Diabetic surgery turkey

About Diabetic Surgery in Turkey

Turkey shows that diabetic surgery is a very effective treatment option for some people with type 2 diabetes and can be cost-effective for foreign patients. Weight loss surgery, also called bariatric surgery, can be a very influential way of losing weight and putting type 2 diabetes into remission. This procedure involves bypassing or reducing the size of your stomach. In this way, you feel fuller sooner and eat less. Research has shown people’s blood sugar levels decrease to below the diabetes range soon after surgery, even when they have not lost weight. Because of this, most people who have weight loss surgery have their diabetes medications stopped soon afterward.

People all need insulin to live. Insulin does an essential job in the human body. It provides the glucose in our blood to enter our cells and fuel our bodies. When you have type 2 diabetes, your body still separates down carbohydrates from your food and drink and turns them into glucose. The pancreas then answers to this by releasing insulin. However, because this insulin rate cannot work properly, your blood sugar levels keep rising. This means more insulin is released into the bloodstream. For some patients with diabetes, this can eventually tire the pancreas out, meaning their body makes less and less insulin. This can cause even higher blood sugar levels and mean you are at risk of hyperglycemia.

At Healthy Türkiye clinics, our treatment of diabetes extends to surgical methods. Diabetic procedures are especially helpful for those who are unable to keep their blood sugar under control despite medication, dietary changes and lifestyle modifications. Unlike bariatric surgery, metabolic procedure focuses on controlling metabolic illnesses, not just excess weight. Metabolic operations include surgery for diabetes and surgery for obesity and metabolic syndrome. It might also involve surgery for weight reduction when it presents a significant burden on a patient’s quality of life.

Healthy Türkiye is a leader in the field, pioneering the treatments that have helped patients lose weight and control their diabetes safely and effectively. While in Turkey’s health care, you will have the support of Healthy Türkiye’s compassionate healthcare staff, who are ready to answer any of your questions.

Diabetic surgery turkiye

Concerning Diabetic Surgery in Turkey

Diabetic surgery is the obesity surgery or weight loss surgery that is performed on obese patients who have type II diabetes in Turkey. Type II diabetes is a chronic metabolic disorder that occurs when the body does not produce enough insulin and cannot effectively use the insulin it produces. This condition is defined as “insulin resistance.” Diabetic issues left untreated, insulin resistance leads to raised blood glucose, or sugar, levels, which can adversely affect various organs and tissues, including the heart, kidneys, and eyes.

Diabetic issues are a progressive disease, characterized by the continuing deterioration of insulin production over time. Diabetic diseases lead to an increasing need for medication, while persistent or worsening glycemic control may increase the risk of developing diabetes complications, such as heart attacks, stroke, kidney failure, eye disease, and blindness. Type II diabetes is also associated with various cardio-metabolic disorders such as obesity, high blood pressure, and increased blood cholesterol and triglycerides (dyslipidemia).

Nearly all people who have surgery to treat diabetes, also called metabolic/bariatric surgery show improvement in their diabetes, sometimes as quickly as a few days after surgery. Patients experience lower blood sugar levels, and need less diabetes medications. They see an improvement in diabetes-related health problems. Generally, 78 percent of patients experience remission thus eliminating the need for diabetes medications after diabetic surgery.

Diabetic surgery performed today in Turkey has been highly refined over the course of the past 70 years and is among the best-studied therapies in modern medicine. These diabetic operations result in less food intake and decreased calories absorbed. Most significantly, however, diabetic surgery results in changes to the metabolism that affect intestinal hormones that regulate blood sugar control, often before the patient lose any weight.

In addition, diabetic procedures reduce hunger, increase the sense of fullness after meals, and assist the body’s ability to achieve a healthy weight. Diabetic surgery has been proven to be the most effective treatment for diabetes. Also, it greatly improves obesity and other associated conditions. The consultations that you will perform with Healthy Türkiye consultants ensure that the most appropriate diabetic surgery is applied for you.

Turkey diabetic surgery

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Diabetic Surgery Procedure in Turkey

Diabetic surgery or metabolic surgery has been performed in Turkey for many years. The surgery contains re-alignment of the stomach and intestines in such a manner that the size of the stomach reduces. Therefore, it causes less hunger and earlier satiety. Diabetic procedures are being performed laparoscopically (key-hole surgery). After the operation, the patients can have the benefits of faster recovery, small scars, less pain, and early return to routine activities.

