If you have diabetes, you probably know the warning signs of low blood sugar, or hypoglycemia. "It's been described best as a little like the feeling you get when you're sliding on ice in a car: panic, rapid heart rate, [and] sort of a sense of doom," says John Buse, MD, PhD, professor of medicine, chief of the division of endocrinology, and executive associate dean for clinical research at the University of North Carolina at Chapel Hill School of Medicine.
You also probably know that hypoglycemia...
In comparison, only 6% to 8% of people who took medicine, but didn’t have surgery, showed similar results.
If you’re thinking about it, and you’re ready to make big changes to keep up the results, you’ll want to know if it’s right for you.
Are You a Good Candidate?
First, your doctor will consider two things:
Is your BMI 35 or higher?
Have you tried to lose weight and keep it off without success?
If so, he will give you a detailed checkup and ask you questions to see if you are physically and emotionally ready for the operation and the major changes you'll need to make. (You'll need to eat a lot less and make a healthy diet and exercise part of your life forever.)
Depending on your particular case, other doctors may also get involved. For instance, if you have heart disease, your cardiologist would need to approve you for surgery.
Types of Weight Loss Surgery
There are different kinds of operations. Some help you lose weight by shrinking the size of your stomach so you feel full after small meals. Others change the way your body absorbs calories, nutrients, and vitamins. Still others do both.
The surgeon makes a small stomach pouch by dividing the top of the stomach from the rest of it. When you eat, food goes to the small pouch and bypasses the top of the small intestine. The result: You get full faster and absorb fewer calories and nutrients.