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The other Pandemic, Alarming Diabetes and Obesity, Part 1: Diabetes and Surgery for Diabetes


Welcome to this informative article brought to you by GSS Health and Consultation. Today, we delve into the intricacies of diabetesa prevalent and complex condition that affects millions of individuals worldwide. Our goal is to provide you with valuable insights into the various aspects of diabetes, including its statistics, types, symptoms, causes and risk factors, diagnosis and medical evaluation, treatment options, coping strategies, impact on daily life and relationships, seeking professional help, prevention, and healthy practices. We will also discuss the role of obesity in diabetes, the potential benefits of obesity surgery in managing diabetes, and important considerations for individuals considering this treatment approach.

Obesity and diabetes have reached epidemic proportions globally, posing significant threats to public health. Recent statistics paint a bleak picture of the escalating crisis, demanding immediate attention and concerted efforts from governments, healthcare providers, and communities. There is a strong correlation between obesity and type 2 diabetes. The majority of diabetes cases (around 90%) are type 2 diabetes, which is strongly associated with lifestyle factors such as poor diet, lack of physical activity, and obesity. Addressing these risk factors is crucial for preventing and managing both conditions.Shocking projections for obesity prevalence as diabetes continues to place a significant burden on global health systems highlight the urgent need for comprehensive action to address these intertwined health challenges. In this article, we delve into the latest statistics on obesity and diabetes.

By the end of this article, you will have a comprehensive understanding of diabetes, empowering you to prioritize your health and well-being with the support of GSS Health and Consultation. With GSS Health and Consultation, you can rest assured that you will receive the best treatment options tailored to your specific needs. Our team of experienced healthcare professionals is dedicated to providing top-quality care and guidance throughout your diabetes journey. We strive to deliver personalized solutions that promote optimal health and improve your overall quality of life.

In this article, we will explore the complex and prevalent condition known as diabetes. We will discuss its different types, common symptoms, causes and risk factors, diagnosis and medical evaluation, treatment options, coping strategies, impact on daily life and relationships, seeking professional help, prevention, and healthy practices. By the end of this article, you will have a comprehensive understanding of diabetes and valuable insights for maintaining good health and well-being.

Alarming Statistics and Projections for Diabetes

According to the International Diabetes Federation, Diabetes Atlas 2021: As 537 million adults (20-79 years) are living with diabetes. This number is predicted to rise to 643 million by 2030 and 783 million by 2045. Diabetes affects people of all ages and socioeconomic backgrounds. 3 in 4 adults with diabetes live in low- and middle-income countries. Almost 1 in 2 (240 million) adults living with diabetes are undiagnosed.

Diabetes is responsible for 6.7 million deaths annually, making it one of the leading causes of death worldwide. Uncontrolled diabetes can lead to serious complications such as cardiovascular disease, kidney disease, and lower limb amputations.

541 million adults have Impaired Glucose Tolerance (IGT), which places them at high risk of type 2 diabetes.

What kind of disease is diabetes?

It is a metabolic disorder that causes high blood sugar levels. It occurs when the pancreas cannot produce enough insulin hormone or when the insulin it produces is not effectively utilized by the body.

Diabetes has two main types: Type 1 and Type 2. Type 1 diabetes is an autoimmune disease where the immune system attacks and destroys the insulin-producing cells in the pancreas. Type 2 diabetes, on the other hand, is characterized by insulin resistance or insufficient insulin production. Other classifications of illnesses include physical illnesses (e.g., heart disease, arthritis) and mental illnesses (e.g., depression, anxiety).

Common Symptoms:

Diabetes can cause a range of symptoms and complications due to high blood sugar levels. These symptoms may include excessive thirst, frequent urination, increased hunger, fatigue, and blurred vision. Diabetes can lead to serious long-term damage to organs such as the eyes, kidneys, nervous system, and heart. Diabetes falls into the category of chronic illnesses, specifically metabolic disorders. Chronic illnesses are long-term conditions that require ongoing management. 

Causes and Risk Factors:

Several factors contribute to the development of diabetes. Genetic predisposition plays a role, but lifestyle choices, such as poor diet and lack of physical activity, can significantly increase the risk. Environmental factors, like exposure to certain toxins or viruses, may also contribute. Additionally, factors such as obesity, high blood pressure, and age can increase the risk of developing type 2 diabetes.

Diagnosis and Medical Evaluation:

Diagnosing diabetes involves medical professionals conducting various tests and examinations.

HbA1C test: It is one of the most important tests for monitoring blood sugar control in diabetic patients. This test measures the average blood sugar level over the past three months. It provides information about whether diabetes is under control and covers a broader time frame than fasting blood sugar alone.

Blood pressure measurement: Diabetic patients are at risk of high blood pressure. Therefore, doctors monitor blood pressure at regular intervals to track patients’ health.

Lipid profile: Diabetic patients are at higher risk of cardiovascular disease. Therefore, doctors monitor cholesterol, LDL, and HDL levels by regularly checking the lipid profile.

Eye examination: Diabetic patients are at risk of vision loss (diabetic retinopathy). Therefore, doctors conduct regular eye examinations to monitor the patient’s eye health.

Foot examination: Diabetic patients can develop hard-to-heal and rapidly worsening wounds on their feet. Doctors conduct regular foot examinations to manage the potential risk of diabetic foot and also teach the patient how to control and protect the feet.

