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This disease complex afflicts 22% of all Americans and increases with age with 40% meeting these criteria at age 60.
Knowing the facts on gastric bypass versus lapband can help you determine which type of obesity weight loss surgery is right for you. Having weight loss surgery requires a strong commitment to a new lifestyle once the procedure is over. Before having the routines performed, you will be evaluated by a doctor, surgeon, and nutritionist to determine your qualifications. While both the gastric bypass and lapband system shrink your stomach by creating a smaller pouch for food to go into, there are major differences in how the procedure is performed. Gastric bypass involves taking a small portion at the top of your stomach and connecting it to the second part of your small intestine, bypassing the rest of your stomach and the first part of your small intestine. Risks of the surgery include death, blood clots, leakage from staples, pneumonia, or a narrowing of the opening between the stomach and small intestine. After the surgery, patients must learn to eat small amounts of food, because too much or too fast can cause pain or vomiting.
Unlike gastric bypass, which is both restrictive and malabsorbtive, the lapband is only restrictive. As with any surgery, the lapband poses risks such as death or complications due to anesthesia. The lapband surgery often requires a shorter hospital stay and recovery time, since nothing inside of you was cut or rearranged.
Leading a healthy lifestyle and maintaining a comfortable weight are both ultimate goals where it does not matter if you choose gastric bypass versus lapband. Joining a gastric bypass surgery or lapband support group, whether in person or online, can help you deal with your changing body. Generally, fasting blood sugar (the value you get when you’re tested upon waking without any food intake) is also the baseline blood sugar level. Irrespective of what you eat, tiny amounts of insulin are squirted into the blood stream in small pulses every few minutes.


The counter-regulatory (anti-insulin) hormones that are secreted in our bodies shortly before dawn, raise the blood sugar slightly.
Change the timing of your basal insulin – insulin taken later in the day often controls fasting sugar better. The number of Americans with the Metabolic Syndrome increases with lack of physical exercise, smoking, high carbohydrate diets and certain genetic factors.
And this is certainly justified because the Metabolic Syndrome doubles the risks of cardiovascular disease and produces a fivefold increased risk of developing type 2 diabetes. Because of the massive body morphing that occurs after surgery, a psychologist may be asked to evaluate your mental state.
More common complications include vomiting, nausea, dehydration, ulcers, and intolerance to certain foods (such as fried). Instead of cutting the stomach and intestine, a small band is placed around the upper portion of the stomach. It allows the doctor to adjust the size of the band around your stomach by adding or removing a saline solution. Other problems include nausea and vomiting, band slippage or erosion (correctable through surgery) or access port problems, which can also be corrected. Both procedures will help you meet those goals if you follow up with your doctor regularly and make smart eating choices. If you do not choose a healthy eating plan and have an active lifestyle, you may have poor health and possibly regain the weight. But people with type 2 diabetes may have much higher morning blood sugars than the level they achieve after meals, for the rest of the day. But, if the factors that control this basal secretion go haywire, your body may only secrete insulin in response to meal-time rises in glucose and result in a high fasting blood glucose level. But in diabetics, this rise can be exaggerated, leading to high blood glucose levels in the morning.
You might wake up in the middle of the night with a jolt, thudding heart, soaked in sweat – a low blood sugar or hypoglycemic reaction, which drives you to eat sweets resulting in a sugar spike in the morning.


A Metformin Sustained Release pill taken at bedtime will have a stronger impact on fasting blood sugar than the same pill taken in the morning. Additionally, it is associated with obstructive sleep apnea, gout, chronic kidney disease and many other medical problems.
Surgeries are only performed on the morbidly obese or those who have major health complications. The gastric bypass can be done as an "open" surgery, where your abdomen is cut, or as a laparoscopic surgery, which involves a series of smaller incisions and a camera that is used to help surgeons perform the procedure. Secondly, the first part of the small intestine is bypassed, where a lot of calories are absorbed.
Patients are instructed to eat liquids, then purees, and move onto solid foods in a program their doctor designates. Because of this, the initial weight loss may not be as rapid, but will still result in significant weight changes over time. However, it is ideal that you get tested for both FPG and PP to understand how well you are managing your blood sugar.
More dangerous is the unrecognized drop in blood sugar at night during sleep which triggers a burst of counter-regulatory hormones. Your physician is your best advisor when addressing the ravages of the Metabolic Syndrome, the treatment of which consume about 20 percent of all healthcare costs.
For this reason, you may be asked to take vitamin and mineral supplements to avoid deficiencies. These hormones push the blood sugar back up – to higher than normal levels by the morning (Somogyi phenomenon).



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    06.03.2015