Indian Diet plan for Type-II Diabetes patients and How Bariatric Surgery can completely reverse type 2 diabetes

Diabetes is a ticking time bomb, that can explode unexpectedly at any moment – today, tomorrow, next year, or 10 years later.

And, in the meantime as it ticks along, it destroys the diabetic’s life bit by bit.

Fluctuations in blood sugar is only one symptom of diabetes.

Several comorbidities are linked to this dreaded disease, which include cardiovascular diseases, kidney failure, peripheral nerve issues like tingling and numbness, coordination and body balance issues, higher risk of bacterial and fungal infections, gangrene in limbs, gastropathy, sexual dysfunctions, gum and teeth problems, etc.

As per the data collected by the World Health Organization, bariatric surgery is the only scientifically proven treatment that has had success in resolving type 2 diabetes.

Blood sugar levels showed significant improvement post-surgery. Patients were able to reduce and in many cases get off diabetes medication, even before considerable weight loss had started.

At the Nobesity Centre of Excellence for Bariatric and Metabolic Surgery, we found that obese patients who underwent Roux-En-Y gastric bypass surgery were free from diabetes a few months post-surgery.

In 2017, 56 out of 68 diabetic patients who were operated on at Nobesity were able to put their diabetes into remission. The remaining moved to a much lower dose of medication.

In 2018, 59 out of the 63 who were operated on, managed to get off their diabetes medication completely and the others saw a reduction in their medication dosage.

At Nobesity a multidisciplinary approach is adopted to achieve not just weight loss but also relief from associated comorbidities. Our goal is to help our patients lead a disease-free, healthy and fulfilling life.

The dietitians at Nobesity recommend the following meal plan for individuals with diabetes. This plan is designed to help keep patients control their sugar levels and manage their diabetes.

However, Bariatric Surgery offers total reversal of type 2 diabetes in most patients as discussed above.

MEAL INDIAN ITEMS SOUTH INDIAN ITEMS
6:30 am Lemon juice (sugar free) + 4-5 almonds + 2-3 walnuts + 3 pista Water + diabetic protein powder (50 gms)
walk / gym walk / gym
7:30 am 1 veg paneer stuffed roti + green chutney / veg Dalia upma / veg oats upma – 1 katori / 1 small multigrain bread with 1 egg white omelette 2 idli sambhar / veg upma + green chutney / 1 toast with egg white bhurji
10:00 am skimmed milk – without sugar (200ml) fruit (50-100 gms) (restrict banana /chickoo /sitaphal / mango / grapes)
12:30 pm – 1:00 pm 2 plain roti / 1/2 katori rice + 1 plain roti + dal / pulses / kadhi – 1 katori + vegetables – 1 katori (avoid potato, sweet potatoes, yam, beetroot) + salad / kachumber + 1 katori curd curd + rice 11/2 katori / 2 rotis + dal / pulses / rasam 1 katori + vegetables – 1 katori (avoid potato, sweet potatoes, yam, beetroot) + salad / raita
4:00 pm Tea – 1 cup (sugar free – 50 ml skimmed milk) + dry bhel (no sev) / moong khakhra 1 Tea – 1 cup (sugar free – 50 ml skimmed milk) + roasted channa with some puffed rice – 1 katori
5:30 pm buttermilk (curd – 150gms) buttermilk (curd – 150gms)
6:30 pm fruit (50-100 gms) (restrict banana /chickoo /sitaphal / mango / grapes) lemon juice (without sugar) – 1 glass
walk walk / gym
8:30 pm 1 jowar / multigrain roti / veg khichadi (less rice) + veg 1 katori + dal / pulses / 1 medium piece fish / chicken 2 small dosa sambhar plain / brown rice + dal + veg / 1 medium piece fish / chicken
10:00 pm skimmed milk – without sugar (200ml) skimmed milk – without sugar (200ml)
NOTES : oil / ghee – 1 tbsp = 15 ml /day / person oil / ghee – 1 tbsp = 15 ml /day / person
no sugar / jaggery / honey – use sugar free no sugar / jaggery / honey – use sugar free
make roti / chapati with lemon size ball of atta make roti / chapati with lemon size ball of atta

 

Should I or Shouldn’t I? The Big Question Before Bariatric Surgery

This dilemma is faced by many before the decision to opt for bariatric surgery.

