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Two seemingly groundbreaking studies, published this week in the
New England Journal of Medicine found that type 2 diabetes, or "diabesity", could be cured with gastric bypass surgery. The flurry of media attention and medical commentary hail this as a great advance in the fight against diabetes. The cure was finally discovered for what was always thought to be a progressive incurable disease. But is this really a step backwards? Yes, and here's why.
No one is asking the most obvious question. How did the surgery cure the diabetes? Did the surgeons simply cut out the diabetes like a cancerous tumor?
No. The patients in the studies changed their diet. They changed what they put in their stomach and that's something that doesn't require surgery to change. If they had surgery and they didn't stop binging on donuts and soda they would get violently ill and vomit and have diarrhea. That's enough to scare anyone skinny. If I designed a study that gave someone an electric shock every time they ate too much or the wrong thing, I could reverse diabetes in a few weeks. But you can get the benefits of a gastric bypass without the pain of surgery, vomiting, and malnutrition.
Most don't realize that after gastric bypass diabetes can disappear within a week or two while people are still morbidly obese. How does this happen? It is because food is the most powerful drug on the planet and real whole fresh food and can turn on thousands of healing genes and hundreds of healing hormones and molecules that create health within days or weeks. In fact,
what you put on your fork is more powerful than anything you can find in a prescription bottle.The researchers asked the wrong question. It should not have been does surgery work better than medication, but does surgery work better than intensive lifestyle and diet change.
Astonishingly, the researchers just compared surgery to medication, which has been proven over and over not to reverse diabetes, and often promotes progressive worsening of the diabetes. Patients who get on insulin gain weight and their blood pressure and cholesterol go up. And in recent studies, those who had the most aggressive medical therapy to lower blood sugar had higher rates of heart attack and death.
These two new studies on gastric bypass should have included a treatment group that had intensive lifestyle therapy as well as medical therapy or surgery.
Lifestyle change and changes in diet work faster, better, and cheaper than any medication and are as effective or more effective than gastric bypass without any side effects or long term complications. These changes are not easy, but then neither is gastric bypass.