Obesity

Study finds remission rates of diabetes in patients who undergo weight loss procedure.

Endoscopic sleeve gastroplasty may be the answer to the obesity epidemic.

Surgery could lower patients' development of future medical issues.

Some think you can’t be too rich or too thin. A stylish female, type 2 diabetes, 46 years of age came into the office (a weight loss clinic) for a follow up. Everyone was telling her how great she looked. She said she was feeling great and excited because she could fit into clothes she couldn’t fit in the past few years. She lost 9 pounds in three months. She had not been self monitoring her glucose. She was thrilled, but her doctor wasn’t so thrilled, at least not yet. He was concerned her glucose was elevated.

Reasons may include poor metabolic control and extreme obesity.

As we all know, it is easy to start out with good intentions to be more active or manage diabetes better, but it’s much more difficult to follow through and stick with such changes so that they become sustainable. While some studies have recently shown that newer devices like the Fitbit can increase physical activity adherence, the real question is, will using the latest health information technologies be motivating enough for most people to continue doing it long-term?

Patients who responded to medication had greater improvement in cardiometabolic risk factors.

Quality of life in obese patients with type 2 diabetes improved.

Female, 28 years of age, diagnosed with type 1 diabetes at age 25. She was taught to manage her diabetes with a basal/bolus insulin regimen and meal plan prescribed by health care team. She was taught she could eat anything she wanted as long as she covered her carbs with rapid-acting insulin. Her glucose was in control, but she gained 50 pounds over the first year. She then attributed her weight gain to taking insulin, so she would not take enough insulin to cover her glucose levels.

Study finds insulin secretion returns to normal with one-gram fat loss.