SlideShare a Scribd company logo

Type 2 Diabetes & Surgical Disease

โ€ขDownload as PPT, PDFโ€ข
โ€ข
George S. Ferzli
George S. Ferzli
Health & Medicine
1 of 11
Type 2 Diabetes: A Surgical Disease??? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],1.Pacheco D, et al. The effects of duodenal-jejunal exclusion on hormonal regulation of glucose metabolism in Goto-Kakizaki rats. Am J Surgery; 194 (2007):221-224 2. Rubino F. Bariatric Surgery:effects on glucose homeostasis. Curr Opin Clin Nutr Metab Care 9:497-507
Historic Perspective ,[object Object],[object Object],[object Object],[object Object],[object Object],Rubino F. Bariatric Surgery:effects on glucose homeostasis. Curr Opin Clin Nutr Metab Care 9:497-507 Friedman NM et al. The amelioration of diabetes mellitus following subtotal gastrectomy. Surg Gynecol Obstetr 1955; 100:201-204 .
Historic Perspective ,[object Object],[object Object],Rubino F. Bariatric Surgery:effects on glucose homeostasis. Curr OpiClin Nutr Metab Care 9:497-507 Bittner R. Homeostasis of glucose and gastric resection: the influence of food passage through the duodenum. Z Gastroenterology 1981; 19:698-707.
Should patients with type 2 DM be considered for surgical treatment regardless of their BMI ? ,[object Object],[object Object],[object Object],[object Object],[object Object]
DJ Bypass & Glucose Metabolism ,[object Object],[object Object],[object Object],[object Object],[object Object],Pacheco D, et al. The effects of duodenal-jejunal exclusion on hormonal regulation of glucose metabolism in Goto-Kakizaki rats. Am J Surgery; 194 (2007):221-224
ย 
Animal Model of DJ bypass and Glycemic Control ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Pacheco D, et al. The effects of duodenal-jejunal exclusion on hormonal regulation of glucose metabolism in Goto-Kakizaki rats. Am J Surgery; 194 (2007):221-224
ย 
Results of DJ Bypass on Glycemic Control ,[object Object],[object Object],[object Object],[object Object],[object Object]
Leptin??? ,[object Object],[object Object],[object Object],Pacheco D, et al. The effects of duodenal-jejunal exclusion on hormonal regulation of glucose metabolism in Goto-Kakizaki rats. Am J Surgery; 194 (2007):221-224
Reversal of Insulin Resistance by Leptin

Recommended

Surgical metabolism
Surgical metabolismSurgical metabolism
Surgical metabolismHamzeh Halawani
ย 
Evaluation of effect of gestational diabetes mellitus on composition of the i...
Evaluation of effect of gestational diabetes mellitus on composition of the i...Evaluation of effect of gestational diabetes mellitus on composition of the i...
Evaluation of effect of gestational diabetes mellitus on composition of the i...Dr. Anuj S Parihar
ย 
parenteral and enteral nutrition
parenteral and enteral nutritionparenteral and enteral nutrition
parenteral and enteral nutritionShima Ghavimi, MD
ย 
Perioperative nutrition support
Perioperative nutrition supportPerioperative nutrition support
Perioperative nutrition supportMario Sanchez
ย 
INCRETINS: ANTIOBESITY AND ANTIDIABETIC BLOCKBUSTERS
INCRETINS: ANTIOBESITY AND ANTIDIABETIC BLOCKBUSTERSINCRETINS: ANTIOBESITY AND ANTIDIABETIC BLOCKBUSTERS
INCRETINS: ANTIOBESITY AND ANTIDIABETIC BLOCKBUSTERSDr. Amit Gangwal Jain (MPharm., PhD.)
ย 
Incretins In Diabetes Mellitus
Incretins In Diabetes MellitusIncretins In Diabetes Mellitus
Incretins In Diabetes MellitusDr Abhijit Chowdhury
ย 
Nutrition
NutritionNutrition
NutritionDr. Armaan Singh
ย 
Daily minimum nutritional requirements of the critically ill
Daily minimum nutritional requirements of the critically illDaily minimum nutritional requirements of the critically ill
Daily minimum nutritional requirements of the critically illRalekeOkoye
ย 

Recommended

Surgical metabolism
Surgical metabolismSurgical metabolism
Surgical metabolismHamzeh Halawani
ย 
Evaluation of effect of gestational diabetes mellitus on composition of the i...
Evaluation of effect of gestational diabetes mellitus on composition of the i...Evaluation of effect of gestational diabetes mellitus on composition of the i...
Evaluation of effect of gestational diabetes mellitus on composition of the i...Dr. Anuj S Parihar
ย 
parenteral and enteral nutrition
parenteral and enteral nutritionparenteral and enteral nutrition
parenteral and enteral nutritionShima Ghavimi, MD
ย 
Perioperative nutrition support
Perioperative nutrition supportPerioperative nutrition support
Perioperative nutrition supportMario Sanchez
ย 
INCRETINS: ANTIOBESITY AND ANTIDIABETIC BLOCKBUSTERS
INCRETINS: ANTIOBESITY AND ANTIDIABETIC BLOCKBUSTERSINCRETINS: ANTIOBESITY AND ANTIDIABETIC BLOCKBUSTERS
INCRETINS: ANTIOBESITY AND ANTIDIABETIC BLOCKBUSTERSDr. Amit Gangwal Jain (MPharm., PhD.)
ย 
Incretins In Diabetes Mellitus
Incretins In Diabetes MellitusIncretins In Diabetes Mellitus
Incretins In Diabetes MellitusDr Abhijit Chowdhury
ย 
Nutrition
NutritionNutrition
NutritionDr. Armaan Singh
ย 
Daily minimum nutritional requirements of the critically ill
Daily minimum nutritional requirements of the critically illDaily minimum nutritional requirements of the critically ill
Daily minimum nutritional requirements of the critically illRalekeOkoye
ย 
Nutritional support and fluid therapy in surgery
Nutritional support and fluid therapy in surgeryNutritional support and fluid therapy in surgery
Nutritional support and fluid therapy in surgeryAjai Sasidhar
ย 
Nutrition icu
Nutrition icuNutrition icu
Nutrition icuDoha Rasheedy
ย 
Functional Gastrointestinal disorders
Functional Gastrointestinal disordersFunctional Gastrointestinal disorders
Functional Gastrointestinal disordersJane Ricaforte-Campos
ย 
Incretin Based Therapy Presentation
Incretin Based Therapy PresentationIncretin Based Therapy Presentation
Incretin Based Therapy PresentationStephanie Schenck
ย 
Lyxumia
Lyxumia Lyxumia
Lyxumia Alex Aizikovich MD PgP MBA
ย 
Concepts of management of diabetes in chronic liver
Concepts of management of diabetes in chronic liverConcepts of management of diabetes in chronic liver
Concepts of management of diabetes in chronic liverAhmed Elmoughazy
ย 
Ueda 2016 6-diabetes in special populations - mesbah kamel
Ueda 2016 6-diabetes in special populations - mesbah kamelUeda 2016 6-diabetes in special populations - mesbah kamel
Ueda 2016 6-diabetes in special populations - mesbah kamelueda2015
ย 
Nutrition in icu
Nutrition in icuNutrition in icu
Nutrition in icuNisheeth Patel
ย 
sitagliptin for diabetics
sitagliptin for diabeticssitagliptin for diabetics
sitagliptin for diabeticsMahmoud Yossof
ย 
bariatric nutrition: a way to manage obesity
bariatric nutrition: a way to manage obesitybariatric nutrition: a way to manage obesity
bariatric nutrition: a way to manage obesityDr. Swati Shukla
ย 
Incretins based therapy :How Early
Incretins based therapy :How EarlyIncretins based therapy :How Early
Incretins based therapy :How EarlyMohammad Othman Daoud
ย 
What is new in Diabetes
What is new in DiabetesWhat is new in Diabetes
What is new in Diabetesegyfellow
ย 
Incretin based therapy of type 2 diabetes mellitus 1
Incretin based therapy of type 2 diabetes mellitus 1Incretin based therapy of type 2 diabetes mellitus 1
Incretin based therapy of type 2 diabetes mellitus 1Pk Doctors
ย 
Dr arun aggarwal gastroenterologist explains irritable bowel syndrome
Dr arun aggarwal gastroenterologist explains irritable bowel syndromeDr arun aggarwal gastroenterologist explains irritable bowel syndrome
Dr arun aggarwal gastroenterologist explains irritable bowel syndromeDr. Arun Aggarwal Gastroenterologist
ย 
Nutrition in critically ill
Nutrition in critically illNutrition in critically ill
Nutrition in critically illGeetanjali Verma
ย 
Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...
Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...
Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...ueda2015
ย 
Enteral Nutrition
Enteral NutritionEnteral Nutrition
Enteral NutritionMahendra Jangir
ย 
Nutrition in icu
Nutrition in icuNutrition in icu
Nutrition in icuRahul Varshney
ย 
Nutrition in General Surgery
Nutrition in General SurgeryNutrition in General Surgery
Nutrition in General SurgeryPrajwal Rao
ย 
nutritional need of critical ill child
nutritional need of critical ill childnutritional need of critical ill child
nutritional need of critical ill childmannparashar
ย 
Dyslipidimia
DyslipidimiaDyslipidimia
DyslipidimiaDr. Faisal Al Haddad
ย 
Plagiarism
PlagiarismPlagiarism
PlagiarismDr. Faisal Al Haddad
ย 

