Metabolic Surgery for Type 2 Diabetes - Dr. Vikram Lotwala, Surat

For many people with obesity, type 2 diabetes comes with it. In this video, Dr. Vikram Lotwala, bariatric surgeon in Surat, talks about how bariatric surgery helps patients lose excess weight and gain better control over diabetes. When surgery is done mainly to treat diabetes, it is often called metabolic surgery.

How bariatric surgery helps type 2 diabetes

Weight loss reduces insulin resistance, so the body uses insulin better.
Surgery changes gut hormones that control blood sugar, often improving sugar levels within days, even before much weight is lost.
Many patients are able to reduce or stop their diabetes medicines or insulin under their doctor’s supervision.

Remission, not a guaranteed cure

Many patients reach diabetes remission after surgery, meaning normal blood sugar without medicines. Remission is more likely when diabetes has been present for fewer years and the patient is not yet on high doses of insulin. In some patients diabetes improves but does not fully go away, and it can return years later, so regular check-ups remain important.

Book a consultation with Dr. Vikram Lotwala to find out if metabolic surgery can help your diabetes.

Dr. Vikram Lotwala
Laparoscopic & Bariatric Surgeon
Wings Hospital, 1st Floor, Abhilasha Apartments, Madhuvan Circle, L P Savani Road, Surat, Gujarat
Phone: +91 99099 66056

Frequently Asked Questions

Can bariatric surgery cure type 2 diabetes?

Surgery can lead to remission in many patients, but it is not a guaranteed cure. Results depend on how long you have had diabetes, your medicines and your weight loss after surgery.

Which surgery is best for diabetes?

Gastric bypass is often preferred for patients with type 2 diabetes because of its strong effect on blood sugar, though sleeve gastrectomy also helps many patients. Your surgeon will recommend the right procedure for you.

Can I stop my diabetes medicines after surgery?

Many patients can reduce or stop them, but only under medical supervision. Your doctor will monitor your sugar levels closely and adjust medicines step by step.

Is metabolic surgery only for people with very high BMI?

Not always. Because Asian Indians develop diabetes at lower weights, metabolic surgery may be considered at a lower BMI for patients whose diabetes is poorly controlled despite medicines. Your surgeon will assess whether you qualify.