The treatment of diabetes contains lifestyle changes, diet control, and certain drugs and insulin therapy. Despite the best treatments, people do not achieve good glycemic control which results in ongoing and slow damage to blood vessels, kidneys, heart, brain, and eyes. These days diabetic surgery for diabetes has emerged as a proven tool for the resolution or control of type 2 diabetes. As many as 80% of people suffering from type 2 diabetes have experienced complete resolution of disease after undergoing diabetic surgery. The remaining 20% have experienced an advantage in terms of reduction of the amount, quantity, and frequency of drugs. There has been a reduction in the need for insulin injections as well in patients.

Diabetic surgery is done laparoscopically in Turkey. There are no drains and bandages in most of the procedures. A patient is fit to go back home a day or two post-surgery. There are some special procedures for people suffering from diabetes that are independent of BMI. Ileal interposition and duodenojejunal bypass are two such surgeries designed for diabetic operations. These surgeries can achieve good control of diabetes in more than 80% of patients. The Healthy Türkiye team will determine the most accurate diabetes treatment suitable for you after performing your health analysis.

Symptoms of Diabetes

Diabetes symptoms depend on how high a person’s blood sugar is. Symptoms of type 1 diabetes can begin quickly, in a matter of weeks. Symptoms of type 2 diabetes often develop slowly, over the course of long years, and can be so mild that you might not even notice them. Many patients with type 2 diabetes have no symptoms. Some patients do not find out they have the disease until they have diabetes-related health problems, such as blurred vision or heart trouble.

Some of the symptoms of diabetes are:

Feeling constantly thirsty

Urinating frequently

Cause less weight loss

See ketones in the urine. Ketones means a byproduct of the breakdown of muscle and fat that happens when there is not enough available insulin.

Feeling tired and powerless

Changeable moods

Experiencing blurring in vision

Late healing wounds

Having a lot of infections, such as gum, skin and vaginal infections

Diabetes problems can start at any age. However, diabetes often starts during childhood or teen years. Many patients turn to diabetic surgery when medication, a healthier diet, and lifestyle changes fail to keep their diabetes under control. At Healthy Türkiye, individuals interested in diabetic surgery meet directly with surgeons to discuss their health goals and to learn more about available procedures.

Aim of the Diabetic Surgery in Turkey

The aim of diabetic surgery in Turkey is to eliminate insulin resistance in the body. With diabetic surgery, the amount of hormones is increased. In the case of type I diabetes, the treatment is insulin. In the case of type II diabetes is a change in lifestyle, diet, medication and if organ damage starts, it is necessary to do diabetic surgery.

Diabetic surgery is applied for those with type II diabetes, obesity, and those who have high blood sugar levels, whose blood glucose levels are not achieved despite the medication and insulin used. Diabetic surgery is performed as a closed surgical method. In a diabetic procedure, 50% of the stomach is removed and the place of the small intestine changes. With this change, the insulin secretion warning comes from the pancreas, and the efficiency rises. Thus, type II diabetes completely disappears in the body. Patients also get rid of obesity after this surgery. The advantage of diabetic surgery is that it is not as painful as open surgeries. Diabetic surgery does not cause problems in a lung and returning to normal life is short and without scars.

Diabetic operation is a procedure in the case of diabetes, which is known as type II diabetes and is caused by eating habits and impaired quality of life. The purpose of this operation is to increase insulin resistance. With the surgical technique, the amount of food intake is reduced and the hormones become much more active, and both diabetes and obesity issues will be solved. During diabetic surgery, the stomach is reduced, and because of that, the patient starts losing weight faster after the procedure. For diabetic surgeries, it is necessary to have insulin in the body otherwise. It will not work. The Healthy Türkiye team will examine your diabetes problems and apply the best quality and successful diabetes treatment to you.

Types of Diabetic Surgery in Turkey

With good and quality diabetic surgery in Turkey, patients’ diabetes problems can be treated. Diabetic problems affect all organs in the body like the eye, brain, heart, kidney, and limbs. Chronic renal issues and increased myocardial infarctions are also associated with diabetes, contributing to early death. Such problems can be stopped before they progress too far with diabetic surgery. There are various surgical techniques to treat diabetes problems. During the consultation with your doctor, the most appropriate diabetic surgical method is decided.

