It didn’t take long. Not so long ago gastric bypass surgery was promoted as a “cure” for type 2 diabetes. Slowly but surely, the truth is coming out.

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MY reply:

I take a much different position when it comes to gastric bypass surgery and long-term benefits for those with type 2 diabetes. I’d like to start by saying that those who have ridden the metabolic syndrome train from overweight with elevated blood pressure, cholesterol, midline fat deposits, and blood glucose progressing to pre diabetes and finally progressing to type 2 diabetes have a common denominator: this train ride is fueled by insulin imbalance.

Insulin is a fat gain hormone…excesses will cause increased fat stores on the body and in the blood (cholesterol/triglycerides). Over time, fat cells expand in size from excess insulin release and insulin resistance occurs. At this time, plenty of insulin is being released, but has lost its effectiveness. At the very same time, a person with pre diabetes has excess insulin AND excess blood sugar.

As time passes, the pancreas gradually fatigues and cannot keep up with increased insulin needs. This is the onset of type 2 diabetes. But…along this entire trainride…during which time the person with insulin imbalance (I call this uncontrolled Metabolism B) is getting “fatter”. It is not a matter of excess calories and inadequate activity alone that got him here…the underlying weight gain’s precursor was and is insulin imbalance.

Fast forward to the day the person has gained over 150 excess pounds, can’t succeed on a 1200 calorie low fat diet (remember, his main issue is not calories!) and opts for gastric bypass.

For 1 1/2 to 2 years after the surgery, he will lose weight. This is because his stomach (which once held 8 cups) holds 2 ounces after surgery. (At the end of 2 years, it holds only 1 cup.). As if that were not enough, his GI tract has been cut in two, and reconnected, but leaves the area of the small intestine that absorbs vital nutrients rendered null and void. During these 2 years, he may lose 125#….but……

BUT……when the stomach pouch stretches to hold about 1 cup, his carb intake can be substantial enough to trigger that darn insulin release and he will stop losing weight. Not only stop…he will then begin to regain weight!!!!! Why? Not because he’s doing anything wrong…but because gastric bypass does not bypass the pancreas!

The answer…If weight is causing immediate health danger and there is no time to wait until an effective weight loss program takes effect, the person may consider bypass. When 1.5 years pass, he/she will need to follow a diet protocol that targets insulin release. (The Metabolism Miracle or Diabetes Miracle).

If weight is not causing an immediate life threatening situation…he/she should consider not rerouting their GI tract, slicing their stomach in half and stapling it together, and malabsorbing nutrients forever….when in the end they will need to “diet” anyway….but to follow the diet protocol in The Metabolism Miracle or Diabetes Miracle and lose weight permanently…without surgery.


About Diane Kress

Author of The New York Times Bestseller; The Metabolism Miracle, The Metabolism Miracle Cookbook, and The Diabetes Miracle. and The Metabolism Miracle, Revised Edition. Owner, developer, and administrator of The Metabolism Miracle's support site: Registered Dietitian, Certified Diabetes Educator, Email:
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5 Responses to It didn’t take long. Not so long ago gastric bypass surgery was promoted as a “cure” for type 2 diabetes. Slowly but surely, the truth is coming out.

  1. PaleoWorks says:

    A ridiculous prospect, a ridiculous option, this it just what they want, How many companies are profiting of obesity misery and pain is quite frankly just disgraceful.

  2. Dana says:

    I will go one step farther and say there’s no reason at all to get bypass. The greatest dangers associated with obesity have to do with metabolic imbalance, high blood pressure, etc., all of which correct themselves when the diet is corrected, even before weight loss gets well underway. I hear this again and again from people who go on low-carb. I have experienced it myself. I’m still just over 200 pounds (don’t ask, I’m my own worst enemy sometimes), and have had occasion to get my blood pressure checked recently and it was completely normal. Last time I had labs where I saw the results (a little over a year ago), those were good too. Room for improvement, but not a disaster in the making.

    I don’t care if someone’s 500 pounds–if they eat better, most of the crisis will pass even before the weight starts dropping.

    I’ve had to watch a friend get surgery after surgery, post-bypass, because she kept getting strictures and then developed an ulcer. She’s lucky to be alive, and has had the bypass reversed now. What really infuriates me is they had just diagnosed her with thyroid problems before doing the surgery–and if they’d just addressed those, she might have been OK. She’s had weight problems since she was a kid. No one ever wanted to look at endocrine issues. They just assumed she was a lazy pig. There is a special place in hell for some people, I tell ya.

  3. Rick says:

    Bariatric surgery is a much more complex procedure and process. Those of us, who qualify for the surgery, are well educated and prepared for each step of the process. We are not feckless victims, who are not aware of their responsibilities, but strong and well trained managers of our nutrition, activity, and future health with the support of ohysicians RDs, and counselors, to name a few.

    • Diane Kress says:

      I disagree, Rick. I bet you didn’t know that over 60% of people who have gastric bypass surgery WILL regain the weight and end up on all the medications they were on prior to the surgery. Did your physician, surgeon, RD, or counselor tell you that?

      • rickydee1955 says:

        “I would love to get the word out to these patients that if they have metabolism B, gastric bypass surgery will help them lose a large amount of weight in a short period of time and get off many medications. They will look and feel great. But one year after the surgery, they will need to begin following The Metabolism Miracle program and make this their lifestyle. In this way, they will get where they need to be…and stay there.” Diane Kress

        I agree with this statement, which is why I am using MM/DM to get on a healthy balanced maintenance meal plan. I think many would be interested in this info after weight loss ends, and normal regain, 10-15 lbs begins.

        Normal regain should not be considered aberrant or a failure, unless it continues, and the successful weight loser is unable to maintain the weight lost. Many have no problem, but some do. I think for this reason, you might want to discontinue attacking WLS, and work more with helping post-surgery folks who have successfully lost the weight, and establish a healthy maintenance. It is a real need…

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