It is common for the mind to be flooded with doubts – Do I need it? Isn’t it better to try diet and exercise one more time? Is it worth the expense? What if something goes wrong? And so on.

The underlying reason for such questions is that bariatric surgery is an elective procedure and not an emergency surgery. Or, at-least that’s what it may appear like.

Obesity is a dangerous disease and so are the co-morbidities associated with it. Diabetes, hypertension, cardiovascular issues, respiratory irregularities and other disorders that affect the healthy functioning of the vital organs are all linked to obesity.

For those obese patients from BMI 32 and above who already suffer from some of these associated ailments, bariatric surgery will help lose excess weight as well as the ailments existing due to obesity.

For those with BMI of 37 and above who may not be yet displaying the evidence of the co-morbid diseases, it is important to remember that obesity is like a ticking time-bomb which may explode any moment. In these cases bariatric surgery will help prevent these co-morbidities from afflicting the body.

It is a myth that bariatric surgery is an expensive affair. It costs no more than any other surgery in its class. Secondly one-time cost of bariatric surgery is much cheaper when weighed against the accrued lifetime costs of medication and doctor visits to treat obesity-related co-morbidities.

Nobesity Center of Excellence for Bariatric and Metabolic Surgery recognizes that it may not be an easy step to opt for bariatric surgery, Hence assists its patients to take informed decisions through the entire process from the first consultation to a lifetime of free follow-up care. A team of bariatric surgeons, dietitians, and psychologists work in team to tend to the unique needs of each patient.

While, ‘Should I or Shouldn’t I’ is a relevant question, the answer should not be based on gut feel or hearsay. Consult a specialist center to address all doubts rationally before opting for this life-changing procedure.

Sleep Well to Beat Obesity

If nutrition and exercise are regarded as the two key elements of effective weight management, the third key factor is sleep, whose role is often ignored.

Short sleep results in increased craving for high sugar and processed foods. It also causes lethargy and thus decreased expenditure of energy.

Interestingly, average number of sleep hours among adults fell below 8 in the 1980s, which is about the same time that the obesity started rising. This cannot be taken as just a coincidence.

Studies conducted across the world in varied age groups show that short sleepers, both children and adults, are more susceptible to develop obesity.

In fact, this risk is higher in children and adolescents.

89% increase in obesity risk in children and 55% risk increase in adults due to short sleep was observed by a meta-analysis* of various studies that included 30,002 children and 6,34,511 adults from across the world.

This establishes a direct relation between inadequate sleep and obesity associated comorbidities like elevated blood pressure, diabetes and poor heart health as kids and adults alike.

The relation between sleep and obesity is mainly due to the secretion of two key hormones in the human body, ghrelin and leptin.

Ghrelin increases appetite and leptin sends a signal to the brain to indicate satiety. Lack of sleep impacts the secretion of both these hormones and impacts the body. This leads to consumption of more calories than what the body needs, leading to obesity.

While one may get away with the occasional sacrifice of a good night’s sleep, regular abuse of the requisite downtime can contribute to a steady rise in the BMI.

Hence sleep well everyday- atleast for 8 hours, to beat obesity!

*https://www.ncbi.nlm.nih.gov/pubmed/18517032

Positive Impact of Bariatric Surgery on Kidneys: A Swedish Study Findings

There is no denying the grave impact of obesity on the body.

Cardiovascular diseases, type 2 diabetes, cancer, joint pain, depression, sexual impairment etc. are only some of the risks that an obese person is susceptible to.

One of the complexities that could arise from any of these co-morbidities is chronic kidney disease, and in extreme cases kidney failure.

Many studies have established that Bariatric surgery is the most effective and sustained method for long term weight loss.
The Swedish study by the Sahlgrenska Academy took this a step further to evaluate the effect of bariatric surgery on long-term kidney function.

As a part of this study over 4000 obese subjects were monitored for a period of 20 years.

The study showed that surgery benefited even those who were suffering from extensive kidney damage before undergoing the surgery.

The surgery was successful in stemming the advancement of pre-surgery kidney issues to kidney failure, besides excess weight loss.