More Related Content

What's hot

Nutritional support and fluid therapy in surgery
Nutritional support and fluid therapy in surgeryNutritional support and fluid therapy in surgery
Nutritional support and fluid therapy in surgeryAjai Sasidhar
ย 
Nutrition icu
Nutrition icuNutrition icu
Nutrition icuDoha Rasheedy
ย 
Functional Gastrointestinal disorders
Functional Gastrointestinal disordersFunctional Gastrointestinal disorders
Functional Gastrointestinal disordersJane Ricaforte-Campos
ย 
Incretin Based Therapy Presentation
Incretin Based Therapy PresentationIncretin Based Therapy Presentation
Incretin Based Therapy PresentationStephanie Schenck
ย 
Concepts of management of diabetes in chronic liver
Concepts of management of diabetes in chronic liverConcepts of management of diabetes in chronic liver
Concepts of management of diabetes in chronic liverAhmed Elmoughazy
ย 
Ueda 2016 6-diabetes in special populations - mesbah kamel
Ueda 2016 6-diabetes in special populations - mesbah kamelUeda 2016 6-diabetes in special populations - mesbah kamel
Ueda 2016 6-diabetes in special populations - mesbah kamelueda2015
ย 
Nutrition in icu
Nutrition in icuNutrition in icu
Nutrition in icuNisheeth Patel
ย 
sitagliptin for diabetics
sitagliptin for diabeticssitagliptin for diabetics
sitagliptin for diabeticsMahmoud Yossof
ย 
bariatric nutrition: a way to manage obesity
bariatric nutrition: a way to manage obesitybariatric nutrition: a way to manage obesity
bariatric nutrition: a way to manage obesityDr. Swati Shukla
ย 
Incretins based therapy :How Early
Incretins based therapy :How EarlyIncretins based therapy :How Early
Incretins based therapy :How EarlyMohammad Othman Daoud
ย 
What is new in Diabetes
What is new in DiabetesWhat is new in Diabetes
What is new in Diabetesegyfellow
ย 
Incretin based therapy of type 2 diabetes mellitus 1
Incretin based therapy of type 2 diabetes mellitus 1Incretin based therapy of type 2 diabetes mellitus 1
Incretin based therapy of type 2 diabetes mellitus 1Pk Doctors
ย 
Dr arun aggarwal gastroenterologist explains irritable bowel syndrome
Dr arun aggarwal gastroenterologist explains irritable bowel syndromeDr arun aggarwal gastroenterologist explains irritable bowel syndrome
Dr arun aggarwal gastroenterologist explains irritable bowel syndromeDr. Arun Aggarwal Gastroenterologist
ย 
Nutrition in critically ill
Nutrition in critically illNutrition in critically ill
Nutrition in critically illGeetanjali Verma
ย 
Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...
Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...
Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...ueda2015
ย 
Enteral Nutrition
Enteral NutritionEnteral Nutrition
Enteral NutritionMahendra Jangir
ย 
Nutrition in icu
Nutrition in icuNutrition in icu
Nutrition in icuRahul Varshney
ย 
Nutrition in General Surgery
Nutrition in General SurgeryNutrition in General Surgery
Nutrition in General SurgeryPrajwal Rao
ย 
nutritional need of critical ill child
nutritional need of critical ill childnutritional need of critical ill child
nutritional need of critical ill childmannparashar
ย 

What's hot (20)

