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90000 Obesity 2nd degree: treatment (Doctor`s Ask 90001 90002 Obesity is a chronic disease caused by metabolic disorders. It turns out to be an excessive fatty tissue formation and progresses in the absence of treatment. A patient with a diagnosis of «obesity of the 2nd degree» requires complex therapy. 90003 90002 Obesity is a serious disease, the causes of which are numerous. It affects not only the appearance of a person, but also his health. 90003 90002 Therefore, the individual characteristics, provoking factors and the state of the organism as a whole — all this should be taken into account when appointing a course of treatment.90003 90002 The adipose tissue has the ability to secrete hormones, thereby regulating its development. The appearance of the disease is most often due to the genetic predisposition, but obesity develops as a result of violation of dietary habits and lack of physical activity, in some cases, metabolic disorders are caused by the pathology of the glands of the inner secretion ( thyroid, pituitary gland, etc.). 90003 90010 Signs of obesity of the 2nd degree 90011 90002 The general sign of obesity of all degrees is the overweight of the body.90003 90002 There are four stages of obesity: 90003 90016 90017 I degree — the body mass exceeds the ideal by 29% or more; 90018 90017 II degree — overweight is 30-40% of the body weight; 90018 90017 III degree — overweight reaches 50-99%; 90018 90017 IV degree — overweight from 100%. 90018 90025 90002 The diagnosis of «Obesity of the 2nd degree» is based on the results of a comprehensive survey. The tests allow you to evaluate the level of sugar in the blood, the concentration of leptin — the hormone of obesity, the level of sex hormones.90003 90002 The BMI criterion — the body mass index — is used to assess the degree of obesity. BMI is the ratio of body weight in kilograms to growth in meters in square. If the figure is 27-30, the patient is diagnosed with the 1st stage of obesity, with the indicator 30-35 — 2nd, 35-40 — 3rd, at the rate from 40 diagnosed 4th degree of obesity. 90003 90002 With obesity of the 2nd degree of a person can not disturb anything. In rare cases, weakness, drowsiness, mood changes, nervousness appear.Often there is an increased appetite, small pink stretch marks on the abdomen and hips may appear. 90003 90010 Treatment of obesity of the 2nd degree 90011 90002 Obesity treatment of the 2nd degree passes through individually selected complex programs. As a rule, they are divided into two stages. 90003 90002 The first is the reduction in body weight to optimal performance, the second is the stabilization of body weight. The average length of each stage ranges from two to six months. The medical procedures for each of the stages differ significantly.90003 90002 The comprehensive approach to treating obesity of the 2nd degree includes the following stages. 90003 90040 90017 Choosing a diet based on the state of health and lifestyle of the patient, without strict restrictions on food and without starvation. The food should be balanced. Diet — the main point in the treatment, other methods complement and fix the result. The most commonly used balanced low-calorie diet with a reduced content of carbohydrates and animal fats and a high content of proteins, vitamins and minerals.Recommended high-fiber products: They provide fast saturation and stable intestinal work. The food should be fractional — up to six times a day. Foreclosure days: protein, fruit, etc. 90018 90017 Selection of a physical exercise program. Physical activity should be high, all muscle groups should work during classes. Newbies are recommended to start with running, moving games, swimming, cycling, etc. 90018 90017 Treatment of concomitant diseases that provoke obesity: the endocrine and cardiovascular system, musculoskeletal system, digestive system, etc.90018 90017 The use of special medical products for weight reduction, aimed at reducing appetite, rapid intake of food in the intestine and increased metabolism. 90018 90017 Psychocorrection. A strict diet can provoke depression and depression. In some cases, a specialist may include antidepressants in the course of treatment. It can be both medical antistress drugs and medications based on soothing herbs. 90018 90017 Massage, medical showers, breathing gymnastics, acupuncture and necessary cosmetic procedures.Surgical methods of treatment are not used for obesity of the 2nd degree. 90018 90053 90002 Treatment of obesity of the 2nd degree, as well as correction of methods is carried out only by appointment and under the supervision of a doctor. Surgical methods for treating obesity of the 2nd degree are not used. 90003 .90000 How Does Obesity Cause Type 2 Diabetes 90001 90002 90003 What is Obesity? 90004 90005 90002 Obesity is loosely defined as a condition of having too much fat (also called adipose tissue). Causes of obesity can include having a sedentary lifestyle, lack of access to healthy foods, genes and family history, certain health conditions and medications, emotional factors, lack of sleep, age, and more (1). 90005 90002 Obesity can be further defined as having a Body Mass Index (BMI) of 30 or greater.BMI is the most common method for measuring body fat. It is a hotly debated mathematical calculation involving height and weight. Why the debate? Well, the BMI calculation does not does not take into account family history, gender, age, or race. Plus, it can be inaccurate for people with certain body types (think body builders, etc). 