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Type 2 Diabetes & Gastric Bands
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By (user no longer on site) OP
over a year ago
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Very prevalent on the news today that NICE has recommended that more weight loss surgery be considered for those diagnosed with type 2. It's more linked to obesity & lifestyle - although I know there are many other factors too, not just those two.
Surgery costs between £3-£15k per patient . Whereas patients with BMI of 35+ were considered , it's now 30+.
My _iew - I wish they'd put more into helping people lose weight sooner rather than only looking at it , once a diagnosis of diabetes is made.
The NHS is stretched & that's a lot of money to spend , although in the long run I guess it will potentially save money as diabetics would have less complications. So I guess I'm unsure really as in an ideal world, I'd help everyone but we don't live in an ideal world.
What is your _iew? |
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By (user no longer on site)
over a year ago
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This time last year my blood sugar level was higher than it should be. I was told by my GP that if I didn't change my lifestyle i would probably be diagnosed with type two diabetes
I was referred to a specialist weight management service and surgery could have been an option. However over the last twelve months I have very slowly changed my eating habits. On Wednesday I got the results of my blood glucose level and it was a very healthy 4.5 from 6.1 last year. I have only lost about a stone in weight but the way I eat and what I eat has completely changed.
That's my experience and if I can do it anyone can. I think annual blood glucose tests for overweight people are important it certainly gave me the kick up the bum I needed. |
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By (user no longer on site)
over a year ago
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"Maybe I've got a really shit GP but he has never raised concerns regarding my weight etc  "
Maybe because of your age Cheeky there isn't as much of a risk. I get an annual MOT so to speak because of other meds I'm on but my GP surgery are very thorough.
If you are worried at all ask. |
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body shape need not dictate the prevalence of diabetese .. its a strange number game .. just watch processed foods and refined sugars ... if those substances were banned or limited in foods readily available im sure the current diabetes explosion would be reduced |
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By (user no longer on site) OP
over a year ago
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"This time last year my blood sugar level was higher than it should be. I was told by my GP that if I didn't change my lifestyle i would probably be diagnosed with type two diabetes
I was referred to a specialist weight management service and surgery could have been an option. However over the last twelve months I have very slowly changed my eating habits. On Wednesday I got the results of my blood glucose level and it was a very healthy 4.5 from 6.1 last year. I have only lost about a stone in weight but the way I eat and what I eat has completely changed.
That's my experience and if I can do it anyone can. I think annual blood glucose tests for overweight people are important it certainly gave me the kick up the bum I needed. "
Your Surgery sound very thorough, we don't seem to have funding for that here. It does seem to often be a postcode lottery ! |
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The problem is that by the time people start to lose control of their blood glucose levels they will have already been increasingly insulin resistant for several years, and this is strongly related to excess weight, inappropriate diet, lack of exercise, and it looks like some other unknown factor.
The appalling thing is whilst we test for, monitor, and manage insulin resistance in horses, you cannot even get a single blood insulin test on the NHS!! Prevention would be so much better than cure.
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6 months ago - my BMI was a fraction over 30. To even contemplate having a gastric band fitted would have been madness. Admitted - I was to short for my weight - but I didn't look 'out of proportion'.
If the guidance is for people with a BMI 30+ to potentially have this major (but almost routine) op isn't justified IMHO.
35+ - possibly.
I have friends who have had the bad fitted - and they have slimmed tremendously. Do they look better for it? I'm not sure.
PS my BMI is now under 25 just by exercise and eating more sensibly - and for me, this is mainly stop eating things late at night. |
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By (user no longer on site)
over a year ago
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"Maybe I've got a really shit GP but he has never raised concerns regarding my weight etc "
No my doctors never mentioned my weight, i said to my doctor as i kept getting thrush that maybe i had diabetes and he said no but sent me for a test anyway which said i had diabetes 2 and then i was told to lose weight. |
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By (user no longer on site) OP
over a year ago
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"The problem is that by the time people start to lose control of their blood glucose levels they will have already been increasingly insulin resistant for several years, and this is strongly related to excess weight, inappropriate diet, lack of exercise, and it looks like some other unknown factor.
