Do uncontrolled type-2 diabetics have any other options in life? Although medical treatments, along with newer drugs, are the mainstay of all diabetic treatment, we need to remind ourselves that advanced surgical options exist to bring a stop to worsening diabetes in some desperate patients. Some diabetics have very high sugars and HbA1c in spite of different combinations of drugs or insulin and GLP1 analogs; some have nephropathy, retinopathy, dyslipidemia and coronary stents.
Ileal Interposition done laparoscopically, has been an effective surgery for non-obese uncontrolled diabetics, and Bariatric procedures can be done for the Obese uncontrolled diabetics; the procedures also get rid of the early complications and associated comorbidities. So when we or our patients, come to a roadblock in diabetes, we can show them this way, provided sufficient pancreatic function remains for its…