Pancreas Transplant in Diabetic Surgery: Pancreas transplant is a surgical technique to place a healthy pancreas from a donor into a person whose pancreas no longer functions properly. Type I diabetes results when the pancreas cannot make enough insulin, causing the blood sugar to rise to dangerous levels. When the pancreas transplant takes place, the patient no longer has diabetes and is unlikely to get it again. Insulin procedures and frequent blood glucose testing are no longer necessary. The operation for a pancreas transplant takes about 3 hours. However, the operation is usually done at the same time as a kidney transplant in diabetic people with kidney disease. This combined procedure takes about 6 hours.

Ileal Interposition in Diabetic Surgery: Ileal interposition is a surgical method where a section of one the three parts of the small intestine the ileum is snipped and placed closer to the stomach. The ileum produces the hormone GLP-1, which helps in insulin secretion in the body. This explains food from the stomach takes just 10 minutes to reach the ileum instead of an hour earlier. This procedure reduces the dependence on insulin injections. This simple procedure of transposition has been proven influential as a type 2 diabetes treatment strategy. Long-term clinical research and data have suggested that the procedure has been effective in the control of blood sugar even after 14 years. The success rate ranges between 80% – 100% depending upon the post-surgical care and levels of activity maintained by the people.

Duodenal Switch in Diabetic Surgery: The Duodenal Switch is a malabsorptive operation performed far less frequently than the gastric bypass, sleeve gastrectomy, or the adjustable gastric band due to the complexity of the procedure and the significant risk of complications. Researchers find, however, that the procedure is most effective in inducing early and sustained remission or improvement of type II of diabetes (more than 85 percent remission rates with weight-loss independent effects).

Roux-En-Y Gastric Bypass in Diabetic Surgery: The gastric bypass procedure has been performed for over 50 years. Gastric bypass operation alters the gastrointestinal (GI) tract allowing food to avoid (bypass) most of the stomach and the upper portion of the small intestine. The operation consequences in important weight loss, remission of type 2 diabetes in nearly 80 percent of patients, and improvement of diabetes in an additional 15 percent. Improvement of diabetes after gastric bypass operation occurs within days to weeks after surgery, even before much weight is lost. Most significantly, these surgery consequences in changes to the metabolism and hormones produced in the intestines that affect the body’s ability to achieve and maintain a healthy weight.

Healthy Türkiye clinics is one of the few hospitals in all of Turkey to be fully accredited by Joint Commission International. Healthy Türkiye team of bariatric surgeons is world-renowned, and they deliver the most advanced treatments available worldwide.

Turkiye diabetic surgery procedure

How Is Diabetic Surgery Performed in Turkey?

Diabetic surgeries in Turkey vary according to the method of the procedure, the patient’s health, and problems. Before the procedure, you work with the health care provider to come up with the safest surgery plan. Doctors will do a medical exam and talk to you about your health history. In this pre-operation process, you inform the health provider about all the medicines you are taking. If you take metformin, talk to doctors about stopping it. Sometimes, it should be stopped 48 hours before and 48 hours after diabetic surgery to decrease the risk of a problem called lactic acidosis. Moreover, if you take other types of diabetes drugs, follow the doctors’ instructions if you need to stop the medicines before surgery. Medicines defined as SGLT2 inhibitors (gliflozins) can increase the risk of blood sugar problems related to diabetic surgery.

If you take insulin, ask the doctors what dose you should take the night before or the day of diabetic surgery. Make sure the doctors know whether you have type 1 or type 2 diabetes, as the recommendations to adjust insulin are different. Your doctors might have you meet with a dietitian, or give you a specific meal and activity plan to try to make sure your blood sugar is well-controlled for the week prior to diabetic surgery. Some doctors will cancel or delay surgery if your blood sugar is high when you arrive at the hospital for diabetic surgery.

Diabetes surgery is usually performed under a series of surgical sequences called metabolic surgery methods in Turkey. Providing hormonal changes to eliminate diabetes is the main purpose of this procedure. Diabetic surgery concentrates on the stomach in the first stage. There is a flexible structure in the stomach that produces hunger hormones and makes them feel hungry. When the aforementioned part is taken by surgical intervention, your desire to eat will decrease importantly and the problem of obesity will end, and your diabetes will decrease.

Diabetes surgery is usually performed under a series of surgical sequences called metabolic surgery methods in Turkey. Providing hormonal changes to eliminate diabetes is the main purpose of this procedure. Diabetic surgery concentrates on the stomach in the first stage. There is a flexible structure in the stomach that produces hunger hormones and makes them feel hungry. When the aforementioned part is taken by surgical intervention, your desire to eat will decrease importantly and the problem of obesity will end, and your diabetes will decrease.

