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The Cure of Marisol’s Diabetes

Family History of Obesity and Diabetes
• Marisol, a 33 year old female, diagnosed with insulin-dependent diabetes mellitus. • Father: obese; died at the age of 44 in a car accident. • Mother: dies at the age of 43 from complications of diabetes and arterial hypertension. • Brother: overweight; diabetic. • Sister: obese.
Personal Pathological History
• Diagnosed 7 years ago with type 2 diabetes; treated with Glucovance. • Insulin-dependent. • Suffers from exogenous obesity since 9 years. • Morning headaches. • Sleep disturbances. • Chronic lumbar pain. • Edema in hands and feet. • UDepression (chronic use of antidepressants—Wellbutrin). • Gastroesophageal Reflux disease. • Unsuccessful at losing weight by dieting and by taking weight-loss medications. • Suicidal thoughts due to depression. • Pulmonary restriction with moderate to severe aerobic incapacity. • Unable to do a stress test because of breathing difficulties.
Preoperative Assessment
• Family history of diabetes and obesity. • Insulin-dependent. • Moderate to severe restrictive lung disease. • History of depression, diabetes, and pathological obesity. • Moderate surgical risk
Marisol, the day of her Gastric Bypass surgery
After Gastric Bypass Surgery
• Able to discontinue insulin immediately after surgery. • Did well after surgery and was discharged from the hospital on the sixth day. • Left hospital without having to take oral hypoglycemics or insulin. • Does not present Dumping Syndrome nor rejection of surgery. • Lost 103.6 pounds (47 kilograms) within one year.
Diabetes

Before	Currently
Insulin-dependent	Non-insulin dependent
Dependent of oral hypoglycemics	Independent of oral hypoglycemics
Controlled nutrition	Does not need to be on a special diet
Blood sugar: 200 to 300 without taking insulin	NORMAL blood sugars without taking insulin

Marisol, Before and After Gastric Bypass Surgery

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You can post your questions or comments here Name: Carlos Bernal Date: 7/15/2009 12:43:34 AM

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Name: Carlos Bernal
Date: 7/15/2009 12:43:34 AM

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