In new research, it is found that having weight loss surgery can cure diabetes. We know diabetes patients are incredibly happy with this news.  

But there’s a catch, it is not for everyone. It is only for those people who have severe obesity or obesity with complications.  

Besides that, if you think you are eligible to have this surgery you should know the guidelines you need to follow before and after surgery.  

Keep reading this article to learn about the diabetes surgery guidelines.  

Diabetes is one of the fastest growing chronic metabolic and endocrinological diseases in the world. According to one estimation, 422 million people worldwide have diabetes. And 10.5% of the US population has diabetes. Out of 25 million people (about the population of Texas) affected with Diabetes in the US, 7 million people (about twice the population of Oklahoma) are not even aware they have diabetes until they develop its complications.  

Treatment only helps to manage its symptoms not cure them. But according to new research, people with diabetes can cure themselves by having metabolic surgeries. But it is not for everyone. Only those people who have BMI (Body Mass Index) above 35 and have diabetes or any other illness related to excess weight, or those who are not able to maintain normal sugar levels.  

While getting this surgery, it is particularly important to follow the guidelines to get satisfactory results without developing any complications.  

Patient guidelines 

Before having this surgery visit your doctor and talk about all the medical conditions that you have and ask what treatment is best for you. If he/she says you should have this surgery, then only you should consider this surgery. Keep in mind, in this surgery some risks are involved too, including:  

  • Infection during surgery (at the site of surgery) 
  • the healing process is slow 
  • Fluid and electrolyte problems 
  • Kidney and heart problems 

According to the Perioperative Diabetes Guidelines 2022, diabetic surgery guidelines are divided into three parts – Before surgery, during surgery, and after surgery.

Before surgery 

So, before surgery precautions start 1 week before your surgery. You and your healthcare provider need to come up with a plan to make sure you can easily cope with the surgery without any complications.  

You need to learn how you can control your diabetes before surgery. Ask the doctor to make some adjustments to the medications so that you can control your diabetes. To adjust medications your healthcare provider runs a medical test on you to see which medications are best to change. For example, if you are taking metformin, they might tell you how to stop taking this because this medication should not be taken before and after surgery (within 48 hours) to avoid the risk of developing lactic acidosis.  

If your blood sugar levels are high at the time of surgery, your surgeon may cancel or delay your surgery.  

To monitor your progress in controlling diabetes, record your results and see if these records match the range given in the guidelines, such as:  

  • Pre-meal blood sugar level goal is 90 to 130mg/dl 
  • Bedtime blood sugar level goal is 100 to 140mg/dl 

If you have any of the diabetes complications, surgery is risky for you. So, before surgery ask your healthcare provider if there is a way to manage your complications. Tell them about your health issues such as the heart, kidneys, or eye problems. Then, they examine that part and tell you the status of your problems.  

During surgery 

First thing during surgery – your blood sugar levels need to be balanced (not too high or not too low). So, ask your health care provider how to maintain normal blood sugar levels some days before the surgery.  

If your blood sugar level is low on the day of surgery, you should carry an oral glucose gel to apply. 

Do not drink or eat anything after midnight before the day of your surgery. If you have an empty stomach, you are allowed to drink clear liquids up to 2 hours before your scheduled arrival time at the hospital. Examples of clear drinks are water, clear tea, black coffee without milk, jello, etc. 

In the case of oral medications or insulin, ask your health care provider how you can manage them before and after the day of surgery.  

After surgery 

After your surgery, you wake up in the recovery room where a nurse is monitoring your vitals to see if you are having any complications such as high blood sugar level problems.  

If your surgery is major, you need to stay in the hospital for longer. Be careful about the signs of infection such as fever, a red incision, swelling, more pain, or oozing. Prevent bedsores by doing regular movements or getting in and out of bed frequently.  

Make sure after your discharge you visit your health care provider to know how you should manage your diabetes and to keep checking on your blood sugar levels.  

When to call a doctor? 

Call your doctor if you have a question regarding the surgery or if you’re having some complications:  

  • Signs of having an infection 
  • You don’t know what dose of medicine you should take or how. Or which medicine you should stop taking 
  • You want to know how surgery takes place or need to know about anesthesia.  

Diabetic surgery is a good option for treatment to manage your diabetes but only if other treatments are not working on you or you have obesity. But only get this surgery done if your healthcare provider recommends it.  

Want to know if diabetic surgery is suitable for you? 

Call us on718-DORAL-55 to get a free consultation from our clinic.