After the stomach operation is completed, the stomach is descended; the part between the gastric outlet and the small intestine is cut 250 cm. The same method is repeated with the last part of the small intestine. The region located in the last part of the intestine is responsible for the secretion of a special hormone; its direct contact with pure food is required to increase this hormone. This is the main purpose of diabetic surgery.

After the diabetic surgery is completed, the rate of insulin secretion increases significantly. Diabetes ends up as more hormones secreted from the relevant part of the small intestine remove the pressure on the pancreas.

After Diabetic Surgery in Turkey

Based on the type of diabetic surgery, the individual might not be able to eat or drink for a period. Adjustment to the dose and frequency of diabetes medication might be needed. After the diabetic procedure, your blood sugar will be checked five times daily. You will be given a diabetic diet while in the hospital to help control the blood sugars. You might be given insulin if the blood sugar is greater than 180 mg/dl.

Doctors do best to keep your blood sugar 80-130 in order to decrease your risk of postoperative infection and promote healing. Check your blood sugar 2-4 times per day for 4 weeks after diabetic surgery. If your blood sugar is greater than 200 mg/dl you should notify the doctor. You might need your medication adjusted after the procedure. Patients should make sure to consume hydrated water, sugar-free drinks, popsicles, and gelatin. People should never use their insulin or oral medication unless approved by a doctor.

Diabetic surgery clinics in Turkey are ready to help those patients who have not been able to control sugar for more years, as well as those who have a long diabetic past. In addition, people certainly need to think about surgery when diabetes has already begun to give complications to the internal organs. Healthy Türkiye will provide detailed information on nutrition and daily activities after discharge verbally and in writing.

Benefits of Diabetic Surgery

With diabetic surgery, losing weight will help improve your diabetic control. Furthermore, weight loss surgery can effectively cure type II diabetes in over 80% of cases. This is defined best by looking at the gastric bypass and sleeve gastrectomy operations. Aside from their weight loss effects, these procedures have an effect on the body’s hormonal mechanisms. This treatment can consequence in the complete resolution of type II diabetes.

For many years, we have known that following these two procedures, the levels of several diabetic hormones in the blood change immediately after surgery (before weight loss even occurs). Diabetic operations serve to correct your blood sugar control almost straight away. This effect can be so strong at times, that people coming into the hospital on insulin injections and other medications for diabetes are quite likely to leave the hospital after surgery without needing these treatments. After the diabetic surgery, they might not need them ever again. The benefits of diabetic surgery involve:

Healthy eating habits

Elimination of diabetes

Balance in blood sugar levels

Decrease in the risk of heart diseases

Reduction in the risk of chronic diseases

Abolish diabetes complications

In Turkey, with expert hands, diabetic surgery is a safe and predictable procedure offering significant medical and functional benefits. Like with all surgery, there are some risks with the diabetic procedure. Infection, fluid, electrolyte, and kidney problems are among the possible risks. These possible risks will be discussed with you in detail before the diabetic procedure at Healthy Türkiye consultation.

Good Candidate for Diabetic Surgery in Turkey

Diabetic procedures are helpful in patients with type II diabetes, in whom the pancreas is capable of producing a good level of insulin. These are having much better consequences in those with more than ideal weight and in those with diabetes of shorter duration than in those who have already damaged their end organs like kidneys, eyes, hearts, etc. So, it is better to undergo this procedure before the pancreas fails and before end-organ damage starts. It is highly appreciable for a diabetic patient to know that treatment is possible. In type I diabetes (where the pancreas is not functioning at all or has antibodies against insulin) diabetic surgeries may be not helpful.

85% to 90% of patients treated by diabetic surgeries are treated for diabetes. Other techniques 10 to 15% also could reduce their medications significantly. In addition to diabetic control, the other advantages are loss of excess weight and control of cholesterol, sleep apnea, joint pains, cardiac disease, hypertension, kidney disorders, eye problems etc. Diabetic procedure definitely improves the quality of life and reduces cancer risk, infertility & mortality (early death). Candidate criteria include:

BMI > 40 by itself or >35 if there is an associated obesity issues, such as diabetes or sleep apnea

Age 18-70

No drug or alcohol dependency problems

A capacity to understand the risks and commitment associated with the procedure

Pregnancy is not anticipated in the first year following diabetic surgery

There is considerable flexibility in these criteria. Patients as young as 12 have been offered diabetic surgery. Sometimes a lower BMI between 30-35 is accepted if people have difficulty controlling diabetes.