There are many more facts about obesity treatment and Bariatric surgery to be shared with you. Please call us on +91 84444 94444 or contact us and ask for an appointment with our team at the earliest and win a complementary consultation with our Doctors (Limited time offer. Conditions Apply)

I am proud I had weight-loss surgery!

An inspiring story shared by one of the Bariatric Surgery Patients:

It’s a family gathering. You walk into the room. It’s the first time they are seeing you post-surgery. Their faces register surprise and then the lips curl into smiles. But, you can see the disdain lurking in those eyes. They whisper, yet the words reach your ears – “He’s had surgery to lose weight, you know…”.

But, why is that a bad thing?

According to them, If I had lost weight through exercise and dieting, its worthy of awe and respect. If I underwent surgery, its like cheating in an exam to get good grade.

But the reason I underwent Bariatric surgery was not to win someone’s approval. Its to treat the disease of Obesity I was suffering, with the most scientific treatment option available today. To live a happier, healthier and longer life. To be a better Dad, Husband and a Friend.

In recent times, Bariatric surgery has been the most significant development in the medical world. Considering, the rise in obesity and in effect the complications caused by its co morbidity, the developments in weight-loss surgery should be celebrated every day.

However, an obesity patient who was stigmatized by society due to excess weight may be subject to a new stigma after Bariatric Surgery- of losing weight by “easy way out”- by those around him who by themselves are deeply ignorant.
It is not uncommon to feel weighed down by these things when opting for surgery.

But stay focused on facts about Obesity, Bariatric surgery and your Personal Goal:

Firstly, more than 95% of obese people gain back all the lost weight by diet and exercise within 6 months. Its called yo-yo effect. Obesity is not a result of patient’s fault or lazy nature. Its due to complex interactions between hormones, brain signals and gut microbes that interfere with normal metabolism and induce weight gain. If obesity is due to patient’s fault, so is cancer, fever and so many other diseases.

Secondly, Bariatric surgery is the most scientific treatment available for morbid obesity with several hundreds of scientific studies published in its favor after tracking patients for as long as 10-15 years after surgery. No other treatment modality helps achieve such long term success of sustained weight loss. So choosing Bariatric surgery is a wise decision.

Thirdly your goal from Bariatric surgery needs to be clear. Its to get rid of or to prevent  co morbidity such as diabetes ruling your life; to live a healthy life devoid of medications and frequent visits to hospitals to control lifestyle diseases; and to live 10-15 years longer according to many studies who prove that the surgery prevents or reverses most causes of premature death.

Don’t let those who don’t know any better bog you down. Make the decision that is best for you. If your body is getting in the way of you leading a healthy and fulfilling life, then don’t let the ‘what will people say’ question be an obstacle to your victory over obesity.

Bariatric surgery is not like cheating on a test. Its like cheating on untimely death, crippling disabilities and imprisoned life. And proudly breaking free, forever!

Treat Obesity to Treat Arthritis

Those who have experienced joint pain will know how traumatic it is and how joint pain can take complete control of one’s life. From long-distance travel to basic movement, one’s lifestyle is severely compromised due to joint ache.

One of the most common causes of joint ache is Obesity.

Excess weight is a strain upon the joints. It is estimated that every kilo of excess weight exerts an additional 4 kilo of pressure on the knees. A potent cause for Arthritis.

Osteoarthritis, the most common type of Arthritis, is caused by the breakdown of cartilage, which is the tissue that covers the end of bones at joints. The greater the weight that is exerted on the joints, the greater the likelihood of wear and tear of cartilage. The weight bearing joints like hips and knees are at a greater risk.

The problem of cartilage damage arises not just because of the excess weight associated with Obesity. The excess fat stored in the body is also a cause of the problem as fat tissues release chemicals that promote inflammation. One group of chemicals released by fat tissues, known as cytoklines, can also impact the cardiovascular system.

Gout is another form of inflammatory arthritis that is linked with obesity. Gout is caused by the building up of uric acid in the joints that lead to attacks of pain. An obese person is at greater risk of suffering from gout as his/her kidneys are unable to eliminate the uric acid that is formed in their body from the processing of certain foods.

Another form of arthritis is Rheumatoid Arthritis, where the body’s immune system attacks its joint tissues, leading to joint erosion and pain. Psoriatic Arthritis is a form of arthritis where the body’s autoimmune system causes skin inflammation.