Nutritional support and fluid therapy in surgery
Nutritional support and fluid therapy in surgeryNutritional support and fluid therapy in surgery
Nutritional support and fluid therapy in surgery
ย 
Nutrition icu
Nutrition icuNutrition icu
Nutrition icu
ย 
Functional Gastrointestinal disorders
Functional Gastrointestinal disordersFunctional Gastrointestinal disorders
Functional Gastrointestinal disorders
ย 
Incretin Based Therapy Presentation
Incretin Based Therapy PresentationIncretin Based Therapy Presentation
Incretin Based Therapy Presentation
ย 
Lyxumia
Lyxumia Lyxumia
Lyxumia
ย 
Concepts of management of diabetes in chronic liver
Concepts of management of diabetes in chronic liverConcepts of management of diabetes in chronic liver
Concepts of management of diabetes in chronic liver
ย 
Ueda 2016 6-diabetes in special populations - mesbah kamel
Ueda 2016 6-diabetes in special populations - mesbah kamelUeda 2016 6-diabetes in special populations - mesbah kamel
Ueda 2016 6-diabetes in special populations - mesbah kamel
ย 
Nutrition in icu
Nutrition in icuNutrition in icu
Nutrition in icu
ย 
sitagliptin for diabetics
sitagliptin for diabeticssitagliptin for diabetics
sitagliptin for diabetics
ย 
bariatric nutrition: a way to manage obesity
bariatric nutrition: a way to manage obesitybariatric nutrition: a way to manage obesity
bariatric nutrition: a way to manage obesity
ย 
Incretins based therapy :How Early
Incretins based therapy :How EarlyIncretins based therapy :How Early
Incretins based therapy :How Early
ย 
What is new in Diabetes
What is new in DiabetesWhat is new in Diabetes
What is new in Diabetes
ย 
Incretin based therapy of type 2 diabetes mellitus 1
Incretin based therapy of type 2 diabetes mellitus 1Incretin based therapy of type 2 diabetes mellitus 1
Incretin based therapy of type 2 diabetes mellitus 1
ย 
Dr arun aggarwal gastroenterologist explains irritable bowel syndrome
Dr arun aggarwal gastroenterologist explains irritable bowel syndromeDr arun aggarwal gastroenterologist explains irritable bowel syndrome
Dr arun aggarwal gastroenterologist explains irritable bowel syndrome
ย 
Nutrition in critically ill
Nutrition in critically illNutrition in critically ill
Nutrition in critically ill
ย 
Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...
Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...
Ueda 2016 2-pathophysiology ,classification & diagnosis of diabetes - kha...
ย 
Enteral Nutrition
Enteral NutritionEnteral Nutrition
Enteral Nutrition
ย 
Nutrition in icu
Nutrition in icuNutrition in icu
Nutrition in icu
ย 
Nutrition in General Surgery
Nutrition in General SurgeryNutrition in General Surgery
Nutrition in General Surgery
ย 
nutritional need of critical ill child
nutritional need of critical ill childnutritional need of critical ill child
nutritional need of critical ill child
ย 

Viewers also liked

Gynaecomastia
GynaecomastiaGynaecomastia
GynaecomastiaNailaawal
ย 
Neck masses in adult
Neck masses in adult Neck masses in adult
Neck masses in adult Saber Lahmidi
ย 
Contraception
ContraceptionContraception
ContraceptionHesham Gaber
ย 
Bariatric surgery powerpoint
Bariatric surgery powerpointBariatric surgery powerpoint
Bariatric surgery powerpointjason rivera
ย 
Intramuscular haemangioma
Intramuscular haemangiomaIntramuscular haemangioma
Intramuscular haemangiomaDr. Jay Raj Sharma
ย 
Female infertility
Female infertilityFemale infertility
Female infertilityberbets
ย 
Chronic obstructive pulmonary disease 1
Chronic obstructive pulmonary disease 1Chronic obstructive pulmonary disease 1
Chronic obstructive pulmonary disease 1Saber Lahmidi
ย 
Sex change surgery
Sex change surgerySex change surgery
Sex change surgerySumer Yadav
ย 
Laparoscopy: The impact on the future
Laparoscopy: The impact on the futureLaparoscopy: The impact on the future
Laparoscopy: The impact on the futureGeorge S. Ferzli
ย 
Gynaecomastia
GynaecomastiaGynaecomastia
GynaecomastiaPirah Azadi
ย 
Gynecomastia
GynecomastiaGynecomastia
Gynecomastiamercyhealth
ย 
Gynecomastia surgery ppt
Gynecomastia surgery pptGynecomastia surgery ppt
Gynecomastia surgery pptSudip Sikder
ย 
scar revision , z plasty
scar revision , z plastyscar revision , z plasty
scar revision , z plastySumer Yadav
ย 
Knee Pain
Knee PainKnee Pain
Knee PainGraMedica
ย 
gyencomastia
gyencomastiagyencomastia
gyencomastiaSumer Yadav
ย 
Management of poor ovarian response
Management of poor ovarian responseManagement of poor ovarian response
Management of poor ovarian responseHesham Gaber
ย 

Viewers also liked (20)

Dyslipidimia
DyslipidimiaDyslipidimia
Dyslipidimia
ย 
Plagiarism
PlagiarismPlagiarism
Plagiarism
ย 
Fertility Diagnosis & Treatment Options
Fertility Diagnosis & Treatment OptionsFertility Diagnosis & Treatment Options
Fertility Diagnosis & Treatment Options
ย 
Gynaecomastia
GynaecomastiaGynaecomastia
Gynaecomastia
ย 
Neck masses in adult
Neck masses in adult Neck masses in adult
Neck masses in adult
ย 
Consultation models
Consultation modelsConsultation models
Consultation models
ย 
Contraception
ContraceptionContraception
Contraception
ย 
Bariatric surgery powerpoint
Bariatric surgery powerpointBariatric surgery powerpoint
Bariatric surgery powerpoint
ย 
Intramuscular haemangioma
Intramuscular haemangiomaIntramuscular haemangioma
Intramuscular haemangioma
ย 
Female infertility
Female infertilityFemale infertility
Female infertility
ย 
Chronic obstructive pulmonary disease 1
Chronic obstructive pulmonary disease 1Chronic obstructive pulmonary disease 1
Chronic obstructive pulmonary disease 1
ย 
Sex change surgery
Sex change surgerySex change surgery
Sex change surgery
ย 
Laparoscopy: The impact on the future
Laparoscopy: The impact on the futureLaparoscopy: The impact on the future
Laparoscopy: The impact on the future
ย 
Gynaecomastia
GynaecomastiaGynaecomastia
Gynaecomastia
ย 
Gynecomastia
GynecomastiaGynecomastia
Gynecomastia
ย 
Gynecomastia surgery ppt
Gynecomastia surgery pptGynecomastia surgery ppt
Gynecomastia surgery ppt
ย 
scar revision , z plasty
scar revision , z plastyscar revision , z plasty
scar revision , z plasty
ย 
Knee Pain
Knee PainKnee Pain
Knee Pain
ย 
gyencomastia
gyencomastiagyencomastia
gyencomastia
ย 
Management of poor ovarian response
Management of poor ovarian responseManagement of poor ovarian response
Management of poor ovarian response
ย 

