DIABETES SURGERY IN SOUTH DELHI Dr. Ashish Vashistha INTRODUCTION Diabetes surgery, also known as metabolic or bariatric surgery, is an advanced medical procedure designed to help patients with type 2 diabetes achieve long-term blood sugar control and, in many cases, complete remission of the disease. It works by modifying the stomach and small intestine to alter hormonal responses that regulate blood sugar levels, hunger, and metabolism. This surgery is especially beneficial for obese and overweight individuals who struggle to manage diabetes through lifestyle changes and medication alone. SYMPTOMS INDICATING THE NEED FOR SURGERY Persistent high blood sugar levels despite medications Difficulty in controlling weight through diet and exercise Insulin resistance or need for multiple diabetes medications Frequent fatigue or low energy levels Complications of diabetes like high blood pressure, fatty liver, or kidney issues Sleep apnea or breathing difficulties related to obesity DIAGNOSIS BEFORE SURGERY Medical History & Physical Examination – Assess overall health and obesity-related complications. Blood Tests – Check fasting glucose, HbA1c, kidney and liver function, lipid profile. Imaging Tests – Ultrasound, CT scan, or endoscopy to evaluate abdominal organs. Cardiac Assessment – ECG, echocardiography if the patient has heart risks. Nutritional & Psychological Evaluation – Ensures readiness for lifestyle changes post-surgery. THANK YOU