Obesity increases the risk of all these forms of arthritis as well.

Particularly for those who might spend a large number of hours standing – either in the kitchen or at the workplace, trying to lose weight by walking or jogging, those who have been playing high-impact sports like tennis and badminton – every bit of excess weight is causing an additional strain on the knee joints.

Weight-loss, even if marginal, can greatly reduce the risk of these forms of arthritis. For primarily with weight control, the stress on the joints is substantially reduced.

Bariatric Surgery is a safe alternative for weight loss – particularly for those who are severely obese and have not been able to lose weight through other methods.

A highly reputed international study from 2015 and our experience with our patients observe that after substantial weight loss from bariatric surgery, Rheumatoid arthritis patients had much lower disease activity, decreased joint inflammation, and negligible medication use.

Similarly patients with knee arthritis show significant pain relief after Bariatric surgery.

A Penn State University study observes that when obese patients present with arthritis, Doctors typically treat the arthritis but not the underlying disease. We (study team) believe that rectifying this approach can play a meaningful role in joint health in the years ahead, while at the same time improving the overall health of the patient and potentially saving money in the future.

To discuss more, call us at +91 89999 49999 today for an appointment Face to Face or on Facetime/ Whats app.

Nobesity Wins Zee Award

 

Nobesity Receiving Zee Award from CM and Dy CM Gujarat, India

Nobesity Interview at Zee Award Ceremony on 4 Sep 2017

 

Zee Young Achievers Gujarat 2017 Award was presented to Nobesity on 4th Sept at Ahmedabad by Mr Vijay Rupani Chief Minister of Gujarat and Mr Nitin Patel Deputy Chief Minister of Gujarat.

Dr Manish Khaitan, Director, Nobesity received this prestigious award on behalf of Team Nobesity.

Mr Subhash Chandra- Managing Director Zee Media Group, Many MLA and MPs and other distinguished guests were present during this occasion.

This award inspires us to do more for our patients and well-wishers.  Thank you very much for your continued support.


About Nobesity

Located in KD Hospital hospital Ahmedabad, Nobesity is among India’s top Bariatric Surgery Centers. We have performed more than 3000 successful Bariatric Surgeries and treat more than 200 new patients every year for morbid obesity and metabolic disorders.

Nobesity’s state of the art operation theater with the most up-to-date equipment and highly qualified team, led by Dr Manish Khaitan, one of the most prominent bariatric and laparoscopic surgeons of India, ensures advanced patient care and a comfortable hospital experience.

Our Lifelong Free-of-charge post-surgery support program is considered the best in India. More than 100 after-surgery patients attend our monthly support group meeting on the last Sunday of every month.

To learn more about us or discuss your specific problem, call us at+91 89999 49999 or Email us at response@nobesity.in for an appointment.

Liposuction vs Bariatric Surgery

Liposuction and Bariatric Surgery are two very different surgeries. Each is meant to achieve two vastly different purposes.

  • Liposuction is a body shaping surgery that improves the cosmetic appearance of the target area. It does not result is significant weight loss nor does it resolve co-morbidities of obesity like diabetes.

    Bariatric surgery reduces caloric intake and fat production and thereby can achieve sustained weight loss in morbidly obese patients. It is also the most successful method to resolve about 60 co-morbidities of obesity like diabetes, hypertension, etc. It is the best and the most scientifically validated option for obese patients whose BMI is over 35.

  • Liposuction sucks fat from under the skin through a tube, called canula, from specific target areas such as chin, abdomen, chest, buttocks, etc.

    Bariatric surgery is a metabolic procedure that aids weight loss by reducing the size of the stomach.

  • Liposuction involves multiple sittings if more fat is involved, since, at one time a maximum of 5-6 liters of fat can be sucked out without endangering the patient’s safety.

    Bariatric surgery is a single sitting keyhole (Laparoscopic) surgery.

  • Patients experience bruising and post-operative care for 7-10 days after every liposuction sitting.

    In case of bariatric surgery, patients are discharged within two days of the surgery and recovery is painless. Positive effects like normal blood sugar without medication are immediate and on an average in one year patients lose most of their excess weight.