Similar to Type 2 Diabetes & Surgical Disease

Anti Diabetes Operations: The Foundation for New Procedures
Anti Diabetes Operations: The Foundation for New ProceduresAnti Diabetes Operations: The Foundation for New Procedures
Anti Diabetes Operations: The Foundation for New ProceduresGeorge S. Ferzli
ย 
Type 2 dm etiology & reversibility (diabetes care, april 2013)
Type 2 dm etiology & reversibility (diabetes care, april 2013)Type 2 dm etiology & reversibility (diabetes care, april 2013)
Type 2 dm etiology & reversibility (diabetes care, april 2013)Endocrinology Department, BSMMU
ย 
Surgery for treatment of Diabetes
Surgery for treatment of DiabetesSurgery for treatment of Diabetes
Surgery for treatment of DiabetesRoss Finesmith M.D.
ย 
Bariatric surgery for the treatment of Type II Diabetes
Bariatric surgery for the treatment of Type II Diabetes Bariatric surgery for the treatment of Type II Diabetes
Bariatric surgery for the treatment of Type II Diabetes Ross Finesmith M.D.
ย 
Surgery for Obesity Duodeno-Jejunal Bypass forType 2 Diabetes in Non-Obese - ...
Surgery for Obesity Duodeno-Jejunal Bypass forType 2 Diabetes in Non-Obese - ...Surgery for Obesity Duodeno-Jejunal Bypass forType 2 Diabetes in Non-Obese - ...
Surgery for Obesity Duodeno-Jejunal Bypass forType 2 Diabetes in Non-Obese - ...George S. Ferzli
ย 
Incretin Therapy
Incretin TherapyIncretin Therapy
Incretin Therapyko ko
ย 
Resolution of Metabolic Syndrome and Morbid Obesity Surgery
Resolution of Metabolic Syndrome and Morbid Obesity SurgeryResolution of Metabolic Syndrome and Morbid Obesity Surgery
Resolution of Metabolic Syndrome and Morbid Obesity SurgeryGeorge S. Ferzli
ย 
Duodenal-jejeunal Bypass in Non-obese Adults with Type 2 Diabetes
Duodenal-jejeunal Bypass in Non-obese Adults with Type 2 DiabetesDuodenal-jejeunal Bypass in Non-obese Adults with Type 2 Diabetes
Duodenal-jejeunal Bypass in Non-obese Adults with Type 2 DiabetesGeorge S. Ferzli
ย 
Clinical Improvement Proceeds Glycemic Homeostasis After Duodenal-jejunal Byp...
Clinical Improvement Proceeds Glycemic Homeostasis After Duodenal-jejunal Byp...Clinical Improvement Proceeds Glycemic Homeostasis After Duodenal-jejunal Byp...
Clinical Improvement Proceeds Glycemic Homeostasis After Duodenal-jejunal Byp...George S. Ferzli
ย 
Msd Orissa Apicon Nov 2008 Dr Ka
Msd Orissa Apicon Nov 2008 Dr KaMsd Orissa Apicon Nov 2008 Dr Ka
Msd Orissa Apicon Nov 2008 Dr KaDr Karthik Anantharaman
ย 
Metabolic surgery
Metabolic surgeryMetabolic surgery
Metabolic surgerymostafa hegazy
ย 
Effect of emulin on blood glucose in type 2 diabetics - https://emulincanada.com
Effect of emulin on blood glucose in type 2 diabetics - https://emulincanada.comEffect of emulin on blood glucose in type 2 diabetics - https://emulincanada.com
Effect of emulin on blood glucose in type 2 diabetics - https://emulincanada.comAj Martirano
ย 
3. DM.pptx
3. DM.pptx3. DM.pptx
3. DM.pptxjohney dulla
ย 
Pharmacology Review & Perioperative Management of Diabetes
Pharmacology Review & Perioperative Management of Diabetes Pharmacology Review & Perioperative Management of Diabetes
Pharmacology Review & Perioperative Management of Diabetes Alan Todd, DNP, MSN, CRNA
ย 
Is There a Role for Surgery in the Treatment of Diabetes
Is There a Role for Surgery in the Treatment of DiabetesIs There a Role for Surgery in the Treatment of Diabetes
Is There a Role for Surgery in the Treatment of DiabetesGeorge S. Ferzli
ย 
effect of skipping breakfast on glycemic response
effect of skipping breakfast on glycemic responseeffect of skipping breakfast on glycemic response
effect of skipping breakfast on glycemic responseVasif Mayan
ย 
Bariatric Surgery
Bariatric SurgeryBariatric Surgery
Bariatric SurgeryDr Sumeet Shah
ย 

Similar to Type 2 Diabetes & Surgical Disease (20)

Anti Diabetes Operations: The Foundation for New Procedures
Anti Diabetes Operations: The Foundation for New ProceduresAnti Diabetes Operations: The Foundation for New Procedures
Anti Diabetes Operations: The Foundation for New Procedures
ย 
Type 2 dm etiology & reversibility (diabetes care, april 2013)
Type 2 dm etiology & reversibility (diabetes care, april 2013)Type 2 dm etiology & reversibility (diabetes care, april 2013)
Type 2 dm etiology & reversibility (diabetes care, april 2013)
ย 
Surgery for treatment of Diabetes
Surgery for treatment of DiabetesSurgery for treatment of Diabetes
Surgery for treatment of Diabetes
ย 
Bariatric surgery for the treatment of Type II Diabetes
Bariatric surgery for the treatment of Type II Diabetes Bariatric surgery for the treatment of Type II Diabetes
Bariatric surgery for the treatment of Type II Diabetes
ย 
Surgery for Obesity Duodeno-Jejunal Bypass forType 2 Diabetes in Non-Obese - ...
Surgery for Obesity Duodeno-Jejunal Bypass forType 2 Diabetes in Non-Obese - ...Surgery for Obesity Duodeno-Jejunal Bypass forType 2 Diabetes in Non-Obese - ...
Surgery for Obesity Duodeno-Jejunal Bypass forType 2 Diabetes in Non-Obese - ...
ย 
Incretin Therapy
Incretin TherapyIncretin Therapy
Incretin Therapy
ย 
Resolution of Metabolic Syndrome and Morbid Obesity Surgery
Resolution of Metabolic Syndrome and Morbid Obesity SurgeryResolution of Metabolic Syndrome and Morbid Obesity Surgery
Resolution of Metabolic Syndrome and Morbid Obesity Surgery
ย 
Duodenal-jejeunal Bypass in Non-obese Adults with Type 2 Diabetes
Duodenal-jejeunal Bypass in Non-obese Adults with Type 2 DiabetesDuodenal-jejeunal Bypass in Non-obese Adults with Type 2 Diabetes
Duodenal-jejeunal Bypass in Non-obese Adults with Type 2 Diabetes
ย 
Resultados de la cirugรญa metabรณlica
Resultados de la cirugรญa metabรณlicaResultados de la cirugรญa metabรณlica
Resultados de la cirugรญa metabรณlica
ย 
Resultados de la cirugรญa metabรณlica
Resultados de la cirugรญa metabรณlicaResultados de la cirugรญa metabรณlica
Resultados de la cirugรญa metabรณlica
ย 
Clinical Improvement Proceeds Glycemic Homeostasis After Duodenal-jejunal Byp...
Clinical Improvement Proceeds Glycemic Homeostasis After Duodenal-jejunal Byp...Clinical Improvement Proceeds Glycemic Homeostasis After Duodenal-jejunal Byp...
Clinical Improvement Proceeds Glycemic Homeostasis After Duodenal-jejunal Byp...
ย 
Msd Orissa Apicon Nov 2008 Dr Ka
Msd Orissa Apicon Nov 2008 Dr KaMsd Orissa Apicon Nov 2008 Dr Ka
Msd Orissa Apicon Nov 2008 Dr Ka
ย 
Metabolic surgery
Metabolic surgeryMetabolic surgery
Metabolic surgery
ย 
Effect of emulin on blood glucose in type 2 diabetics - https://emulincanada.com
Effect of emulin on blood glucose in type 2 diabetics - https://emulincanada.comEffect of emulin on blood glucose in type 2 diabetics - https://emulincanada.com
Effect of emulin on blood glucose in type 2 diabetics - https://emulincanada.com
ย 
3. DM.pptx
3. DM.pptx3. DM.pptx
3. DM.pptx
ย 
Msd Trivandrum Dr Ka
Msd Trivandrum Dr KaMsd Trivandrum Dr Ka
Msd Trivandrum Dr Ka
ย 
Pharmacology Review & Perioperative Management of Diabetes
Pharmacology Review & Perioperative Management of Diabetes Pharmacology Review & Perioperative Management of Diabetes
Pharmacology Review & Perioperative Management of Diabetes
ย 
Is There a Role for Surgery in the Treatment of Diabetes
Is There a Role for Surgery in the Treatment of DiabetesIs There a Role for Surgery in the Treatment of Diabetes
Is There a Role for Surgery in the Treatment of Diabetes
ย 
effect of skipping breakfast on glycemic response
effect of skipping breakfast on glycemic responseeffect of skipping breakfast on glycemic response
effect of skipping breakfast on glycemic response
ย 
Bariatric Surgery
Bariatric SurgeryBariatric Surgery
Bariatric Surgery
ย 

