Posts categorized "Gastric Bypass" Feed

All Of Me - PBS Independent Lens

http://www.pbs.org/independentlens/all-of-me/


Diabetes Remission Post Bariatric Surgery - or - Diabetes Comes Back For Some After WLS.

Diabetes Remission Post Bariatric Surgery

Medscape -  

Researchers in Pennsylvania have developed a tool comprising 4 preoperative clinical variables that surgeons and patients can use to predict the likelihood of type 2 diabetes remission after Roux-en-Y gastric bypass surgery.

Christopher D. Still, DO, director of Geisinger Obesity Institute, Danville, Pennsylvania, and colleagues developed their algorithm, known as the DiaRem score, on the basis of a retrospective cohort study of 690 patients who underwent gastric bypass surgery. They verified the results in 2 additional cohorts; their findings were published online September 13 in the Lancet Diabetes and Endocrinology.

DiaRem scores range from 0 to 22, with low scores consistently predicting higher remission rates and high scores predicting lower remission rates.

"Bariatric surgery is a very effective tool not so much for weight loss but curing or resolving comorbid medical problems," Dr. Still told Medscape Medical News in a telephone interview. "The surgery is the best we have for long-term success, but it's not without potential risks and costs."

Continue reading "Diabetes Remission Post Bariatric Surgery - or - Diabetes Comes Back For Some After WLS. " »


Save. The. Date.

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Via OAC -
"The OAC thanks all those who attended and participated in YWM2013, making it an incredibly successful and motivating event. We extend our gratitude to this year's sponsors, exhibitors, speakers and all those who helped make the Convention possible. We are proud to announce the 2014 date and location and hope that you will mark your calendars to join us for YWM2014!"
  • September 25 - 28, 2014 - Orlando, Florida
Watch for my next posts for photos, recaps, and more.  Because.
“Never doubt that a small group of thoughtful, committed, citizens can change the world. Indeed, it is the only thing that ever has."  - Margaret Mead


Katie Jay Keynote Speaking at Southcoast Center for Weight Loss - Video

Katie Jay of www.nawls.com was the keynote speaker at an event at Southcoast Center for Weight Loss in Wareham, MA yesterday.

She is amazing.  

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Thank you, Katie.  

Here we are -

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150 patients returned to the Southcoast Center for Weight Loss Saturday for a reunion as the group marked its own milestone: 3,500 patients since Dr. Rayford Kruger launched the unit nine years ago.It is now the largest and busiest bariatric surgery program in New England, with three surgeons who perform about 650 procedures at Wareham's Tobey Hospital a year.

 


Regain After Weight Loss Surgery.

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Left -  Fitbloggin' 2012  Right - This Week - Lost the regain  - Also, 3 pounds to my lowest weight.

Several years ago, a woman messaged on a weight loss surgery forum and told me that my weight chart resembled a roller-coaster and that she wanted to "help me get control."  After a quick Google search -- I noted she was seeking a new client for her weight loss surgery coaching business and dumped her "friendship."
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Friends do not pay friends to help them lose weight, maintain weight loss or to help them lose regained weight after weight loss surgery.  If you are paying someone for your friendship, it might be time to redefine that friendship -- just saying.  I suppose this changes if your friend happens to be a weight loss professional?  But how often does that happen -- and how many weight loss professionals would potentially destroy a friendship with aligning with your weight loss journey?
Um.  No.  A professional would NOT.
  • Weight loss is personal.
  • It is something you choose for yourself when you are ready.
  • Weight loss is not something you can be talked into - nor shamed into.  

Regain after weight loss surgery is also a very touchy subject.  Countless bariatric patients go through it -- and less want to talk about it.  But it seems like everyone wants to sell "us" something to fix it.  

Let me repeat -

  • Weight loss is personal.
  • It is something you choose for yourself when you are ready.
  • Weight loss is not something you can be talked into - nor shamed into.  

Yet it seems like the larger community wants "us"  (the regainers) to feel shamed for regaining and wants to sell us another quick-fix.

Let us discuss:  Regain is common.  How much?  Some is very typical.  Sometimes even a lot of regain is normal.  You do not have to be sold into another diet, quick-fix, or scam.  You need to remind yourself why you had weight loss surgery to begin with --

...for your HEALTH.  

Some good links on regain -

 

 

 

 



Recommended Carbohydrate Levels After Gastric Bypass

Via Bariatric Times -

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After you read this study, let's discuss:  

  • Did your nutritionist give YOU guidance in regards to carbohydrate intake after your roux en y gastric bypass surgery?
  • Background: Exact carbohydrate levels needed for the bariatric patient population have not yet been defined. The aim of this study was to correlate carbohydrate intake to percent excess weight loss for the bariatric patient population based on a cross-sectional study. The author also aimed to review the related literature.
  • Materials and Methods: A cross-sectional study was conducted, along with a review of the literature, about patients who underwent Roux-en-Y gastric bypass at least 1 year previously. Patients had their percentage of excess weight loss calculated and energy intake was examined based on data collected with a four-day food recall. Patients were divided into two groups: 1) patients who consumed 130g/day or more of carbohydrates and 2) patients who consumed less than 130g/day of carbohydrates. 
  • Limitations: The literature review was limited to papers published since 1993. 
  • Results: Patients who consumed 130g/day or more of carbohydrates presented a lower percent excess weight loss than the other group (p= 0.038). In the review of the literature, the author found that six months after surgery patients can ingest about 850kcal/day of carbohydrates, 30 percent being ingested as lipids. A protein diet with at least 60g/day is needed. On this basis, patients should consume about 90g/day of carbohydrates. After the first postoperative year, energy intake is about 1,300kcal/day and protein consumption should be increased. We can, therefore, establish nearly 130g/day of carbohydrates (40% of their energy intake) 
  • Conclusions: Based on these studies, the author recommends that 90g/day is adequate for patients who are six months post Roux-en-Y gastric bypass and less than 130g/day is adequate for patients who are one year or more post surgery. 
  • The author concludes that maintaining carbohydrate consumption to moderate quantities and adequate protein intake seems to be fundamental to ensure the benefits from bariatric surgery.

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http://bariatrictimes.com/recommended-levels-of-carbohydrate-after-bariatric-surgery/