Time has coe to consider surgery as cure for T2DM and metabolic syndrome. This is called Metabolic Surgery borrowed from Bariatric Surgery.This surgery is kind of "Neuroendocrine Break" This is done laproscopically and involves creating a sleeve gastrectomy and then linked to Ileum. This procedure promotes reduced secretion of Gastric Ghrelin and reduced appetite. GLP1 and GIP levels increase and this causes increased Insulin levels with reduced Glucagon levels.Success rate is over 90% and patients with BML less than 30 can be operated..
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