  • A recent study by University of Colorado School of Medicine revealed that one year after liposuction the fat returned and was redistributed to other areas of the body.

    Several reputed studies, such as the 10-year follow up study by Durham Medical Center (North Carolina, USA) proved lasting weight loss with bariatric surgery.

About Nobesity

Located in KD Hospital hospital Ahmedabad, Nobesity is among India’s top Bariatric Surgery Centers. We have performed more than 3000 successful Bariatric Surgeries and treat more than 200 new patients every year for morbid obesity and metabolic disorders.

Nobesity’s state of the art operation theater with the most up-to-date equipment and highly qualified team, led by Dr Manish Khaitan, one of the most prominent bariatric and laparoscopic surgeons of India, ensures advanced patient care and a comfortable hospital experience.

Our Lifelong Free-of-charge post-surgery support program is considered the best in India. More than 100 after-surgery patients attend our monthly support group meeting on the last Sunday of every month.

To learn more about us or discuss your specific problem, call us at+91 89999 49999 for an appointment.

Liposuction Process
Bariatric Procedures

Risks of Pregnancy in Obese Women and the Scientific Solution

Many women of child bearing age undergo Bariatric Surgery at Nobesity to be able to get pregnant and have motherhood free of complications.

Infertility and Obesity are very closely linked.

And secondly, pregnancy in obese women is much riskier than normal-weight conception.

A study by University of Edinburgh published in British Journal of Obstetrics and Gynecology found that

  • Chest Infections were almost 10 times more likely in obese pregnancy vs normal weight pregnancy
  • Headaches and Heartburn – More than 2 times more likely
  • Depression – Significantly more likely
  • Carpal Tunnel Syndrome (numbness, tingling or weakness in hands) – More than 3 times more likely
  • Symphysis-Pubis Dysfunction (condition that affects the pelvic joints) – More than 3 times higher risk

 

Studies also report increased risk of major complications due to Obese Pregnancy such as: Gestational diabetes, Emergency caesarian section, Postpartum hemorrhage, Genital tract infection, Urinary tract infection, Wound infection, Birth-weight above the 90th percentile, Intrauterine death etc.

In addition, babies with spinal cord defects (spina bifida), heart defects, anorectal atresia (misplaced or absent anal opening), hypospadias (urinary opening not at usual place), limb reduction defects, diaphragmatic hernia and omphalocele (intestines and other internal organs remain outside of abdomen in a sac) are significantly more likely to have obese moms.

As the children of an obese mother age, research suggests that the child may also have a higher chance of developing an attention deficit disorder.

However, there is a solution. The most scientifically proven one.

Bariatric Surgery can minimize or totally avoid these numerous risks and help women to have a healthy pregnancy, child and motherhood besides long-term excess weight-loss.

A review of 75 studies conducted by University of California in Los Angeles US clearly supports our clinical experience at Nobesity Center that Women who had Weight-Loss Bariatric Surgery minimized pregnancy related complications. In fact many who had lost hope of bearing a child could do so.

But we advise patients to wait for 1-2 years of rapid weight-loss after Bariatric Surgery before getting pregnant. This would allow body to stabilize and offer the best support for baby being conceived.

If you wish to learn more about Bariatric Surgery for Women, Infertility resolution and our Life time free of charge support program after surgery or any other question that you may have with regards to obesity, pl feel free to call us on +91 89999 49999. We should be able to help.

BLiSS Masterclass by Nobesity Concludes Successfully

Our first BLiSS (Bariatric Leadership in Surgical Skills) training program for Surgeons interested in learning the nuances of Bariatric Surgery concluded successfully last weekend at Nobesity Ahmedabad.

The 2 day workshop by Dr Manish Khaitan showcased 12 Bariatric Surgeries to candidates from across India with special emphasis on Gastric Bypass, its techniques and bio mechanics. The key message of the program was about conducting safe and sound surgeries every time.

Setting up Bariatric Units, Management of Complications and Nutritional Aspects post surgery were the other important aspects covered in this training workshop.

We thank our attendees for strong subscription and support extended for our first program. Based on encouragement received, we plan to repeat BLiSS Masterclass twice a year to spread Nobesity Techniques of Safe Surgery far and wide so that the patients operated by the BLiSS alumni receive similar standards of care as they would receive at Nobesity.