After surgery, the patient will be followed periodically by a multidisciplinary team that includes surgeons, endocrinologists and nutritionists, a psychiatrist, and general practitioners. Follow-up by specialists from different areas of health allows us to provide a much more comprehensive approach and is one of the factors that undoubtedly contribute to our patients' success. Postoperative consultations are held weekly during the first month, biweekly during the second month, then monthly until the sixth month, every six months until the second year, and then annually thereafter.
• Postoperative follow-up should include surgical and nutritional assessments at least every 6 months, and more frequently if necessary, for the first 2 postoperative years and at least annually thereafter.
• Even if patients experience diabetes remission, glycemic control monitoring should continue at the same frequency recommended for patients with prediabetes due to the potential for relapse.
• Long-term monitoring of micronutrient status, nutritional supplements, and support should be provided to patients after surgery, in accordance with national guidelines and international societies.
In the weeks following surgery, your dietitian will have a nutrition plan for you to follow. This may include a liquid diet for a period of time, followed by progression to soft or pureed foods, and eventually to more regular-textured foods. While healing in the first few months, it is very difficult to get enough fluids. Most patients are given a goal of 64 oz or more of fluids daily to avoid dehydration, constipation, and kidney stones. You will also need a lifelong habit with daily supplements, which typically include: a multivitamin, vitamin D, calcium, iron, and vitamin B12.
Healthy lifestyle choices provide the best results for health and quality of life after surgery. Protein-rich foods are important, with recommendations ranging from 60 to 100 g of protein per day, depending on your medical conditions, type of surgery, and activity level. Limiting foods high in added sugar (such as cookies, cakes, candy, juice, or other sweets) and refined carbohydrates (white breads, pasta, crackers, refined cereals) can improve your weight loss results.
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