90005 90002 90011 90005 90002 BMI = [Weight (lbs) ÷ height (in) 2] x 704.5 90005 90002 In general, the BMI ranges are as follows: 90005 90002 Below 18.5 — Underweight 90005 90002 18.5-24.9 — Normal weight 90005 90002 24.5-29.9 — Overweight 90005 90002 30 and greater — Obese 90005 90002 40 and greater — Morbidly obese 90005 90002 Another widely used measurement is waist circumference, which determines the amount of abdominal fat. Excess abdominal fat that is disproportionate to total body fat can be a predictor of obesity-related risk factors. Those who are at risk are men with a waist measurement exceeding 40 inches and women with a waist measurement exceeding 35 inches.Other factors, such as family history, level of physical activity, smoking, and diet may be used to assess individual risk. 90005 90002 More than one-third of the U.S. adult population (approximately 78.6 million Americans) are affected by obesity. 90005 90002 90003 What Are The Risks of Obesity? 90004 90005 90002 Obesity increases the risk for more than 30 chronic health conditions including high cholesterol, high blood pressure, heart disease, heart failure, sleep apnea, stroke, asthma and other respiratory conditions, certain types of cancer, and type 2 diabetes.90005 90037 What are Obesity Types? 90038 90002 90003 Obesity and Type 2 Diabetes 90004 90005 90002 There are many risk factors for type 2 diabetes, including age, race, pregnancy, stress, certain medications, genetics or family history, and high cholesterol. However, one of the best predictors of type 2 diabetes? Being overweight or obese. Almost 90% of people with type 2 diabetes are overweight or obese. 90005 90002 90003 But, why? 90004 90005 90002 Well, obesity causes increased levels of fatty acids and inflammation, leading to insulin resistance, which in turn can lead to type 2 diabetes.Type 2 diabetes, known as non-insulin dependent diabetes, is the most common form of diabetes and accounts for approximately 90% of diabetes cases. People with type 2 diabetes can produce some of their own insulin, but it’s often not enough or the body’s cells do not respond to it. As a result of this insulin resistance, glucose (blood sugar) builds up in the body, leading to high blood sugar. 90005 90002 Patients with high blood sugar will typically experience frequent urination, increased thirst, and increased hunger.Fatigue may also result from dehydration. Untreated or poorly controlled diabetes can cause other health concerns like vision problems, nerve damage, infections, heart problems, high blood pressure, mental health issues, ketoacidosis, and stroke. 90005 90002 Since there is an association between type 2 diabetes and being overweight, treatment for type 2 diabetes often focuses on diet and exercise. Oral medications can also help the body use its own insulin more efficiently. In some cases, insulin injections are necessary to normalize blood sugars.90005 90002 90003 Living with Obesity and Type 2 Diabetes 90004 90005 90002 Living with obesity and type 2 diabetes is not without its risks, but there’s a lot you can do to take charge of your health. Managing diabetes includes eating healthy foods, exercising regularly, reducing stress, maintaining a healthy lifestyle, and, at the advice of your doctor, using medications. 90005 90002 While Type 2 diabetes can be treated, it is largely preventable. Lifestyle changes and small amounts of weight loss can help reduce the risk of developing diabetes by 40-60%.90005 90002 90064 Interested in learning the optimal diet, exercise, and supplementation for diabetes? Order a Health + Ancestry Report and learn how to diet, exercise. and supplement right for your DNA and lifestyle. 90065 90005 .90000 Obesity surgery — Better Health Channel 90001 Current estimates suggest that around 10 per cent of the adult Australian population is obese. The associated health risks of ‘morbid obesity’ (unhealthy weight) include diabetes, heart disease, hypertension, sleep apnoea, arthritis, and reduced mobility and life expectancy. 90002 Obesity surgery is the last resort, when all other attempts at weight loss have failed and the person’s health is at risk. Even then, this type of surgery needs careful consideration by balancing the risks of obesity against the chances of success and possible side effects of such procedures.It is not a form of cosmetic surgery, nor an alternative to good eating habits and regular exercise. 90003 90002 Obesity surgery can offer rapid weight loss but, to be successful, it must be accompanied by healthy eating habits and regular exercise. If the surgery is reversed, weight will inevitably be regained (even with the best of willpower), as the genetic tendency resulting in obesity can never be cured and is only modified by surgery. 90005 90003 90007 Calculating your body mass index 90008 There are various ways to categorise the degree of overweight and obesity.A popular and easy method is the body mass index (BMI). This should only be considered as a guide. To calculate your BMI, divide your weight in kilograms (kg) by your height in meters squared (m2). The resulting figure is your BMI. A person with a BMI of 40 or more is at a much higher risk of suffering from obesity-related disorders, such as diabetes, reduced mobility or high blood pressure. 90005 The categories are: 90010 90011 less than 20 — underweight 90012 90011 20 to 25 — normal weight range 90012 90011 25 to 30 — overweight 90012 90011 30 to 40 — obese 90012 90011 40 to 50 — morbidly obese 90012 90011 more than 50 — super -obese.90012 90023 For example, if you weighed 110 kg and were 1.55 m tall, you would calculate your BMI by: 90010 90011 working out your height in metres squared (1.55 mx 1.55 m = 2.4 m) 90012 90011 dividing your weight by your height in metres squared (110 kg 2.4 m = 45.8) 90012 90023 Your BMI would be 45.8. 