SO, IF I HAVE METABOLIC SURGERY FOR THE TREATMENT OF DIABETES, WHAT IS MY PROGNOSIS? If you have already been evaluated and are a candidate for the procedure, the prognosis is very favorable. Specifically, the possibility of achieving total remission of the disease can be up to 95%. Which will significantly reduce the risk of complications such as diabetic foot, blindness, diabetic neuropathy, kidney failure and dialysis, among others. Will diabetes remain in remission for life after surgery? We do not know that answer exactly, since there are patients who underwent surgery for diabetes, and after a few years, the disease has returned, however there are others, who, after many years, still remain with diabetes. sent. We know that there are some factors that increase the possibility of diabetes remaining in remission after surgery, these are some of them: 1.- Improve eating habits, 2.- If at the time of surgery, the patient had few years with diabetes, that is, the less time there is from the diagnosis of diabetes to the time of surgery, the better the prognosis. 3.- If the pancreas is functioning well at the time of surgery, this means that the less pancreatic deterioration there is at the time of surgery, the better the prognosis. The functioning of the pancreas can be measured with some blood studies, the best known is the C peptide. 4.- Type 2 diabetes has a better prognosis than type 1 diabetes. Let us remember that not all patients are candidates for surgery, however, For candidate patients, the prognosis, in terms of diabetes remission or improvement, is very good. CAN METABOLIC SURGERY NOW BE PERFORMED? AM I A CANDIDATE? That's right, metabolic surgery is already approved in Mexico, however certain requirements, preoperative studies and evaluations are required. Not all patients are candidates for the procedure. One of the questions we answer very frequently is: If I have diabetes and I am not obese, can I have metabolic surgery? The answer is yes, but not in Mexico, not until now. Although it is already known that metabolic surgery has a similar effect in people without obesity, it is not yet approved in Mexico. However, in general terms, candidate patients are those with grade I obesity or greater, that is, if you have a body mass index (BMI) of 30 kg/m2 or greater and suffer from diabetes, you could be a candidate for surgery. You can get your BMI here http://obesityhealth.com.mx/en/obesity/. In Mexico there are already serious surgeons and institutions that perform surgery. See Dr. Rey J. Romero interview video here. RISKS OF SURGERY All surgical procedures have a percentage of risks or complications, metabolic surgery is no exception. However, in certified surgeons, with experience and with the appropriate material, the possibility of complications is less than 2%. It is also necessary to mention that complications or risks, in the rare case that they occur, can be treated and corrected. The risk of presenting a complication related to diabetes, such as use of dialysis, blindness, amputations, heart attacks, among others, is much greater than the risk of metabolic surgery. WHAT OTHER DISEASES CAN BE TREATED WITH METABOLIC SURGERY? The number of diseases that achieve remission or improvement after surgery is very high. Just to name a few, systemic high blood pressure, obesity, obstructive sleep apnea (snoring), osteodegenerative disease (chronic knee pain), hepatic steatosis (fatty liver), dyslipidemia (high cholesterol and lipids), gout (high uric acid), polycystic ovary syndrome, menstrual irregularities, gastroesophageal reflux, irritable bowel syndrome, metabolic syndrome, depression, anxiety. It is also capable of preventing the appearance of diseases such as heart attacks, diabetic foot, kidney failure and some types of cancer such as breast, cervical, colon, among others.