Health & Wellness Magazine Live + Thrive Magazine - Summer 2018 - Page 26

Personalized S IS A IT WAS REPORTED by the Centers for Disease Control and Prevention that, in 2016, 29 million adults in the United States had diabetes. Of those, the overwhelming majority had Type 2 diabetes. There are a number of strategies individuals have chosen to help improve their symptoms and manage their illnesses, including physical activity, dietary changes, medications, the introduction of vitamins and micronutrients, and bariatric surgery. 26 In terms of surgery, obese patients presenting with Type 2 diabetes who receive a laparoscopic gastric bypass and sleeve gastrectomy have shown a remission of diabetes in 30% to 80% of cases. Unfortunately, more than half of those remissions will eventually relapse. The causes of those relapses are varied but often fall into a few categories: not following proper protocols following the surgery, nutrient deficiencies, working back into overeating, adopting unhealthy habits, not replacing old habits with newer and healthier ones, and many others. Currently, there is no real consensus on preoperative predictors of Type 2 diabetes remission. It seems to be just a game of chance in most cases, unfortunately. One thing that is well known, however, is that bariatric surgery puts patients at an increased risk of micronutrient deficiencies. Those deficiencies can negatively affect glucose metabolism and insulin resistance, thus potentially correlating to the remission rates of diabetes. To counteract this, surgeons usually recommend over-the- counter (OTC) supplementation.