90005 90007 Obesity surgery techniques 90008 The various techniques of obesity surgery include: 90010 90011 gastric (stomach) stapling 90012 90011 gastric banding 90012 90011 bowel bypass 90012 90011 jaw wiring.90012 90023 90043 Gastric stapling and gastric banding (lapband) 90044 90005 Gastric stapling and gastric banding involve procedures where a small pouch is formed at the top part of the stomach. This allows only a small amount of food to be consumed at a sitting. This results in a feeling of satisfaction and the loss of hunger after a small, solid meal is eaten. If more food is eaten in the next hour or two, an overfull and bloated feeling will be experienced and regurgitation may occur. 90002 Stomach stapling is usually done through an abdominal incision, while banding can usually be done with laparoscopic or ‘keyhole’ surgery.Banding has the advantage that it can be ‘adjusted’ — if there are problems with eating, the band can be loosened by an injection through the abdominal wall or, if insufficient weight is lost, the band can be tightened. 90003 90002 Both operations may result in early complications (such as infection, leakage from the stomach, thrombosis or embolism, or even death), although these are fortunately uncommon. In the longer term, staple lines can break down or the band may slip or become infected. Both operations are reversible.90005 90003 90043 Bowel bypass 90044 Food is normally digested and absorbed by the small intestine. A bowel bypass operation reduces the length of the small intestine by bypassing about three quarters of its length and allowing less food to be digested and absorbed. The consequence of this is that undigested food passes into the large bowel. This has the side effect of producing diarrhoea in the early months after surgery, which may be severe. Other problems in the early months can be nausea, abdominal cramps, a lot of wind and, sometimes, mineral deficiencies.There are several types of bypass surgery and they are not frequently performed, as they are more major than the stomach operations. 90005 90043 Jaw wiring 90044 The jaws are kept virtually closed and immobile with surgically implanted screws and wires. Foods have to be pureed and consumed slowly, often through a straw. The person is given a set of wire-cutters, in case the jaws have to be opened in an emergency. The long term results of jaw wiring are very poor and it is very rarely used except in unusual circumstances.90005 90043 Stomach balloon 90044 This technique involved inflating a balloon inside the stomach to offer a feeling of fullness. Success rates in terms of weight loss are poor, and there is a risk of stomach ulcer and bowel blockage. 90059 It is no longer recommended. 90060 90005 90007 Surgery is not a long-term obesity solution 90008 Obesity surgery is only part of a solution for unwanted weight gain. The surgery can not control the type of food the person eats, the type of liquid intake, how often they eat or how much they exercise.The responsibility for these factors rests with the person. Weight loss may be disappointing if these factors are not carefully controlled. Typically, a person can expect to lose around 50 to 75 per cent of their excess weight in the first 12 months after surgery. 90005 90007 Where to get help 90008 90010 90011 Your doctor 90012 90011 Obesity Surgery Society of Australia and New Zealand Tel. (03) 9421 1166 90012 90023 90007 Things to remember 90008 90010 90011 Obesity surgery is the last resort when all other attempts at weight loss have failed.90012 90011 There is no perfect operation, and surgeons differ in which operation they will suggest, but gastric banding, gastric stapling or a form of bypass are all accepted techniques. 90012 90011 Obesity is a genetically based disease where sufferers have a strong desire to consume more food than they need. Obesity surgery can not cure this disease, but can go a long way to controlling this hunger and helping the sufferer gain control over their weight. 90012 90023 90002 90007 Content Partner 90008 90003 90002 This page has been produced in consultation with and approved by: Obesity Surgery Society Australia & New Zealand 90003 90002 Last updated: August 2014 90003 Page content currently being reviewed.90002 Content on this website is provided for information purposes only. Information about a therapy, service, product or treatment does not in any way endorse or support such therapy, service, product or treatment and is not intended to replace advice from your doctor or other registered health professional. The information and materials contained on this website are not intended to constitute a comprehensive guide concerning all aspects of the therapy, product or treatment described on the website.All users are urged to always seek advice from a registered health care professional for diagnosis and answers to their medical questions and to ascertain whether the particular therapy, service, product or treatment described on the website is suitable in their circumstances. The State of Victoria and the Department of Health & Human Services shall not bear any liability for reliance by any user on the materials contained on this website. 90003 .90000 Just a moment … 90001 90002 Please enable Cookies and reload the page. 90003 90004 This process is automatic. Your browser will redirect to your requested content shortly. 90003 90006 Please allow up to 5 seconds … 90003 90008 + ((! + [] + (!! []) + !! [] + !! [] + !! [] + !! [] + !! [] + !! [] + []) + (! + [] + (!! []) + !! [] + !! [] + !! 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