The appalling thing is whilst we test for, monitor, and manage insulin resistance in horses, you cannot even get a single blood insulin test on the NHS!! Prevention would be so much better than cure.
"
Yep, obviously some factors increase your risk too such as Polycystic Ovaries & Gestational diabetes plus others that I can't recall at the moment .
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By (user no longer on site)
over a year ago
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I never understand how the gastric band is even offered on the nhs.
The gastric band simply physical limits how much you can eat.
This can be achieved just as successfully, in fact more so, via simply limiting what you eat by not putting it in your face to begin with.
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By (user no longer on site)
over a year ago
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my brother and my aunties have got it, i dont believe in having an operation to stop you eating though. if you cant stop eating then you have to pay the price. |
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"I never understand how the gastric band is even offered on the nhs.
The gastric band simply physical limits how much you can eat.
This can be achieved just as successfully, in fact more so, via simply limiting what you eat by not putting it in your face to begin with.
"
Apparently not, I saw some TV programme a while back that explained it actually physiologically changed appetite too, otherwise I would have said the same. |
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By *ee VianteWoman
over a year ago
Somewhere in North Norfolk |
I'd like to see more done to treat the causes of the weight gain in individuals before they get to the stage of being eligible for surgery.
Treat the cause, not the effect.
The sooner whatever the problem is addressed, the easier it is likely to be to cope with. |
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"I'd like to see more done to treat the causes of the weight gain in individuals before they get to the stage of being eligible for surgery.
Treat the cause, not the effect.
The sooner whatever the problem is addressed, the easier it is likely to be to cope with."
In a lot of cases the cause is insulin resistance - which then becomes a vicious circle, and this is not being addressed. Not if you're a human that it. If your a horse, you're sorted!
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By *ee VianteWoman
over a year ago
Somewhere in North Norfolk |
"I'd like to see more done to treat the causes of the weight gain in individuals before they get to the stage of being eligible for surgery.
Treat the cause, not the effect.
The sooner whatever the problem is addressed, the easier it is likely to be to cope with.
In a lot of cases the cause is insulin resistance - which then becomes a vicious circle, and this is not being addressed. Not if you're a human that it. If your a horse, you're sorted!
"
 |
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By *ee VianteWoman
over a year ago
Somewhere in North Norfolk |
"I'd like to see more done to treat the causes of the weight gain in individuals before they get to the stage of being eligible for surgery.
Treat the cause, not the effect.
The sooner whatever the problem is addressed, the easier it is likely to be to cope with.
In a lot of cases the cause is insulin resistance - which then becomes a vicious circle, and this is not being addressed. Not if you're a human that it. If your a horse, you're sorted!
"
Psychological troubles which trigger over-eating are not being addressed either.
It usually takes a while for someone to reach a BMI of 30+ which should be adequate time to treat the underlying problems.
Too many still think it's down to simple willpower and "eating less and moving more". Usually the ones who don't have the same difficulties and are happy to attribute being overweight to greed and laziness. |
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"I'd like to see more done to treat the causes of the weight gain in individuals before they get to the stage of being eligible for surgery.
Treat the cause, not the effect.
The sooner whatever the problem is addressed, the easier it is likely to be to cope with.
In a lot of cases the cause is insulin resistance - which then becomes a vicious circle, and this is not being addressed. Not if you're a human that it. If your a horse, you're sorted!
Psychological troubles which trigger over-eating are not being addressed either.
It usually takes a while for someone to reach a BMI of 30+ which should be adequate time to treat the underlying problems.
Too many still think it's down to simple willpower and "eating less and moving more". Usually the ones who don't have the same difficulties and are happy to attribute being overweight to greed and laziness."
I've always said the psychologic issues of overweight people should be addressed before they go on a weight loss plan. I have and will always have a bad relationship with food no matter how big or small I become
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By *ee VianteWoman
over a year ago
Somewhere in North Norfolk |
"I'd like to see more done to treat the causes of the weight gain in individuals before they get to the stage of being eligible for surgery.
Treat the cause, not the effect.
