compared to non-surgical patients. Previous research has also shown the same results.
- Metabolic surgery can increase insulin sensitivity two to three times in the days following surgery before any noticeable weight loss occurs. Complete resolution of diabetes was observed in 76.8% of surgical patients by systematic examination and meta-analysis.
- Smaller clinical studies have consistently demonstrated a significant effect of metabolic surgery on obesity and improvements in diabetes control. Because of its success in treating and even treating type 2 diabetes and its associated health benefits, bariatric surgery is now being used in patients who are less obese than previous surgical requirements.
Weight loss can be the primary goal of bariatric surgery. However, research on diabetes prevention and treatment suggests that bariatric surgery benefits far outweigh the scale’s tilt. Diabetes is one of the top ten causes of death in India. It is a disease that can affect your health and quality of life. You must do everything possible to prevent or control this if you already have diabetes.
To find out if bariatric surgery can help you lose weight and prevent or control diabetes, call Dr Venu Gopal Pareek at 091777 77715. Or, If you have diabetes and are ready to take control of your health, make an appointment with Dr Venu Gopal Pareek at 091777 77715. Dr Venu Gopal Pareek experienced surgeons can tell you if you meet the criteria for weight loss surgery and which bariatric procedure is proper for you.