Bariatric surgery is very common procedure these days and is consider very safe when performed by an experienced surgeon with a good follow-up program. Long term studies have shown it to be safer than most orthopedic and heart surgeries and as safe as having your gallbladder removed. Losing weight with bariatric surgery will universally improve your diabetes. In patients who have developed diabetes as they have gained weight, they can often times see their diabetes resolve. Family history will also play a significant role, but you should see your diabetes improve. Weight loss typically will occur over a short period of time (1-2 years), which is rapid compared to the amount of time that it takes most patients to gain their weight. It should not put your body into shock, but there are guidelines that the patient must follow and supplementation that is necessary in order to help one lose weight in a healthy fashion. One important concept to understand about bariatric surgery is that it is not a cure for obesity but rather a tool to help one lose weight. Unfortunately there are no guarantees to weight loss as surgery does not make you or force you to lose weight, it simply helps patients lose their excess weight. This is similar to a shovel helping a person dig hole but not digging the hole for you. It is necessary for patients to make lifestyle changes and to make some change in their eating habits. Your best next step is to set up a consultation with a bariatric surgeon to discuss your specific medical issues and to discuss potential surgical and nonsurgical options. Take time to research bariatric surgeons in your area and to find a quality practice that can help you.

Regards,
Dr. St. Laurent