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Treating Diabetes

Posted on April 3, 2012 in Bypasses, Latest News

Not sure if you guys heard the news last week, but some exciting reports got a lot of attention. Baically, two well designed studies from the US compared individuals with diabetes who had either undergone Gastric Bypass surgery versus the best available medical treatment. Not surprisingly, the surgery group of patients did remarkabley well in acheiving high rates of diabetes remision. We’ve all known how good the Bypass is in having patients get off their diabetic medication, but these studies were a big support in proving to all health care providers the benefits of bariatric surgery. News of the reports were seen on CBS news and also the local paper. It is going to be an exciting time for bariatric surgery, with a greater acceptance of these procedures causing positive metabolic effects like diabetes improvement.

Here are the two articles if interested:

• Schauer PR, Kashyap SR, Wolski K, et al. Bariatric surgery versus intensive medical therapy in obese patients with diabetes. N Engl J Med 2012. DOI: 10.1056/NEJMoa1200225.
• Mingrone G, Panunzi S, De Gaetano A, et al. Bariatric surgery versus conventional medical therapy for type 2 diabetes. N Engl J Med 2012. DOI: 10.1056/NEJMoa1200111.

Rick

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Protein After Weight Loss Surgery

Posted on in Dietary

Our Dieticians will recommend that you supplement your daily nutritional intake with a high quality protein during periods of rapid weight loss. This is especially true for the post Bypass and Sleeve patients. But the Band patients will usually experience some significant weight loss in the perioperative period, too.

Supplemental protein is a good idea for a variety of reasons. (1) Most importantly, during periods of rapid weight loss, the weight you lose will encompass 20-30% of lean muscle mass. This is the good stuff that you want to keep. Increasing your protein intake has been shown to decrease this percentage of good tissue weight loss. (2) Protein has been shown to increase a greater feeling of fullness than other macronutrients. (3) Protein has been shown to have a greater thermogenic effect than other macronutrients. This means that your body tends to burn more energy utilizing this fuel.

I get a lot of questions about what is the best type of protein. In general, the best type is one that comes from a reputable source, tastes good to you, mixes well, and is affordable.