Weight loss has turn out to be an important half of the treatment of type 2 diabetes. A brand new medical administration system is being launched for the first time as a measure that results in decrease blood sugar ranges for achievement in diabetes administration.
The data was first launched in early June, throughout the 82nd Scientific Sessions of the American Diabetes Associationthat occurred in the United States, the place the American Diabetes Society and the European Society developed a brand new coverage, recommending that the treatment of weight problems ought to be the first precedence in the treatment of diabetes type 2 and, due to this fact, to scale back glycemic signs.
The new algorithm is meant to overview pointers that may information the treatment of ailments, particularly persistent ailments such as type 2 diabetes.
Algorithms – up to date yearly – information from medical drugs to overview public coverage for the treatment of type 2 diabetes. surgical procedure.
Several research and analysis have led to new steering printed in a scientific journal JAMA Clinical Review & Education In this month.
The utility also needs to attain Brazil this yr and embrace the algorithms of the Brazilian Society of Diabetes (SBD).
In addition to traditional medical treatment, which incorporates weight loss plan, train, behavioral remedy, and anti-obesity and diabetes medicines, the American Diabetes Society has begun recommending metabolic surgical procedure for sufferers who don’t obtain everlasting weight loss or enchancment in comorbidities. and non-surgical strategies.
“Several randomized managed trials have proven a big enchancment in glycemic management with surgical treatment versus medical treatment. Comparative group evaluation and potential managed research have proven a discount in mortality on account of metabolic surgical procedure, particularly in individuals with diabetes.” factors for route.
According to the President of the Brazilian Society of Bariatric and Metabolic Surgery (SBCBM), Dr. Fábio Viegas, the relationship between weight problems and type 2 diabetes is well-known and already identified by docs and scientists.
“Obesity is a persistent and multifaceted illness. The extra physique fats a affected person has, the larger the resistance to insulin and due to this fact the larger the blood sugar. This can result in type 2 diabetes and worse instances the place the illness is already current. That is why shedding weight is very important in stopping diabetes,” says Viegas.
The new pointers of the American Diabetes Society, which will even be included in the European Diabetes Society, are primarily based on analysis printed in The Lancetone of the most important scientific papers in the world and one which confirmed the significance of controlling type 2 diabetes, resulting in remission in many sufferers and a big enchancment in metabolism from weight loss of 15%.
“It’s time to consider altering the treatment of sufferers with type 2 diabetes from the present glucocentric method to weight problems, which primarily drives insulin resistance. […] Evidence reveals that weight loss can change the pathophysiological processes of type 2 diabetes. Achieving and sustaining a 15% wholesome weight ought to be the main purpose of treatment for a big pool of individuals with type 2 diabetes,” say the researchers. .
The Lancet article featured Dr. Ricardo Cohen, former president of SBCBM, and researchers from the USA, Australia and Ireland. “This is the first time that weight loss has been talked about as an preliminary step in the treatment of type 2 diabetes in order that there is a lower in blood sugar later, that is, weight loss has been reported as the essential software to stop the evolution of diabetes. the illness in the long term. ” says Dr. Ricardo Cohen.
Obesity and Diabetes in Brazil
In Brazil, weight problems elevated by 72% between 2006 and 2019, from 11.8% to twenty.3%, in response to the Surveillance Survey of Risk and Protection Factors for Chronic Diseases and Telephone Survey (Vigitel). Obesity (BMI equal to or larger than 25) is current in 55.4% of Brazilians.
In phrases of diabetes, Brazil is the sixth nation in the incidence of the illness in the world and the first in Latin America. There are 15.7 million adults with this situation, and it is estimated that, by 2045, the illness will attain 23.2 million Brazilian adults. About 90 p.c of diabetes sufferers worldwide are Type 2, which is related to weight problems and insulin resistance, in response to the International Diabetes Federation.
People with type 2 diabetes should be adopted by specialists and medicines to stimulate the pancreas to supply insulin and scale back the absorption of meals (which the physique converts into sugar). Insulin will also be prescribed and all companies can be found in the Unified Health System (SUS).
metabolic surgical procedure
As with any medical treatment, some sufferers could not reply as anticipated. For these causes, metabolic surgical procedure may be needed to stop the development of the illness and the penalties of diabetes. In Brazil, the Federal Council of Medicine (CFM) authorised the treatment of type 2 diabetes in 2017, with standards for treatment failure and weight problems with a physique mass index (BMI) between 30 kg/m² and 34.9 kg/m².