More from George S. Ferzli

Laparoscopy: Historic, Present and Emerging Trends
Laparoscopy: Historic, Present and Emerging TrendsLaparoscopy: Historic, Present and Emerging Trends
Laparoscopy: Historic, Present and Emerging TrendsGeorge S. Ferzli
ย 
Surgical Meshes and Methods of Fixation
Surgical Meshes and Methods of FixationSurgical Meshes and Methods of Fixation
Surgical Meshes and Methods of FixationGeorge S. Ferzli
ย 
Laparoscopic Autopsy
Laparoscopic AutopsyLaparoscopic Autopsy
Laparoscopic AutopsyGeorge S. Ferzli
ย 
Endoscopic Parathyroid Surgery
Endoscopic Parathyroid SurgeryEndoscopic Parathyroid Surgery
Endoscopic Parathyroid SurgeryGeorge S. Ferzli
ย 
Common Bile Duct Stones: Leave Them Get Them or Refer Them
Common Bile Duct Stones: Leave Them Get Them or Refer ThemCommon Bile Duct Stones: Leave Them Get Them or Refer Them
Common Bile Duct Stones: Leave Them Get Them or Refer ThemGeorge S. Ferzli
ย 
Laparoscopic Sigmoid Colon Resection: Supine and Lateral
Laparoscopic Sigmoid Colon Resection: Supine and LateralLaparoscopic Sigmoid Colon Resection: Supine and Lateral
Laparoscopic Sigmoid Colon Resection: Supine and LateralGeorge S. Ferzli
ย 
Urgent Early Laparoscopic Reassessment
Urgent Early Laparoscopic ReassessmentUrgent Early Laparoscopic Reassessment
Urgent Early Laparoscopic ReassessmentGeorge S. Ferzli
ย 
Trocar/Port Placement for the Procedure: General Strategies
Trocar/Port Placement for the Procedure: General StrategiesTrocar/Port Placement for the Procedure: General Strategies
Trocar/Port Placement for the Procedure: General StrategiesGeorge S. Ferzli
ย 
How to Treat Recurrence After TEP
How to Treat Recurrence After TEPHow to Treat Recurrence After TEP
How to Treat Recurrence After TEPGeorge S. Ferzli
ย 
To Tack or Not to Tack
To Tack or Not to TackTo Tack or Not to Tack
To Tack or Not to TackGeorge S. Ferzli
ย 
Tips & Tricks in Laparoscopic Adhesiolysis
Tips & Tricks in Laparoscopic AdhesiolysisTips & Tricks in Laparoscopic Adhesiolysis
Tips & Tricks in Laparoscopic AdhesiolysisGeorge S. Ferzli
ย 
Tips and Tricks in Laparoscopic Dissection of Adhesions
Tips and Tricks in Laparoscopic Dissection of AdhesionsTips and Tricks in Laparoscopic Dissection of Adhesions
Tips and Tricks in Laparoscopic Dissection of AdhesionsGeorge S. Ferzli
ย 
Thyroid Surgery by Mini-incision
Thyroid Surgery by Mini-incisionThyroid Surgery by Mini-incision
Thyroid Surgery by Mini-incisionGeorge S. Ferzli
ย 
TEP Learning Curve
TEP Learning CurveTEP Learning Curve
TEP Learning CurveGeorge S. Ferzli
ย 
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and Recurrent
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and RecurrentTAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and Recurrent
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and RecurrentGeorge S. Ferzli
ย 
Surgical Treatment of Morbid Obesity
Surgical Treatment of Morbid ObesitySurgical Treatment of Morbid Obesity
Surgical Treatment of Morbid ObesityGeorge S. Ferzli
ย 
Standardized Placement of Ports
Standardized Placement of PortsStandardized Placement of Ports
Standardized Placement of PortsGeorge S. Ferzli
ย 
Special Considerations: Obturator, Femoral and Scrotal Hernias
Special Considerations: Obturator, Femoral and Scrotal HerniasSpecial Considerations: Obturator, Femoral and Scrotal Hernias
Special Considerations: Obturator, Femoral and Scrotal HerniasGeorge S. Ferzli
ย 

More from George S. Ferzli (20)