Turkiye diabetic surgery

2024 Cost of Diabetic Surgery in Turkey

All types of medical attention like diabetic surgery are very affordable in Turkey. Many factors are also included in determining the cost of diabetic surgery in Turkey. Your process with Healthy Türkiye will last from the time you decide to have a diabetic surgery in Turkey until the time you are fully recovered even if you are back home. The exact diabetic surgery procedure cost in Turkey depends on the type of operation involved.

The cost of diabetic surgery in Turkey does not demonstrate many variations in 2024. Compared to costs in developed countries like the United States or the UK, diabetic surgery costs in Turkey are relatively low. So, it’s no wonder patients from across the world visit Turkey for diabetic surgery procedures. However, the price is not the only factor affecting choices, we suggest looking for hospitals that are safe and have diabetic surgery reviews on Google. When people decide to seek medical help for diabetic surgery, they will not only have had low-cost procedures in Turkey, but also the safest and best treatment.

At clinics or hospitals contracted with Healthy Türkiye, patients will receive the best diabetic surgery from specialist doctors in Turkey at affordable rates. Healthy Türkiye teams provide medical attention diabetic surgery procedures and high-quality treatment to patients at a minimum cost. When you contact Healthy Türkiye assistants, you can get free information about the cost of diabetic surgery in Turkey and what this cost covers.

Price of the Diabetic Surgery in the UK

The cost of diabetic surgery in the UK is in the range of £50.000-£60.000.

Price of Diabetic Surgery in the USA

The cost of diabetic surgery in the USA is in the range of $45.000-$50.000.

Price of Diabetic Surgery in Turkey

The cost of diabetic surgery in Turkey is in the range of 20.000 / 25.000 $.

The prices may vary based on specific procedure requirements. Contact us for exact price information.

Why Is Diabetic Surgery Cheaper in Turkey?

One of the main considerations before traveling abroad for diabetic surgery is the cost-effectiveness of the whole process. Many patients think that when they add flight tickets and hotel expenses to their diabetic surgery costs, it will become very expensive to travel, which is not true. Contrary to popular belief, round-trip flight tickets to Turkey for diabetic surgery can be booked very affordably.

In this case, assuming you are staying in Turkey for your diabetic surgery, your total travel expense of flight tickets and accommodation will only cost less than any other developed country, which is nothing compared to the amount that you are saving. The question “why is diabetic surgery cheaper in Turkey?” is so common between patients or people simply curious about getting their medical treatment in Turkey. When it comes to diabetic surgery prices in Turkey, there are 3 factors allowing cheaper prices:

The currency exchange is favorable for whoever looking for diabetic surgery has a euro, dollar, or pound;

The lower cost of living and cheaper overall medical expenses such as diabetic surgery;

For diabetic surgery, incentives are given by the Turkish Government to medical clinics working with international clients;

All these factors allow for cheaper diabetic surgery prices, but let’s be clear, these prices are cheaper for people with strong currencies (as we said, euro, dollar, Canadian dollar, pound, etc). Every year, thousands of patients from all over the world come to Turkey to get diabetic surgery. The success of the healthcare system has increased in recent years, especially for diabetic surgery. It’s easy to find well-educated and English-speaking medical professionals in Turkey for all kinds of medical treatment such as diabetic surgery.

Why Choose Turkey for Diabetic Surgery?

Turkey is a common choice among international patients seeking advanced diabetic surgery. Turkey’s health procedures are safe and effective operations with a high success rate like diabetic surgery. The increasing demand for high-quality diabetic surgery at affordable prices has made Turkey a popular medical travel destination. In Turkey, diabetic surgery is performed by highly experienced and trained doctors with the most advanced technology in the world. diabetic surgery is done in Istanbul, Ankara, Antalya, and other major cities. The reasons for choosing Hafize in Turkey are as follows:

High-quality hospitals: Joint Commission International (JCI) accredited hospitals have dedicated Hafize units that are specially designed for patients. International and national strict protocols provide effective and successful diabetic surgery treatment for patients in Turkey.

Qualified experts: The expert teams include nurses and specialist doctors, together to carry out diabetic surgery according to the patient’s needs. All the included doctors are highly experienced in performing diabetic surgery.

Affordable price: The cost of diabetic surgery in Turkey is affordable compared to Europe, the USA, the UK, Singapore, Australia, etc.

The high success rate: Highly experienced specialists, the best available technology, and stringently followed safety guidelines for post-operative care of the patient, resulting in a high success rate for diabetic surgery in Turkey.

