In type 2 diabetes, medium- and large-scale vascular damage begins before the disease is diagnosed. Already, a significant number of patients are considered to have a 2-3 year history of disease at the time of diagnosis. Imagine, as soon as you get a diagnosis, you already have an impact on your veins. However, type 2 diabetes generally has a moderate course. So, a significant part of the complications gradually manifest over the years. For this reason, it is also defined as “insidious” disease.
In the follow-up of a type 2 diabetes patient, it is generally accepted to consume their own insulin reserves over a period of 10-12 years, and after this period, signs of organ damage begin to manifest themselves. This is the period when patients generally apply for treatment. Most patients do not want to have surgery while things seem to be fine. In summary, in order for us to help a diabetic patient with surgery, they should either not be able to control their sugar with standard treatments or have signs of organ damage. Of course, applying without loss of organs and before the insulin reserves are exhausted has many positive consequences.