Advice If You Are Considering A Surgical Solution for Type 2 Diabetes.
With close to 30 million people diagnosed with Type 2 diabetes and another 85 million having blood sugar levels close to the diabetic range in the United States, it is clear that none of the diet and lifestyle-based solutions proposed by diabetes experts, diabetic associations and other health agencies have made a significant difference. The recognition of this failure is evident in the recent recommendation by national and international scientific and diabetes societies for consideration of a “surgical solution” to control Type 2 diabetes!
What does this mean? It refers to surgical procedures such as stapling, binding or removal of part of the stomach to force people to eat less and to lose weight for purpose of controlling your Type 2 diabetes. But does it work? Does it make sense?
Let us look at what people who undergo these procedures can look forward to after the surgery.
First, they are asked to consume healthy, balanced diet consisting of adequate protein, fruits, vegetables, and whole grains. They are advised to eat from small plates and use small utensils to help control portions. They are encouraged to consume soft or liquid foods such as nonfat milk, soy milk and nonfat yogurt. Any solid food consumed should be chewed thoroughly to the consistency of applesauce. They are also advised to avoid rice, bread, and pasta for up to 12 weeks, based on the type of bariatric surgery performed.
In addition, they are asked to consume 48-64 ounces of fluids per day, but not a drop with meals and to wait ~30 min after each meal before consuming fluids. They would also be advised to increase their physical activity (aerobic and strength training) to a minimum of 30 min per day as well as increase physical activity throughout the day as tolerated. All would be encouraged to participate in ongoing support groups after discharge from the hospital.
Studies show these procedures cause significant long-term loss of weight, recovery from Type 2 diabetes, and a reduction in mortality of 23% from 40%. Based on this, bariatric surgery is recommended as an appropriate treatment for people with both Type 2 diabetes and obesity, who do not achieve recommended treatment targets with medical therapies.
One proof cited for the success of bariatric surgery is that some people achieved a drop in fasting blood glucose concentrations even before being dismissed from the hospital and before their eventual substantial weight loss. To explain this finding, those who believe in insulin resistance as the causative factor of Type 2 diabetes point out that there were modifications in the secretion of hormones from the stomach and other locations in the body resulting from the surgery, causing increased insulin sensitivity. However, no evidence was presented showing that excess secretion of hormones from the stomach and other parts of the body were the cause of the original weight gain and or type 2 diabetes in these individuals.
For those, like me, who do not believe in the existence of insulin resistance, I believe that the drop in blood sugar even before weight loss, can be explained to occur for a different, simpler reason—the forced reduction in the amount of food consumed, especially complex carbohydrate. Let me explain.
The typical American diet is about 50% carbohydrate, 15% protein, and 35% fat. Although the percentage of carbohydrate, protein and fat fall within the Acceptable Macronutrient Distribution Range (ADMR) for adults identified by the Food and Nutrition Board of the United States Institute of Medicine, this ratio is positively correlated with an elevated incidence of diabetes.
Each kernel of grain contains thousands of molecules of complex carbohydrate. Each molecule of complex carbohydrate contains thousands of molecules of glucose. After a meal containing complex carbohydrate, your blood sugar elevates due to the absorption of glucose from the intestine. Glucose in excess of what can be taken up by cells in the body is converted to fat for long-term storage. This is what causes weight gain, and at a certain point, obesity.
In my view, this is also what causes Type 2 diabetes. When you fill your fat cells to capacity, largely from excess carbohydrates, there is no more room in the fat cells to continue storing more excess glucose. The excess glucose in your blood is naturally converted into fatty acids, which begin flowing freely in your bloodstream, and these are burned by your muscle cells rather than glucose. That is the cause of high blood sugar.
So when people who had bariatric surgery show a lowering of blood sugar even before weight loss, it because their dietary change has already reduced the amount of carbohydrate they consume. This causes reduced amount of fatty acids flowing in the bloodstream, and so the body will go back to burning glucose, resulting in lowering of fasting blood glucose.
So if you are considering bariatric surgery, my recommendation for type 2 diabetes is as follows. For six weeks before undergoing the procedure, eat the same diet except for liquids and soft foods that you are supposed to eat after the surgery. Eat only solid items but chew each item of food thoroughly as you are expected to do after the surgery. You may be surprised to see a drop in your blood sugar and some weight loss even before you have the surgery.
In fact, given that the post-surgery diet is very close to my recommended diet for anyone wanting to avoid diabetes and lose weight, you may discover that you don’t even need the surgery. It’s ironic that the diet you are told to eat after the surgery is effectively the same diet I am telling you to eat before you consider any surgery. If you can commit to this diet after the surgery, why not commit to it now—and save yourself months of wasted time, energy, and money and the risks of an operation.
If you are overweight or concerned about getting diabetes, Eat Chew Live provides exactly the new science & inspiration you need.
Based on more than twenty years of research, Eat Chew Live offers a revolutionary new explanation of high blood sugar and Type 2 diabetes. While traditional medicine says it is due to “insulin resistance,” Dr. Poothullil disagrees. Eat Chew Live will show you:
- How the consumption of grains causes your body to develop high blood sugar
- How you can lower your blood sugar to avoid or reverse Type 2 diabetes without using drugs.
- How you can change your eating habits to avoid grains while still enjoying every meal
There are no special diets to follow or products to buy. Get your copy today and inform yourself.