Laparoscopy: Historic, Present and Emerging Trends
Laparoscopy: Historic, Present and Emerging TrendsLaparoscopy: Historic, Present and Emerging Trends
Laparoscopy: Historic, Present and Emerging Trends
ย 
Surgical Meshes and Methods of Fixation
Surgical Meshes and Methods of FixationSurgical Meshes and Methods of Fixation
Surgical Meshes and Methods of Fixation
ย 
Laparoscopic Autopsy
Laparoscopic AutopsyLaparoscopic Autopsy
Laparoscopic Autopsy
ย 
Endoscopic Parathyroid Surgery
Endoscopic Parathyroid SurgeryEndoscopic Parathyroid Surgery
Endoscopic Parathyroid Surgery
ย 
Common Bile Duct Stones: Leave Them Get Them or Refer Them
Common Bile Duct Stones: Leave Them Get Them or Refer ThemCommon Bile Duct Stones: Leave Them Get Them or Refer Them
Common Bile Duct Stones: Leave Them Get Them or Refer Them
ย 
Laparoscopic Sigmoid Colon Resection: Supine and Lateral
Laparoscopic Sigmoid Colon Resection: Supine and LateralLaparoscopic Sigmoid Colon Resection: Supine and Lateral
Laparoscopic Sigmoid Colon Resection: Supine and Lateral
ย 
Urgent Early Laparoscopic Reassessment
Urgent Early Laparoscopic ReassessmentUrgent Early Laparoscopic Reassessment
Urgent Early Laparoscopic Reassessment
ย 
Trocar/Port Placement for the Procedure: General Strategies
Trocar/Port Placement for the Procedure: General StrategiesTrocar/Port Placement for the Procedure: General Strategies
Trocar/Port Placement for the Procedure: General Strategies
ย 
How to Treat Recurrence After TEP
How to Treat Recurrence After TEPHow to Treat Recurrence After TEP
How to Treat Recurrence After TEP
ย 
To Tack or Not to Tack
To Tack or Not to TackTo Tack or Not to Tack
To Tack or Not to Tack
ย 
Tips & Tricks in Laparoscopic Adhesiolysis
Tips & Tricks in Laparoscopic AdhesiolysisTips & Tricks in Laparoscopic Adhesiolysis
Tips & Tricks in Laparoscopic Adhesiolysis
ย 
Tips and Tricks in Laparoscopic Dissection of Adhesions
Tips and Tricks in Laparoscopic Dissection of AdhesionsTips and Tricks in Laparoscopic Dissection of Adhesions
Tips and Tricks in Laparoscopic Dissection of Adhesions
ย 
Thyroid Surgery by Mini-incision
Thyroid Surgery by Mini-incisionThyroid Surgery by Mini-incision
Thyroid Surgery by Mini-incision
ย 
TEP Medline
TEP MedlineTEP Medline
TEP Medline
ย 
TEP Learning Curve
TEP Learning CurveTEP Learning Curve
TEP Learning Curve
ย 
TEP
TEPTEP
TEP
ย 
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and Recurrent
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and RecurrentTAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and Recurrent
TAPP and TEP in the Complicated Hernia: Scrotal, Strangulated, and Recurrent
ย 
Surgical Treatment of Morbid Obesity
Surgical Treatment of Morbid ObesitySurgical Treatment of Morbid Obesity
Surgical Treatment of Morbid Obesity
ย 
Standardized Placement of Ports
Standardized Placement of PortsStandardized Placement of Ports
Standardized Placement of Ports
ย 
Special Considerations: Obturator, Femoral and Scrotal Hernias
Special Considerations: Obturator, Femoral and Scrotal HerniasSpecial Considerations: Obturator, Femoral and Scrotal Hernias
Special Considerations: Obturator, Femoral and Scrotal Hernias
ย 

Recently uploaded

โค๏ธAmritsar Escorts Serviceโ˜Ž๏ธ9815674956โ˜Ž๏ธ Call Girl service in Amritsarโ˜Ž๏ธ Amri...
โค๏ธAmritsar Escorts Serviceโ˜Ž๏ธ9815674956โ˜Ž๏ธ Call Girl service in Amritsarโ˜Ž๏ธ Amri...โค๏ธAmritsar Escorts Serviceโ˜Ž๏ธ9815674956โ˜Ž๏ธ Call Girl service in Amritsarโ˜Ž๏ธ Amri...
โค๏ธAmritsar Escorts Serviceโ˜Ž๏ธ9815674956โ˜Ž๏ธ Call Girl service in Amritsarโ˜Ž๏ธ Amri...Sheetaleventcompany
ย 
๐Ÿ’šCall Girls In Amritsar ๐Ÿ’ฏAnvi ๐Ÿ“ฒ๐Ÿ”8725944379๐Ÿ”Amritsar Call Girl No๐Ÿ’ฐAdvance Cash...
๐Ÿ’šCall Girls In Amritsar ๐Ÿ’ฏAnvi ๐Ÿ“ฒ๐Ÿ”8725944379๐Ÿ”Amritsar Call Girl No๐Ÿ’ฐAdvance Cash...๐Ÿ’šCall Girls In Amritsar ๐Ÿ’ฏAnvi ๐Ÿ“ฒ๐Ÿ”8725944379๐Ÿ”Amritsar Call Girl No๐Ÿ’ฐAdvance Cash...
๐Ÿ’šCall Girls In Amritsar ๐Ÿ’ฏAnvi ๐Ÿ“ฒ๐Ÿ”8725944379๐Ÿ”Amritsar Call Girl No๐Ÿ’ฐAdvance Cash...Sheetaleventcompany
ย 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotecjualobat34
ย 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableJanvi Singh
ย 
Chandigarh Call Girls Service โค๏ธ๐Ÿ‘ 9809698092 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Cha...