Is Diabetic Surgery Safe in Turkey?

Did you know Turkey is one of the most visited destinations for diabetic surgery in the world? It is ranked one of the most visited tourist destinations for diabetic surgery. Over the years it has also come to be a very popular medical tourism destination too with many tourists coming in for diabetic surgery. There are so many reasons why Turkey stands out as a leading destination for diabetic surgery. Because Turkey is both safe and easy to travel to too with a regional airport hub and flight connections to pretty much everywhere, it is preferred for diabetic surgery.

The best hospitals in Turkey have experienced medical staff and specialists who have performed thousands of medical services such as diabetic surgery. All procedures and coordination related to diabetic surgery are controlled by the Ministry of Health in accordance with the law. Over many years, the greatest progress in medicine has been observed in the field of diabetic surgery. Turkey is known among foreign patients for its great opportunities in the area of diabetic surgery.

To emphasize, besides the price itself, the key factor in selecting a destination for diabetic surgery is certainly the standard of medical services, the hospital staff’s high expertise, hospitality, and the safety of the country.

All-inclusive Packages for Diabetic Surgery in Turkey

Healthy Türkiye offers all-inclusive packages for diabetic surgery in Turkey at much lower prices. Extremely professional and experienced doctors and technicians carry out high-quality diabetic surgery. The cost of diabetic surgery in European countries can be quite expensive, especially in the UK. Healthy Türkiye provides cheap all-inclusive packages for a long and short stay of diabetic surgery in Turkey. Because of many factors, we can provide you with many opportunities for your diabetic surgery in Turkey.

The price of diabetic surgery differs from other countries due to medical fees, staff labor prices, exchange rates, and market competition. You can save much more in diabetic surgery compared to other countries in Turkey. When you purchase diabetic surgery all-inclusive package with Healthy Türkiye our healthcare team will present hotels for you to choose from. In diabetic surgery travel, you will have the price of your stay included in the all-inclusive package cost.

In Turkey, when you purchase diabetic surgery all-inclusive packages through Healthy Türkiye, you will always receive VIP transfers. These are provided by Healthy Türkiye, which is contracted with highly qualified hospitals for diabetic surgery in Turkey. Healthy Türkiye teams will organize everything about diabetic surgery for you and have you picked up from the airport and safely brought to your accommodation. Once settled in the hotel, you will be transferred to and from the clinic or hospital for diabetic surgery. After your diabetic surgery has been successfully completed, the transfer team will return you to the airport in time for your flight home. In Turkey, all packages of diabetic surgery can be arranged upon request, which relaxes the minds of our patients. You can reach out Healthy Türkiye for everything you need to know about diabetic surgery in Turkey.

Frequently Asked Questions

You must bring oral glucose gel with you in case your blood glucose level is low on the day of diabetic surgery in Turkey. You can buy the gel in the diabetes supply section of the medicine store. You should ask the doctor how you should adjust your diabetes medications or insulin before surgery.

You might not have anything to eat after 11pm the night before diabetic surgery. You might drink clear fluids up to five or six hours before your scheduled check-in time. For instance, if your scheduled check-in time is 11am do not drink anything after 5am.

As described, surgical stress as well as anesthesia promotes hyperglycemia in the diabetic person. Although there currently exists no consensus target range, doctors usually suggest keeping glucose levels between 150 and 200 mg/dL (8 to 11 mmol/L) during surgery.

Metformin has been stopped before surgery due to fear of hypoglycemia and metformin-induced lactic acidosis. However, recent research has suggested that perioperative continuation of metformin might be safe and patients could benefit from more stable preoperative blood sugar levels.

Eating appropriate foods after diabetic surgery (whole grains, fruits, vegetables, and lean protein). Frequently checking your glucose levels after the procedure. You should take your insulin or other diabetes medications as prescribed.

Acute hypertension is common after diabetic surgery and might be associated with an increased risk of serious cardiac and neurologic complications. Hypertensive urgencies, and emergencies, occur in approximately 50% of patients during and immediately after diabetic surgery.

In Turkey, during diabetic surgery, if surgery is minor, no specific therapy is required. If diabetic surgery is major or if diabetes is poorly controlled (blood glucose >200 mg/dl), an intravenous infusion of insulin and dextrose should be considered (see below), and hourly intraoperative glucose monitoring is recommended.

Diabetic surgery and anesthesia cause the release of stress hormones. These hormones make the body less sensitive to insulin, which might consequence in elevated blood sugars.