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surgery for diabetes

I just did a 'once-over' of the latest American Diabetes Association 2016 guidelines, linked on the homepage article, and was most intrigued and interested to see that 'dumping syndrome' is still alive and well and a possible consequence/side effect of bariatric surgery! Even 20 years on. Ditto the possible nutritional malabsorption issues - something to consider when considering surgery, in any case.

 

I have a friend who's been diabetic (type 2) for 15 years (oops am I not supposed to use that word now!!). He is overweight but does get plenty of exercise with the job he does. He's been following the NHS diet (plenty of carbs with every meal) and over the years his medication has been increased. It's now got to the stage where they are saying he needs to go on insulin, but have asked him to consider bariatric surgery. He has asked if he could try the Newcastle Diet but has been told, no point it won't work for him. They didn't give him any info really about what the surgery entailed. He did his own research and decided it wasn't for him. He has started to cut the carbs from his diet, and has seen a difference in his figures in only a few weeks. When is the NHS going to wake up and see what's under their noses.
 
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