Kidney function tests and urine test: Diabetic patients are at risk of kidney problems (diabetic nephropathy). Therefore, doctors monitor kidney health by conducting regular kidney function tests (urea, creatinine) and urine tests. Regular check-ups for diabetic patients should be conducted periodically. The frequency may vary depending on the patient’s overall health and the course of diabetes. Therefore, it is important for patients to maintain regular communication with their doctors.

Treatment Options:

It is important to note that treatment plans should be tailored to each individual’s specific needs and medical history. Consulting with a healthcare professional or diabetes specialist is crucial for determining the most suitable treatment options and developing a personalized diabetes management plan.

As we mentioned above, diabetes is a chronic disease that causes high blood sugar levels due to a malfunction in insulin production or the body’s ability to use insulin. 

Oral medications and injectable insulin are frequently prescribed to help manage blood sugar levels. Regular monitoring of blood sugar levels is essential for diabetes management too. This involves using a blood glucose meter to measure blood sugar levels and adjusting medication or lifestyle choices accordingly. People with type 1 diabetes or advanced type 2 diabetes may require insulin therapy. Insulin can be injected using a syringe, an insulin pen, or an insulin pump. It helps regulate blood sugar levels and allows cells to effectively use glucose for energy. Making healthy lifestyle modifications is crucial for managing diabetes. This includes adopting a balanced diet that focuses on whole grains, fruits, vegetables, and lean proteins while limiting sugary and processed foods. Regular physical activity, such as aerobic exercises and strength training, can also help improve insulin sensitivity and control blood sugar levels.

But one important treatment method is also surgical interventions performed to treat diabetes. 

For individuals with type 1 diabetes, pancreas and/or kidney transplantation may be considered as treatment options in rare cases. However, these surgical interventions do not provide a complete cure and carry significant risks.

For individuals with type 2 diabetes, surgical procedures such as gastric bypass or gastric banding can assist in controlling blood sugar levels and reducing insulin resistance. However, these methods are not suitable for every patient, and the potential risks and benefits should be evaluated together to personalize the treatment. Each case should be assessed individually, taking into account other treatment options such as medical treatment, diet, exercise, and lifestyle changes.

What is bariatric surgery, and why is it performed?

Gastric bypass, sleeve gastrectomy (tube stomach surgery), and duodenal switch surgery, which is a combination of these two techniques, are collectively referred to as bariatric surgery. These surgeries involve permanent surgical changes to your digestive system to help you lose weight. Gastric reduction surgery, also misleadingly referred to as diabetes surgery, can indirectly improve the metabolic causes of diabetes, thereby assisting in diabetes control.

If you have tried to lose weight by improving your diet and exercise habits but have not achieved the desired results, bariatric surgery can be performed to help you overcome excessive weight and potentially reduce the health risks associated with severe obesity, which can be life-threatening. 

These health problems include; Cardiovascular disease, High blood pressure, High cholesterol, Obstructive sleep apnea, Type 2 diabetes, Stroke, Cancer, Infertility.

Sleeve gastrectomy restricts your eating capacity, while other procedures work by reducing the body’s ability to absorb nutrients. Some procedures combine both approaches.

In general, your suitability for bariatric surgery is evaluated based on your body mass index (BMI). The Body Mass Index (BMI) calculation, determined by dividing your weight by your height squared (kg/m²), determines the degree of obesity:

– If your BMI is 40 or higher (morbid obesity)

– If your BMI is between 35 and 39.9 (obesity) and you have a serious weight-related health problem like type 2 diabetes, high blood pressure, or severe sleep apnea

– In some cases, if your BMI is between 30 and 34 and you have serious weight-related health problems, you may be eligible for certain weight-loss surgeries.

It is evident that obesity surgery carries risks and potential side effects. Additionally, to ensure long-term success of obesity surgery, you should make permanent healthy changes to your diet and incorporate regular exercise into your lifestyle both before and after the surgery.

Prevention and Healthy Practices:

Prevention plays a vital role in managing diabetes and maintaining overall health. Adopting healthy practices can significantly reduce the risk of developing type 2 diabetes. Focus on incorporating a well-balanced diet rich in fruits, vegetables, whole grains, and lean proteins. Engage in regular physical activity, aiming for at least 150 minutes of moderate-intensity exercise per week. Maintaining a healthy weight, managing stress levels, getting adequate sleep, practicing good hygiene, and staying up to date with vaccinations are all important for overall well-being.


Diabetes is a complex condition that affects millions of people worldwide. By understanding the different types of illnesses, recognizing common symptoms, and being aware of the causes and risk factors, you can take proactive steps to manage and prevent diabetes. Diagnosing diabetes involves medical evaluations and tests conducted by healthcare professionals. Treatment options include medication, lifestyle changes, and alternative therapies. Coping with diabetes requires self-care, emotional well-being, and seeking support from healthcare professionals and support groups. Diabetes can impact various aspects of daily life and relationships, but with proper management and support, individuals can lead fulfilling lives. Remember, seeking professional help and practicing preventive measures are crucial for maintaining good health and well-being.

At GSS Health and Consultation, we understand the importance of comprehensive care for individuals with diabetes. In certain cases, surgical interventions can be a viable option to control diabetes. Our experienced team of healthcare professionals specializes in diabetes care and can provide guidance and support for those considering surgical interventions. We are here to help you explore all available treatment options, including diabetes surgery, and assist you in making informed decisions about your health. Your well-being is our utmost priority, and we are dedicated to providing you with the best possible care and support throughout your diabetes journey.