Is metabolic surgery safe with high blood pressure and diabetes?

Question

Hi doctor,

I have a question about my dad, who has been struggling with weight and diabetes for years now. He is 59 years old, and his BP is always high, even with meds. His sugar levels stay high, too; his A1C was 9.1 in the last check. We have tried dieting, going to the gym, and even those meal replacement shakes, but nothing sticks for long. Someone suggested metabolic surgery. I am not sure if it is the same as bariatric or something different. Is this surgery safe for people with both high blood pressure and diabetes? Can it help reduce his meds or stop insulin altogether? What tests need to be done before surgery? How long is the recovery time, and does insurance cover it? Also, he has mild sleep apnea. Will that affect his candidiasis? And how soon after can he go back to light work?

Thanks.

Answer 1

Hi,

Welcome to icliniq.com.

I can understand your concern.

Metabolic surgery (bariatric) is a safe and effective option for obesity, diabetes, and high blood pressure, often reducing or stopping medicines, including insulin. Pre-op tests include bloodwork, heart or lung evaluation, and sleep apnea assessment. Recovery is two to three weeks, with light work possible in two to three weeks. Insurance often covers it if the criteria are met. Sleep apnea increases surgical risks but is manageable.

I hope this information will help you.

Thanks.