How can you get your daily chocolate fix -- and eat less sugar or calories,
too? That's a million-dollar question that several companies are banking on
people asking. Over the past few years, the sugar-free and portion-controlled
chocolate market has exploded. There are all sorts of sugar-free versions of
favorite chocolate bars. And you can now buy individually wrapped chocolate
bars or sticks in 60- to 100-calorie portions, along with the ever-popular
To help you decide among all...
Two kinds of weight loss surgery are commonly used: gastric bypass and gastric banding. Both types usually reduce your stomach from the size of a football to about the size of a golf ball. This helps people eat less and feel full faster after smaller meals. A normal stomach can hold about a quart of food, whereas the small pouch created after surgery holds only about a half-cup.
Gastric bypass, the more invasive bariatric surgery, makes your stomach smaller and bypasses the top of the small intestine. It cuts the calories and nutrients your body can absorb after eating. It’s also known as the Roux-en-Y gastric bypass.
With gastric banding, your surgeon places an adjustable band around the upper part of your stomach, making a small pouch there. To adjust the banding balloon, the surgeon adds saline fluid to tighten it or takes fluid out to make it looser. The band controls how quickly food can pass through the stomach pouch and how quickly you feel full. Banding is a less risky, less invasive weight loss surgery than gastric bypass. Banding also is often reversible.
Is Weight Loss Surgery Right for You?
Generally, weight loss surgery is most useful for people who have a BMI of 40 or higher, which is about 100 pounds overweight for men and about 80 pounds overweight for women.
But you can also think about the surgery if you have a BMI of 30 or higher and you have type 2 diabetes or another obesity-related condition like heart disease, high blood pressure, arthritis, or sleep apnea.
Insurance plans may require that you complete a 6- to 12-month, doctor-approved diet and exercise plan before they'll cover the surgery. The goal is for you to show that you can change your lifestyle, which is key to keeping weight off.
Weight loss surgery may not be an option for you if you have any of the following conditions:
Obesity that comes from a metabolic or endocrine disorder
Current substance abuse
Untreated psychiatric disorders
Heart disease or other medical conditions that make any surgery a high risk
Women planning pregnancy within 18 months of surgery
What Happens After the Procedure?
To feel your best, you still have to make a lifelong commitment to diet and exercise.
Your meal sizes will have to shrink a lot. Start with a half-cup of food, and move up to three-quarters or a whole cup. You’ll find that the same foods that are good for managing your diabetes -- protein, vegetables, and other nutrient-rich choices -- are also ideal for getting the best results from weight loss surgery.
National Library of Medicine: "Weight Loss Surgery."
National Institute of Diabetes and Digestive and Kidney Diseases: "Bariatric Surgery for Severe Obesity."
American Society for Metabolic and Bariatric Surgery: "Fact Sheet: Bariatric Surgery and Diabetes," "Fact Sheet: Morbid Obesity," "ASMBS Statement on JAMA Study on Laparoscopic Adjustable Gastric Banding."
Get the latest Diabetes newsletter delivered to your inbox!
Your level is currently
If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
Thank you for signing up for the WebMD Diabetes Newsletter!
You'll find tips and tricks as well as the latest news and research on Diabetes.
Did You Know Your Lifestyle Choices
Affect Your Blood Sugar?
Use the Blood Glucose Tracker to monitor
how well you manage your blood sugar over time.