Diabetes surgery, namely ileal interposition, can be very effective if patient experiences difficulty in controlling blood glucose and blood glucose level is high in spite of insulin therapy with antidiabetic drugs.
Can this surgery be performed for type 1 diabetes?
Diabetes surgery, called ileal interposition, is a surgery that is appropriate for patients with type 2 diabetes. It cannot be performed for Type 1 Diabetes.
Can diabetes surgery be performed for patients with Type 2 Diabetes?
Severity and characteristics of the disease show inter-patient variations in Type 2 Diabetes.
Type 2 diabetes has long-standing history in some patients, while it has been controlled in others. On the other hand, some patients do not take medicines and thus, disease is not controlled. In many of these patients, insulin synthesis capacity is used and exhausted. Accordingly, any surgery performed for these patients is useless. The issue in diabetes surgery is the presence of insulin reserve. This surgery is not recommended for the patients who have no insulin reserve.
Patients with Type 2 Diabetes are evaluated regarding the duration and severity of disease. Each diabetes case has different characteristics. Age of patient at onset, medications used, insulin dose, blood glucose level and other similar factors vary from patient to patient. Ileal interposition (diabetes surgery) is effective for patients with insulin synthesis. Pancreatic insulin reserve is investigated in preoperative examination of these patients. Details such as whether the patient is operable or not, how much the disease will regress and which medications should be used are derived from those investigations.