
© Unknown
Recently, I attended a convention of the
American Diabetes Association in New York City where the main booth heralded a breakthrough "cure" for diabetes. Excited to think I might learn something new, I hustled right over. Imagine my dismay when all the information at the booth was about weight-loss surgery!
Do we need a cure? Absolutely!
Is surgery a one-size-fits-all solution for diabetes? No way.
I understand the desire to find a solution. After all, Type 2 diabetes is looming as the biggest epidemic and public health issue in human history. Close to 300 million people are affected worldwide and another 150 million forecast to be diagnosed by 2030. The reason? Obesity.
Yes, obesity is a tenacious problem but surgery is only a Band-Aid solution, albeit one that is growing in popularity. In the last decade alone, the rate of weight-loss surgeries performed each year in the United States has increased from 10,000 to 230,000. But how many of the 1.7 billion overweight citizens of the world can afford gastric bypass? And how many of those will regain the weight?
I have seen many patients go under the knife for these procedures only to gain back the weight they lost, plus some. Weight-loss surgery may seem like a panacea, but it won't solve the underlying hormonal and metabolic imbalances that are driving the diabetes and obesity.
My patient Alan is a prime example. Alan has been overweight since he was 6 years old and has never experienced a day without ravenous hunger. At age 40, he had gastric-bypass surgery and shrunk from 450 to 250 pounds. The size of his stomach changed, but his overall lifestyle did not. Eventually, he gained back 100 pounds. Even with a stomach the size of a walnut, he managed to gain weight one tiny, fattening bite at a time. By the time he landed in my office, he was 60 years old and tired of juggling all the complications of weight-loss surgery.