The sooner whatever the problem is addressed, the easier it is likely to be to cope with.
In a lot of cases the cause is insulin resistance - which then becomes a vicious circle, and this is not being addressed. Not if you're a human that it. If your a horse, you're sorted!
Psychological troubles which trigger over-eating are not being addressed either.
It usually takes a while for someone to reach a BMI of 30+ which should be adequate time to treat the underlying problems.
Too many still think it's down to simple willpower and "eating less and moving more". Usually the ones who don't have the same difficulties and are happy to attribute being overweight to greed and laziness.I've always said the psychologic issues of overweight people should be addressed before they go on a weight loss plan. I have and will always have a bad relationship with food no matter how big or small I become
"
Same here. |
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By (user no longer on site)
over a year ago
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Mr. I got diagnosed type 2 in march.
For almost 30years I have been extremely fit ultra marathons, long distance triathlons etc.
Due to injury and depression I had a few years off now I never let myself go
No booze, takeaways, etc all the normal Crap.
Watched my diet.
However due to stopping training 16hrs a week and eating same portion sizes my weight ballooned. |
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By (user no longer on site)
over a year ago
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Cont.
Now I am not saying I am not to blame, however there is a massive amount to do with my genetics that caused it. It as I have now discovered was a case of when rather than if.
However I look on it as a blessing, it is a way that I have to control my weight and diet.
Btw I have lost almost three stone since March.
Weight loss is possible if you can be bothered. Trouble is most want a quick fix and the easy way out. |
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By (user no longer on site)
over a year ago
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In my humble opinion the government should slap huge fines on food manufactures for the amount of pointless sugar, salt and fat they add to food.
It's about time these huge cooperations started to take some responsibility for their role in the epidemic of diabetes and heart issues to name but two conditions. Also people themselves need to start taking responsibility rather than expect others to bail them out all the time. |
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By *ee VianteWoman
over a year ago
Somewhere in North Norfolk |
" Weight loss is possible if you can be bothered. Trouble is most want a quick fix and the easy way out."
As per my point above, it's not as simple as it always being down to laziness and greed, or not bothering.
Until this is widely understood and accepted and the wide variety of causes treated, obesity, diabetes, eating disorders and weight-related problems will persist.
Current thinking, treatment and attitudes aren't working so we need to adapt the approach. |
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By (user no longer on site)
over a year ago
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I have terrible eating habits which don't help my weight, at times I have to force myself to eat and others I comfort eat.
9 weeks ago I was referred to an eating clinic as my new GP classes me as having an eating disorder. I'm still waiting for an appointment....
No wonder problems are getting to far before anything is done. |
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By *uby0000Woman
over a year ago
hertfordshire |
"I had type 2 diabetes, lost a couple of stone and hey ho no longer diebetic, even when I put my weight back on although my sugars where creeping up. Now I've lost 5 stone again they are perfect.
"
well done im type 2 and have been put on insulin I am doing the government 12 weeks at slimming world now |
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By (user no longer on site) OP
over a year ago
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"Diet
Exercise
Medication
Good foot care
Monitor your eyes
Get bloods checked regulary......
adhere to the plan, it works
"
View - you're a man of few words but you always talk sense. |
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By (user no longer on site)
over a year ago
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I don't know what to think on this - I get the argument about saving costs etc. but then I wonder if it might lead to a 'fuck it I'll live a lazy lifestyle and eventually have the op' attitude ie. it won't tackle the actual problem which is lifestyle. |
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"This time last year my blood sugar level was higher than it should be. I was told by my GP that if I didn't change my lifestyle i would probably be diagnosed with type two diabetes
I was referred to a specialist weight management service and surgery could have been an option. However over the last twelve months I have very slowly changed my eating habits. On Wednesday I got the results of my blood glucose level and it was a very healthy 4.5 from 6.1 last year. I have only lost about a stone in weight but the way I eat and what I eat has completely changed.
That's my experience and if I can do it anyone can. I think annual blood glucose tests for overweight people are important it certainly gave me the kick up the bum I needed. "
I get the same service, its really good. Also get active living and free swimming world and fitness class for 12 weeks. |
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