Chandigarh Call Girls Service โค๏ธ๐Ÿ‘ 9809698092 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Cha...Chandigarh Call Girls Service โค๏ธ๐Ÿ‘ 9809698092 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Cha...
Chandigarh Call Girls Service โค๏ธ๐Ÿ‘ 9809698092 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Cha...Sheetaleventcompany
ย 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxSwetaba Besh
ย 
Whitefield { Call Girl in Bangalore โ‚น7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore โ‚น7.5k Pick Up & Drop With Cash Payment 63...Whitefield { Call Girl in Bangalore โ‚น7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore โ‚น7.5k Pick Up & Drop With Cash Payment 63...dishamehta3332
ย 
๐Ÿ’šChandigarh Call Girls ๐Ÿ’ฏRiya ๐Ÿ“ฒ๐Ÿ”8868886958๐Ÿ”Call Girls In Chandigarh No๐Ÿ’ฐAdvance...
๐Ÿ’šChandigarh Call Girls ๐Ÿ’ฏRiya ๐Ÿ“ฒ๐Ÿ”8868886958๐Ÿ”Call Girls In Chandigarh No๐Ÿ’ฐAdvance...๐Ÿ’šChandigarh Call Girls ๐Ÿ’ฏRiya ๐Ÿ“ฒ๐Ÿ”8868886958๐Ÿ”Call Girls In Chandigarh No๐Ÿ’ฐAdvance...
๐Ÿ’šChandigarh Call Girls ๐Ÿ’ฏRiya ๐Ÿ“ฒ๐Ÿ”8868886958๐Ÿ”Call Girls In Chandigarh No๐Ÿ’ฐAdvance...Sheetaleventcompany
ย 
Bhawanipatna Call Girls ๐Ÿ“ž9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls ๐Ÿ“ž9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls ๐Ÿ“ž9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls ๐Ÿ“ž9332606886 Call Girls in Bhawanipatna Escorts servic...Dipal Arora
ย 
Call Girls Bangalore - 450+ Call Girl Cash Payment ๐Ÿ’ฏCall Us ๐Ÿ” 6378878445 ๐Ÿ” ๐Ÿ’ƒ ...
Call Girls Bangalore - 450+ Call Girl Cash Payment ๐Ÿ’ฏCall Us ๐Ÿ” 6378878445 ๐Ÿ” ๐Ÿ’ƒ ...Call Girls Bangalore - 450+ Call Girl Cash Payment ๐Ÿ’ฏCall Us ๐Ÿ” 6378878445 ๐Ÿ” ๐Ÿ’ƒ ...
Call Girls Bangalore - 450+ Call Girl Cash Payment ๐Ÿ’ฏCall Us ๐Ÿ” 6378878445 ๐Ÿ” ๐Ÿ’ƒ ...gragneelam30
ย 
Dehradun Call Girl Service โค๏ธ๐Ÿ‘ 8854095900 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Dehradun
Dehradun Call Girl Service โค๏ธ๐Ÿ‘ 8854095900 ๐Ÿ‘„๐ŸซฆIndependent Escort Service DehradunDehradun Call Girl Service โค๏ธ๐Ÿ‘ 8854095900 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Dehradun
Dehradun Call Girl Service โค๏ธ๐Ÿ‘ 8854095900 ๐Ÿ‘„๐ŸซฆIndependent Escort Service DehradunSheetaleventcompany
ย 
Kolkata Call Girls Shobhabazar ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Gir...
Kolkata Call Girls Shobhabazar ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Gir...Kolkata Call Girls Shobhabazar ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Gir...
Kolkata Call Girls Shobhabazar ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Gir...Namrata Singh
ย 
Goa Call Girl Service ๐Ÿ“ž9xx000xx09๐Ÿ“žJust Call Divya๐Ÿ“ฒ Call Girl In Goa No๐Ÿ’ฐAdvanc...
Goa Call Girl Service ๐Ÿ“ž9xx000xx09๐Ÿ“žJust Call Divya๐Ÿ“ฒ Call Girl In Goa No๐Ÿ’ฐAdvanc...Goa Call Girl Service ๐Ÿ“ž9xx000xx09๐Ÿ“žJust Call Divya๐Ÿ“ฒ Call Girl In Goa No๐Ÿ’ฐAdvanc...
Goa Call Girl Service ๐Ÿ“ž9xx000xx09๐Ÿ“žJust Call Divya๐Ÿ“ฒ Call Girl In Goa No๐Ÿ’ฐAdvanc...Sheetaleventcompany
ย 
๐Ÿ‘‰ Chennai Sexy Auntyโ€™s WhatsApp Number ๐Ÿ‘‰๐Ÿ“ž 7427069034 ๐Ÿ‘‰๐Ÿ“ž Just๐Ÿ“ฒ Call Ruhi Colle...
๐Ÿ‘‰ Chennai Sexy Auntyโ€™s WhatsApp Number ๐Ÿ‘‰๐Ÿ“ž 7427069034 ๐Ÿ‘‰๐Ÿ“ž Just๐Ÿ“ฒ Call Ruhi Colle...๐Ÿ‘‰ Chennai Sexy Auntyโ€™s WhatsApp Number ๐Ÿ‘‰๐Ÿ“ž 7427069034 ๐Ÿ‘‰๐Ÿ“ž Just๐Ÿ“ฒ Call Ruhi Colle...
๐Ÿ‘‰ Chennai Sexy Auntyโ€™s WhatsApp Number ๐Ÿ‘‰๐Ÿ“ž 7427069034 ๐Ÿ‘‰๐Ÿ“ž Just๐Ÿ“ฒ Call Ruhi Colle...rajnisinghkjn
ย 
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfShazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfTrustlife
ย 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana GuptaLifecare Centre
ย 
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppMost Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppjimmihoslasi
ย 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...GENUINE ESCORT AGENCY
ย 
๐Ÿ’ฐCall Girl In Bangaloreโ˜Ž๏ธ63788-78445๐Ÿ’ฐ Call Girl service in Bangaloreโ˜Ž๏ธBangalo...
๐Ÿ’ฐCall Girl In Bangaloreโ˜Ž๏ธ63788-78445๐Ÿ’ฐ Call Girl service in Bangaloreโ˜Ž๏ธBangalo...๐Ÿ’ฐCall Girl In Bangaloreโ˜Ž๏ธ63788-78445๐Ÿ’ฐ Call Girl service in Bangaloreโ˜Ž๏ธBangalo...
๐Ÿ’ฐCall Girl In Bangaloreโ˜Ž๏ธ63788-78445๐Ÿ’ฐ Call Girl service in Bangaloreโ˜Ž๏ธBangalo...gragneelam30
ย 
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...GENUINE ESCORT AGENCY
ย 

