In the JAMA trial, 55 diabetes patients with BMIs between 30 and 40 were assigned to either undergo gastric lap-band or to attempt to lose weight using diet and exercise. After two years, 73% of the surgery patients experienced diabetes remission compared to 13% of the diet-and-exercise patients. Those who had surgery lost an average of 20.7% of their body weight, while the diet-exercise group lost only 1.7%. The diabetes remission appeared to be due to the amount of weight lost rather than the specific approach they used, which means that if the diet-and-exercise patients had managed to lose as much weight as the surgical patients, their diabetes may have been as well-controlled too.
The authors of the study concluded: "Weight control is perhaps the most important aspect of type 2 diabetes management. Recent evidence indicates that improvement in blood glucose control is related to the degree of weight loss. While caution is required in interpreting the longer-term benefits of surgery and weight loss, this study presents strong evidence to support the early consideration of surgically induced weight loss in the treatment of obese patients with type 2 diabetes."
Lap band surgery costs an average of $18,000 in the United States and insurance coverage varies. Long-term diet changes are mandatory after this surgery. Typically, a patient will start with liquids post-surgery and move on to pureed foods and then to soft and regular foods. Lean protein foods are recommended along with 3 meals per day. (Below is a delicious recipe for a lean protein dish.) Some foods may never be tolerated, such as fried or spicy things, and some types of meat. Exercise is also highly recommended post-surgery. If you have are challenged with weight problems, talk to your physician about your options.
- Dixon, John B., Paul E. O'Brien, Julie Playfair, Leon Chapman, Linda M. Schachter, Stewart Skinner, Joseph Proietto, Michael Bailey, Margaret Anderson. 2008. Adjustable Gastric Banding and Conventional Therapy for Type 2 Diabetes: A Randomized Controlled Trial. JAMA, 299(3): 316-323.
- Medline Plus. Medical Encyclopedia. Weight loss surgeries.http://www.nlm.nih.gov/medlineplus/ency/article/007199.htm.
Serving Size: 1 filet
Yield: 4 servings
1/2 cup finely chopped fresh marjoram (or 2 tablespoons dried marjoram)
4 garlic cloves, minced
1-teaspoon olive oil
1/2 teaspoon salt (optional)
1/4 teaspoon ground black pepper
4 4-ounce halibut filets
1. Prepare an indoor or outdoor grill.
2. In a small bowl, combine marjoram, garlic, olive oil, salt and pepper.
3. Rub 2 tablespoon of marjoram mixture on non-skin side of filet.
4. Grill filets over medium heat for 3 minutes on each side.
Nutritional Info: 144 calories, 4 grams total fat, 0 grams saturated fat, 37mg cholesterol, 3\55mg sodium, 2g total carbohydrate, 1 grams dietary fiber, 24g protein.
Copyright © American Diabetes Association from Healthy Calendar Diabetic Cooking. Reprinted with permission from The American Diabetes Association. To order this book, please call 1-800-232-6733 or order online at http://store.diabetes.org/.
NOTE: The information is not intended to be a replacement or substitute for consultation with a qualified medical professional or for professional medical advice related to diabetes or another medical condition. Please contact your physician or medical professional with any questions and concerns about your medical condition.
Artichoke Wonton Cups Stir-Fry of Broccoli with Tofu and Cherry Tomatoes North African-Style Beef Stew Chinese Vegetables Hamburger Gravy & Green Beans Shrimp Dip Pineapple Avocado Couscous Salad Cucumber Sorrel Soup Red, Green, and Blue Salad Apple Butterscotch Squares
As I mentioned in an earlier post, one of the benefits that made it cost-effective for me to go with the real healthcare (HSA) plan rather than the phony (HRA) plan is that my company is now covering "preventative" medicines at $0 copay. The formulary for these, as stated by CVS/Caremark (my pharmacy benefits provider), covers all test strips, lancets, and control solutions. I dutifully get my doctor to write up prescriptions for all of my testing needs, submit...