How does metabolic surgery affect the need for diabetes medication?

Question

Hello doctor,

I am 47 and struggling with obesity, type 2 diabetes, and mild fatty liver disease. My endocrinologist suggested metabolic surgery to help with weight loss and blood sugar control. I have read that some people go into diabetes remission after surgery and how likely is that for someone who has had diabetes for over 10 years? Would a gastric bypass or sleeve be better for long-term blood sugar control? Lastly, I take insulin and metformin; would I need to stop these medications right after surgery, or is it a gradual process? Please help.

Thank you.

Answer 1

Hi,

Welcome to icliniq.com.

I read your query and can understand your concern.

Considering surgery as a last resort is advisable. It would have been helpful to have the complete medical history, including medication dosages and current weight. The course of treatment largely depends on how long diabetes has been present, the types of medications tried, and their effectiveness. Additionally, lifestyle plays a crucial role in managing diabetes.

Regarding the potential effects of surgery, many patients experience weight loss and improvements in blood sugar control. However, medications likely will not stop immediately after surgery. Over time, medication needs may decrease, and in some cases, medication may no longer be required. That said, this process is highly individualized, as each person’s response to surgery and treatment is different.

I hope this helps.

Kindly revert so I can assist you further.

Thank you.