Tired of Covering Up Diabetes? Bariatric Surgery Treats the Root Cause

We’re Managing Diabetes… but Are We Solving It?

For years, our main approach to type 2 diabetes has been to manage it — not fix it. We wait until blood sugar rises, then try to push it back down with medication.

These medications help control symptoms, but they don’t solve the underlying problem. It’s like mopping up water from a leaky pipe without fixing the pipe itself.

Bariatric surgery is different. It doesn’t just manage diabetes — it can actually change the way your body handles blood sugar altogether.

The Real Problem: Insulin Resistance and Hormonal Imbalance

Type 2 diabetes happens when your body becomes resistant to insulin, the hormone that helps sugar enter your cells. Over time, your pancreas can’t keep up, and sugar builds up in your blood.

Most diabetes medications work by forcing your body to make more insulin or respond better to it. That can help for a while — but it doesn’t fix the root problem. In fact, it may lead to weight gain, worsening insulin resistance, or even burnout of the pancreas.

Bariatric surgery, on the other hand, changes your body’s biology. It gives your system a chance to reset — restoring a more natural balance and improving how your body uses insulin.

How Bariatric Surgery Helps

Here’s what surgery can do that medications can’t:
- Shrinks the stomach to reduce food intake
- Improves how the body responds to insulin
- Alters gut hormones that affect hunger and blood sugar
- Creates changes that help avoid blood sugar spikes
- Lowers inflammation in the body
- Improves liver function and fat metabolism

And the best part? These effects often begin within days of surgery — even before significant weight loss.

Can It Really Go Away?

We don’t always use the word “cure,” but for many people, that’s what it feels like. Most patients reduce or stop diabetes medications completely. Some no longer meet the criteria for diabetes at all.

And this isn’t just short-term. Many people stay off meds for years — sometimes permanently.

Comparing Surgeries: Which One Works Best?

Sleeve Gastrectomy (VSG)

·      - Removes part of the stomach

·      - Simple and effective

·      - Improves blood sugar control

·      - Diabetes may come back in some patients overtime

Gastric Bypass (Roux-en-Y)

·      - Reroutes the digestive tract

·      - Powerful effect on blood sugar and insulin hormones

·      - Great long-term control

·      - Especially helpful for moderate to severe diabetes

SADI-S (SADS)

·      - Newer version of the duodenal switch

·      - Excellent blood sugar control and weight loss

·      - Lower complication rates than traditional DS

·      - Longer-term remission in many cases

Duodenal Switch (DS)

·      - The most powerful option for diabetes

·      - Long-lasting remission

·      - More effective for those with high BMIs and more severe diabetes

Why Surgery Is More Than a Last Resort

Medications — even newer ones like GLP-1 agonists — only work while you take them. Stop the meds, and the diabetes often comes back.

Bariatric surgery changes the underlying system. It addresses the cause of insulin resistance, allowing your body to work with itself — not against itself.

So why are we waiting until the disease gets worse before using the best treatment we have?

What We Offer at Inspire Bariatrics

At Inspire Bariatrics, we don’t believe in one-size-fits-all care. We offer:
✅ All major surgical options, including VSG, bypass, SADI-S, and DS
✅ Robotic surgery performed safely and precisely
✅ Over 20 years of experience
✅ Personalized care before, during, and after surgery
✅ A lasting relationship with our team, not just a one-time operation

Final Thought

If you’re ready to stop masking the symptoms and start treating the root cause of your diabetes — if you want real control and a real chance at life without daily meds — bariatric surgery may be the answer you’ve been waiting for.

Reach out to Dr. Curtis Peery at Inspire Bariatrics. We’re here to help you take control, regain your health, and move forward with a life that isn’t ruled by diabetes.