Saturday, April 21, 2012

Surgery beats Diabetes Medications in Diabesity and Diabetes

I would like to take the next few minutes to review what I see as a grave misrepresentation. You see, I treat patients who want to lose weight. I see patients for weight loss daily. Unfortunately, some of these patients are obese and a growing number are what we call morbidly obese.

It is in this morbidly obese group that I am making more and more diagnoses of diabetes. Other doctors have not told them about this diagnosis, because we have been using imprecise measures in general medicine to diagnose diabetes. By using imprecise tools, we have been missing the diagnosis.

Why does this matter? Because this epidemic of diabetes in the obese is UNDER-DIAGNOSED and what I am about to tell you will apply to many more patients in the next 5 years.

But first the misrepresentation.

The popular media has been covering a study in Italy which looked at a grand total of just 60 patients. Correct, JUST 60 patients. But the "news" is hailing it as a great study. Scientifically, this is a very, very small number of individuals. But results of surgery were fantastic and reflect what has always been known in the weight loss community.

If the patient gets diabetes from being overweight, treating the diabetes without getting the patient to lose weight is a fool's errand. You have to lose weight. This study is not revolutionary. It is not HUGE news!

That is the misrepresentation. Here is the straight scoop. By shrinking the fat mass on a patient, you improve insulin sensitivity and can remove medications and CURE Diabetes. As the study indicated. If you drop your BMI from 41.3 to 28 you can cure Diabetes 80% of the time, in this group of 30 patients.

How much diabetes do you cure with medications? ZERO. No patients with diabetes were cured with medications that are used to treat diabetes. This is no surprise as almost all diabetes medications cause weight gain or no weight loss. You need to lose weight to cure diabetes.

Does this means I as a non-Surgical weight loss doctor cannot cure diabetes? No.

I Cure Diabetes Daily with weight loss medications and diet! Put simply, I can cure diabetes without surgery.
That is HUGE news and I am blown away the media isn't covering this. The grave misrepresentation is that SURGERY ALONE AND NOT MEDICATION can cure diabetes. Doctors who cure obesity also cure diabetes. The treatments are the EXACT same.

Monday, April 16, 2012

K-E Diet. Here comes the bride, with a feeding tube

I have thought that I have heard everything regarding weight loss. But, simply, I am blown away by the level of desperation in these poor brides.

What are wives-to-be doing to lose weight before the big day? They are getting feeding tubes inserted in their noses and sent to their stomachs. These tubes are used to deliver food via a pump which is kept in their handbag.

The pressure to lose weight prior to a wedding has driven many people to a diet plan which has been around in Europe for some time. This diet is called the K E diet. It is offered by a physician in Florida and I wonder if many more will follow.

What are the risks of a very low calorie diet. Simple.

1. Dehydration-starting a low calorie diet requires enough water to offset the increased urination
2. Electrolyte abnormalities-If the tube feed does not meet those requirements, you can get a problem with the chemicals in your blood stream which can cause a host of other problems
3. Feeding tubes over longer than 4 days can increase your risk of infection in your sinus cavities
4. Nausea, stomach upset, acid reflux of stomach.

Why try this diet? Supposedly according to the physician doing this in Florida, it is more successful at suppressing hunger than regular eating due to continuous feeding.

I would like to see a head to head trial on this because, I don't see how very low calorie diets would differ that much in orexigenic properties.

In a nutshell, I would avoid this diet and instead save the 1500 USD for a proven medical weight loss program. Our program costs WAY Less than 1500 USD and can help you lose this much weight loss and even more.

Photo Courtesy: ABC News