Diabetes Metabolic & Bariatric Surgery

Diabetes mellitus is a group of metabolic diseases characterized by hyperglycemia (high sugar) resulting from defects in insulin secretion, insulin action, or both.

There are largely 2 types of Diabetes:

Type 1 diabetes is a chronic illness characterized by the body’s inability to produce insulin due to the autoimmune destruction of the beta cells in the pancreas. Although onset frequently occurs in childhood, the disease can also develop in adults.

Type 2 diabetes mellitus consists of an array of dysfunctions characterized by hyperglycemia and resulting from the combination of resistance to insulin action, inadequate insulin secretion, and excessive or inappropriate glucagon secretion.

The chronic hyperglycemia of diabetes is associated with long-term damage, dysfunction, and failure of various organs, especially the eyes, kidneys, nerves, heart, and blood vessels.

Therapeutic options

Interventions designed to impact an individual’s physical activity levels and food intake are critical parts of type 2 diabetes management. All patients should receive standardized general diabetes education (individual or group, preferably using an approved curriculum), with a specific focus on dietary interventions and the importance of increasing physical activity. While encouraging therapeutic lifestyle change is important at diagnosis, periodic counselling should also be integrated into the treatment programme.

Weight reduction, achieved through dietary means alone or with adjunctive medical or surgical intervention, improves glycaemia control and other cardiovascular risk factors. Modest weight loss (5–10%) contributes meaningfully to achieving improved glucose control. Accordingly, establishing a goal of weight reduction, or at least weight maintenance, is recommended.

Dietary advice must be personalized. Patients should be encouraged to eat healthy foods that are consistent with the prevailing population-wide dietary recommendations and with an individual’s preferences and culture. Foods high in fibre (such as vegetables, fruits, wholegrains and legumes), low-fat dairy products and fresh fish should be emphasized. High-energy foods, including those rich in saturated fats, and sweet desserts and snacks should be eaten less frequently and in lower amounts.

Key Points in Medical Management

  • Glycaemia targets and glucose- lowering therapies must be individualized.
  • Diet, exercise and education remain the foundation of any type 2 Diabetes programme.
  • Unless there are prevalent contraindications, metformin is the optimal first-line drug.
  • After metformin, there are limited data to guide us. Combination therapy with an additional 1-2 oral or injectable agents is reasonable, aiming to minimise side effects where possible.
  • Ultimately, many patients will require insulin therapy alone or in combination with other agents to maintain glucose control.
  • All treatment decisions, where possible, should be made in conjunction with the patient, focusing on his/her preferences, needs and values.
  • Comprehensive cardiovascular risk reduction must be a major focus of the therapy.

Metabolic and Bariatric Surgery and Type 2 Diabetes

Nearly all individuals who have bariatric surgery show improvement in their diabetic state. Bariatric surgeries performed in more than 135,000 patients were found to affect type 2 diabetes in the following ways:

    • Improves type 2 diabetes in nearly 90 % of patients by:
      • Lowering blood sugar
      • Reducing the dosage and type of medication required
      • Improving diabetes-related health problems
    • Surgery causes type 2 diabetes to go into remission in 78 % of individuals by:
      • reducing blood sugar levels to normal levels
      • eliminating the need for diabetes medications
  • Gastric Sleeve

  • Gastric Bypass

  • Inguinal Hernia Laproscopic surgery

  • Ventral hernia Laproscopic surgery

  • Lap Gall bladder stone surgery

  • Stapler Hamorroihds /piles surgery

Procedure India Malaysia Singapore Thailand USA
Lap Band 5,840 – 8,760 6,520 – 9,780 7,360 – 11,040 9,200 – 13,800 11,200 – 16,800
Gastric Sleeve 5,840 – 8,760 6,720 – 10,080 9,200 – 13,800 7,920 – 11,880 13,200 – 19,800
Gastic Bypass 5,600 – 8,400 7,920 – 11,880 10,960 – 16,440 13,440 – 20,160 20,000 – 30,000
* all the prices are in USD $

Connect with Doctors

Dr. Pradeep Chowbey (Padma Shri)

Chairman - MMBS & Allied Surgical Specialties

Specialty : Minimal Access / Laparoscopic Surgery, Bariatric/Weight Loss
Hospital : Max Super Specialty Hospital

Dr. Deep Goel

Senior Director

Specialty : Bariatric & Advance Laparoscopy Surgery
Qualifications : MBBS, DNB, FRCS (England) & FACS (USA)
Hospital : BLK Hospital

Dr. Sudhir Sharma

Bariatric Surgeon

Specialty : Bariatric Surgeon
Qualifications : MBBS, MS – General Surgery
Hospital : Fortis Hospital Noida
Experience : 27 Years

Dr. Randeep Wadhawan

Bariatric Surgeon, General Surgeon, Laparoscopic Surgeon

Specialty : Bariatric Surgeon, General Surgeon, Laparoscopic surgeon
Qualifications : MBBS, MS – General Surgery
Hospital : Manipal Hospital
Experience : 32 Years

Dr. Rajesh Khullar

Director - Max Institute of Minimal Access, Metabolic & Bariatric Surgery

Specialty : Minimal Access / Laparoscopic Surgery, Bariatric/Weight Loss Surgery, Metabolic And Bariatric
Hospital : Max Healthcare

Dr. Atul N.C. Peters

Director - Bariatric, Minimal Access & General Surgery

Specialty : Minimal Access / Laparoscopic Surgery, Bariatric/Weight Loss Surgery, General Surgery, Metabol
Hospital : Institute Of Bariatric & Metabolic Surgery

Dr. Paritosh S Gupta


Specialty : General, Min Access & Bariatric Surgery,
Hospital : Artemis Hospital
Experience : 21 Years

Dr. Manish Baijal

Director - Max Institute of Minimal Access, Metabolic & Bariatric Surgery

Specialty : Minimal Access / Laparoscopic Surgery, Bariatric/Weight Loss
Hospital : Max Super Specialty Hospital

Dr. P.K.Dewan

Director & Incharge - Department of MAMBS

Specialty : Minimal Access / Laparoscopic Surgery, Bariatric/Weight Loss Surgery, Metabolic And Bariatric
Hospital : Max Healthcare

Dr. Ajay Kumar Kriplani


Specialty : Laparoscopic Gastrointestinal And Bariatric Surgery
Hospital : Fortis Memorial Research Institute
Experience : 40 years

Dr. Pradeep Kumar Jain


Specialty : Laparoscopic , Gastro Intestinal, Bariatric & Metabolic Surgery, General & Laparoscopic Surgery
Hospital : Fortis Hospital, Shalimar Bagh
Experience : 30 Years

Dr. Adarsh Choudhary


Specialty : GI Surgery, GI Ocnology Loss Surgery, Bariatric Surgery
Hospital : Institute Of Digestive & Hepatobiliary Sciences, Medanta Hospital
Experience : 30 Years

Dr. Brahm Datt Patak


Specialty : GI, Minimal Invasis & Bariatric Surgery
Hospital : Fortis Escort Hospital
Experience : 26 years

Dr. Anshuman Kaushal

Sr. Consultant & Unit In Charge

Specialty : general & MI Surgery
Hospital : Artemis Hospital
Experience : 16+ years

Dr. Arun Parshad

Senior General - Institute Of Bariatric Surgeon

Specialty : GI & Bariatric Surgeon, Laparoscopy, VATS Throcoscopy, Endoscopic and Robotics Surgery
Hospital : Indraprastha Apollo Hospital, New Delhi
Experience : 35 Years
Book Appointment