Recently uploaded (20)

โค๏ธAmritsar Escorts Serviceโ˜Ž๏ธ9815674956โ˜Ž๏ธ Call Girl service in Amritsarโ˜Ž๏ธ Amri...
โค๏ธAmritsar Escorts Serviceโ˜Ž๏ธ9815674956โ˜Ž๏ธ Call Girl service in Amritsarโ˜Ž๏ธ Amri...โค๏ธAmritsar Escorts Serviceโ˜Ž๏ธ9815674956โ˜Ž๏ธ Call Girl service in Amritsarโ˜Ž๏ธ Amri...
โค๏ธAmritsar Escorts Serviceโ˜Ž๏ธ9815674956โ˜Ž๏ธ Call Girl service in Amritsarโ˜Ž๏ธ Amri...
ย 
๐Ÿ’šCall Girls In Amritsar ๐Ÿ’ฏAnvi ๐Ÿ“ฒ๐Ÿ”8725944379๐Ÿ”Amritsar Call Girl No๐Ÿ’ฐAdvance Cash...
๐Ÿ’šCall Girls In Amritsar ๐Ÿ’ฏAnvi ๐Ÿ“ฒ๐Ÿ”8725944379๐Ÿ”Amritsar Call Girl No๐Ÿ’ฐAdvance Cash...๐Ÿ’šCall Girls In Amritsar ๐Ÿ’ฏAnvi ๐Ÿ“ฒ๐Ÿ”8725944379๐Ÿ”Amritsar Call Girl No๐Ÿ’ฐAdvance Cash...
๐Ÿ’šCall Girls In Amritsar ๐Ÿ’ฏAnvi ๐Ÿ“ฒ๐Ÿ”8725944379๐Ÿ”Amritsar Call Girl No๐Ÿ’ฐAdvance Cash...
ย 
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan CytotecJual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
Jual Obat Aborsi Di Dubai UAE Wa 0838-4800-7379 Obat Penggugur Kandungan Cytotec
ย 
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service AvailableCall Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
Call Girls Mussoorie Just Call 8854095900 Top Class Call Girl Service Available
ย 
Chandigarh Call Girls Service โค๏ธ๐Ÿ‘ 9809698092 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Cha...
Chandigarh Call Girls Service โค๏ธ๐Ÿ‘ 9809698092 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Cha...Chandigarh Call Girls Service โค๏ธ๐Ÿ‘ 9809698092 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Cha...
Chandigarh Call Girls Service โค๏ธ๐Ÿ‘ 9809698092 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Cha...
ย 
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptxANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ANATOMY AND PHYSIOLOGY OF REPRODUCTIVE SYSTEM.pptx
ย 
Whitefield { Call Girl in Bangalore โ‚น7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore โ‚น7.5k Pick Up & Drop With Cash Payment 63...Whitefield { Call Girl in Bangalore โ‚น7.5k Pick Up & Drop With Cash Payment 63...
Whitefield { Call Girl in Bangalore โ‚น7.5k Pick Up & Drop With Cash Payment 63...
ย 
๐Ÿ’šChandigarh Call Girls ๐Ÿ’ฏRiya ๐Ÿ“ฒ๐Ÿ”8868886958๐Ÿ”Call Girls In Chandigarh No๐Ÿ’ฐAdvance...
๐Ÿ’šChandigarh Call Girls ๐Ÿ’ฏRiya ๐Ÿ“ฒ๐Ÿ”8868886958๐Ÿ”Call Girls In Chandigarh No๐Ÿ’ฐAdvance...๐Ÿ’šChandigarh Call Girls ๐Ÿ’ฏRiya ๐Ÿ“ฒ๐Ÿ”8868886958๐Ÿ”Call Girls In Chandigarh No๐Ÿ’ฐAdvance...
๐Ÿ’šChandigarh Call Girls ๐Ÿ’ฏRiya ๐Ÿ“ฒ๐Ÿ”8868886958๐Ÿ”Call Girls In Chandigarh No๐Ÿ’ฐAdvance...
ย 
Bhawanipatna Call Girls ๐Ÿ“ž9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls ๐Ÿ“ž9332606886 Call Girls in Bhawanipatna Escorts servic...Bhawanipatna Call Girls ๐Ÿ“ž9332606886 Call Girls in Bhawanipatna Escorts servic...
Bhawanipatna Call Girls ๐Ÿ“ž9332606886 Call Girls in Bhawanipatna Escorts servic...
ย 
Call Girls Bangalore - 450+ Call Girl Cash Payment ๐Ÿ’ฏCall Us ๐Ÿ” 6378878445 ๐Ÿ” ๐Ÿ’ƒ ...
Call Girls Bangalore - 450+ Call Girl Cash Payment ๐Ÿ’ฏCall Us ๐Ÿ” 6378878445 ๐Ÿ” ๐Ÿ’ƒ ...Call Girls Bangalore - 450+ Call Girl Cash Payment ๐Ÿ’ฏCall Us ๐Ÿ” 6378878445 ๐Ÿ” ๐Ÿ’ƒ ...
Call Girls Bangalore - 450+ Call Girl Cash Payment ๐Ÿ’ฏCall Us ๐Ÿ” 6378878445 ๐Ÿ” ๐Ÿ’ƒ ...
ย 
Dehradun Call Girl Service โค๏ธ๐Ÿ‘ 8854095900 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Dehradun
Dehradun Call Girl Service โค๏ธ๐Ÿ‘ 8854095900 ๐Ÿ‘„๐ŸซฆIndependent Escort Service DehradunDehradun Call Girl Service โค๏ธ๐Ÿ‘ 8854095900 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Dehradun
Dehradun Call Girl Service โค๏ธ๐Ÿ‘ 8854095900 ๐Ÿ‘„๐ŸซฆIndependent Escort Service Dehradun
ย 
Kolkata Call Girls Shobhabazar ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Gir...
Kolkata Call Girls Shobhabazar ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Gir...Kolkata Call Girls Shobhabazar ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Gir...
Kolkata Call Girls Shobhabazar ๐Ÿ’ฏCall Us ๐Ÿ” 8005736733 ๐Ÿ” ๐Ÿ’ƒ Top Class Call Gir...
ย 
Goa Call Girl Service ๐Ÿ“ž9xx000xx09๐Ÿ“žJust Call Divya๐Ÿ“ฒ Call Girl In Goa No๐Ÿ’ฐAdvanc...
Goa Call Girl Service ๐Ÿ“ž9xx000xx09๐Ÿ“žJust Call Divya๐Ÿ“ฒ Call Girl In Goa No๐Ÿ’ฐAdvanc...Goa Call Girl Service ๐Ÿ“ž9xx000xx09๐Ÿ“žJust Call Divya๐Ÿ“ฒ Call Girl In Goa No๐Ÿ’ฐAdvanc...
Goa Call Girl Service ๐Ÿ“ž9xx000xx09๐Ÿ“žJust Call Divya๐Ÿ“ฒ Call Girl In Goa No๐Ÿ’ฐAdvanc...
ย 
๐Ÿ‘‰ Chennai Sexy Auntyโ€™s WhatsApp Number ๐Ÿ‘‰๐Ÿ“ž 7427069034 ๐Ÿ‘‰๐Ÿ“ž Just๐Ÿ“ฒ Call Ruhi Colle...
๐Ÿ‘‰ Chennai Sexy Auntyโ€™s WhatsApp Number ๐Ÿ‘‰๐Ÿ“ž 7427069034 ๐Ÿ‘‰๐Ÿ“ž Just๐Ÿ“ฒ Call Ruhi Colle...๐Ÿ‘‰ Chennai Sexy Auntyโ€™s WhatsApp Number ๐Ÿ‘‰๐Ÿ“ž 7427069034 ๐Ÿ‘‰๐Ÿ“ž Just๐Ÿ“ฒ Call Ruhi Colle...
๐Ÿ‘‰ Chennai Sexy Auntyโ€™s WhatsApp Number ๐Ÿ‘‰๐Ÿ“ž 7427069034 ๐Ÿ‘‰๐Ÿ“ž Just๐Ÿ“ฒ Call Ruhi Colle...
ย 
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdfShazia Iqbal 2024 - Bioorganic Chemistry.pdf
Shazia Iqbal 2024 - Bioorganic Chemistry.pdf
ย 
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
7 steps How to prevent Thalassemia : Dr Sharda Jain & Vandana Gupta
ย 
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsAppMost Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
Most Beautiful Call Girl in Chennai 7427069034 Contact on WhatsApp
ย 
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
Ahmedabad Call Girls Book Now 9630942363 Top Class Ahmedabad Escort Service A...
ย 
๐Ÿ’ฐCall Girl In Bangaloreโ˜Ž๏ธ63788-78445๐Ÿ’ฐ Call Girl service in Bangaloreโ˜Ž๏ธBangalo...
๐Ÿ’ฐCall Girl In Bangaloreโ˜Ž๏ธ63788-78445๐Ÿ’ฐ Call Girl service in Bangaloreโ˜Ž๏ธBangalo...๐Ÿ’ฐCall Girl In Bangaloreโ˜Ž๏ธ63788-78445๐Ÿ’ฐ Call Girl service in Bangaloreโ˜Ž๏ธBangalo...
๐Ÿ’ฐCall Girl In Bangaloreโ˜Ž๏ธ63788-78445๐Ÿ’ฐ Call Girl service in Bangaloreโ˜Ž๏ธBangalo...
ย 
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
Genuine Call Girls Hyderabad 9630942363 Book High Profile Call Girl in Hydera...
ย 

Type 2 Diabetes & Surgical Disease

Editor's Notes

  1. This raises an interesting question?????
  2. To make a joke: itโ€™s funny that in 1955 this was published in Obstetrics journalโ€ฆ.OB/GYNโ€™s were 50 years ahead of general surgeons!!!!!
  3. To make a joke: itโ€™s funny that in 1955 this was published in Obstetrics journalโ€ฆ.OB/GYNโ€™s were 50 years ahead of general surgeons!!!!!
  4. This would revolutionize bariatric surgery
  5. Hypothesis regarding the possible contribution of the proximal intestine to the alterations of glucose metabolism in type 2 diabetes