What are the side effects of undergoing a weight loss surgery?

Question

Hello doctor,

I have been researching metabolic surgery because I have type 2 diabetes and a BMI of 32. My blood sugar levels are difficult to control despite being on medication, and I have read that procedures like gastric bypass can help achieve diabetes remission.

Would I qualify for metabolic surgery with a BMI of 32, or is it only recommended for individuals with severe obesity?
If I undergo surgery, how soon can I expect improvements in my blood sugar levels?
What are the long-term risks of this procedure?

I want to ensure I am making the right decision for my health.

Please help.

Answer 1

Hello,

Welcome to icliniq.com.

I understand your concern.

Metabolic surgery, such as gastric bypass, can be beneficial for individuals with type 2 diabetes, even if their BMI (body mass index) does not fall into the severe obesity category. While it is generally recommended for those with a BMI of 35 or higher, it may also be considered for individuals with a BMI of 30 to 34.9 if they have uncontrolled type 2 diabetes or other obesity-related health conditions.

If you undergo metabolic surgery, you may notice improvements in blood sugar levels relatively quickly, often within days to weeks after the procedure. Many patients experience a significant reduction in their need for diabetes medications, and some even achieve diabetes remission. However, it is important to understand the long-term risks associated with metabolic surgery. These may include nutritional deficiencies, particularly if you do not adhere to the recommended vitamin and mineral supplementation. Other potential risks include surgical complications such as infections, blood clots, and digestive system issues.

A thorough discussion with your healthcare provider and a bariatric surgeon is essential to weigh the benefits and risks specific to your situation. They can offer personalized guidance to help you make an informed decision.

I hope this helps you.

Thank you.