There are many risk factors for Type 2 Diabetes, some of them are due to genetics, but most risk factors are not genetic and can be reversed or prevented. The number one risk factor for Type 2 Diabetes is obesity.

 

According to the U.S. Government’s Centers for Disease Control there has been a dramatic increase in obesity rates in the United States in the past 20 years:

About one-third of the U.S. adult population (33.8%) are obese

Approximately 17% (or 12.5 million) of children and adolescents aged 2—19 years are obese.

 

According to the National Institutes of Health (NIH):

Diabetes affects 25.8 million people or 8.3 percent of the U.S. population.

This includes 18.8 million people who have been diagnosed, and 7.0 million people who have yet to be diagnosed.

 

Some complications of Type 2 Diabetes include kidney failure, lower-limb amputations, and blindness. Diabetes is also a major contributor to heart disease and stroke.

Diabetes is the seventh leading cause of death in the United States.

 

Bariatric surgery has been found to be an extremely effective treatment for Type 2 Diabetes.  In a recent study it was found that nearly 3 out of 4 patients were able to stop taking their insulin and other diabetes medications within six months of surgery.

Researchers found that two years after the operation, almost 85% of the patients still were off diabetes medications as a result of improved blood glucose levels.

 

Weight loss surgery in obese individuals may have the added benefit of reducing Type 2 Diabetes costs including outpatient care, prescription medications, diabetes-related hospitalizations and surgery, including amputations.

 

At oBand we can help you reduce your risk and resolve some of the health complications of Type 2 Diabetes and other obesity related illnesses through our surgical weight loss procedures. Call us today and start your journey to a healthier you.

Gastric Band Adjustments

November 9, 2011

Gastric Band Adjustments:

Following surgery your band will either be empty or contain a little saline. Saline is a solution of salt and water at the same concentration that you would find in the human body.

 

Your First Adjustment:

Your first adjustment will typically take place 4 to 6 weeks after surgery; this will vary from patient to patient. Your surgeon will locate the port located beneath your skin and numb the area. A very fine needle will be used to add saline to your band.

 

Future Adjustments:

Again, the timing in between your first and future adjustments will vary from patient to patient. Adjustments are dependent on the amount of weight you are losing, your hunger level and feeling of satisfaction after a meal, also known as satiety.

The goal of adjustments is the get you into the “Green Zone.”

 

The “Green Zone” Concept:

The “Green Zone” is the ideal fill level where you are losing weight. Typical weight loss is about 1 to 2 pounds per week. You should not feel hungry and practice proper portion control. You should feel satisfied.

If you are not losing weight, feel hungry and you are following nutritional guidelines laid out for you by you healthcare team at oBand you may need to have saline added to your band. This state is commonly known as the “Yellow Zone”.

If you are not losing weight, have discomfort while eating, suffer from regurgitation or have night cough these are symptoms of having too much fluid in your band. This is commonly known as the “Red Zone” and you may have to have some saline removed from your band.

 

The Future:

As you begin to lose weight you will continue to require adjustments. The number of adjustments will vary from patient to patient. Think of your band as a belt, it will become looser as the weight comes off.

Once you reach your goal weight, adjustments will become less and less frequent.

You should contact your oBand office if you are ever in doubt about the status of your fill level. Our staff should do all of your adjustments.

Cardiovascular or heart disease is one of the many health risks that obese individual face due to their excess weight. Cardiovascular disease is one of the leading causes of death worldwide.

 

Preventive measures for reducing your risk of cardiovascular disease include:

 

  • Dietary Measures: Adding whole grains, fresh fruits and vegetables, limiting your salt intake and reducing your saturated fat intake.
  • Tobacco: Stop smoking and try to avoid second hand smoke.
  • Exercise: Increase your daily activity to include 30 minutes of exercise five days per week.
  • Weight: Decrease your body fat if you are obese or overweight.

 

Researchers at the Cleveland Clinic recently reviewed 52 studies involving 17,000 surgical weight loss patients. What the researchers found was that the ten-year risk of having a heart attack was reduced from more than 6 percent (6 in 100 individuals) to less than 4 percent (4 in 100 individuals).

 

Patients lost about ½ of their excess weight. 68% of the patients saw a significant decrease in their high blood pressure. Additionally, 75% of the patients studied saw their diabetes improve only 3 months after their surgical procedure.

 

This information was recently published in the American Journal of Cardiology.

 

At oBand we can help you reduce your risk and resolve the health complications of cardiovascular disease and other obesity related illnesses through our surgical weight loss procedures. Call us today and start your journey to a healthier you.

In the United States, there are two adjustable gastric banding systems approved by the FDA.  The most commonly used gastric band, the LAP-BAND System, was approved in June 2001 and has since helped over 750,000 people worldwide.  The LAP-BAND was designed to be placed laparoscopically, using small incisions in the abdomen, a camera and thin tools.  Laparoscopic bariatric procedures typically offer the patient less discomfort, fewer complications, smaller scars, and a shorter recovery time than more invasive “open” weight loss surgery procedures.

Watch a LAP-BAND demo

Outpatient LAP-BAND Surgery

In Los Angeles, the LAP-BAND procedure can be performed on an outpatient basis to patients who qualify. Improved technology and advances in anesthesia and pain control have made this possible. With outpatient surgery in Los Angeles, you are able to go home within 24 hours of surgery.  Outpatient surgery provides many benefits for patients considering the LAP-BAND in Los Angeles:

  • Convenience – the ability to recover at home typically makes recovery time quicker and easier than a hospital stay
  • Lower cost – going home sooner means fewer hospital room charges
  • Safety – fewer days in a hospital lowers the chance of surgical infection

Not all patients are candidates for outpatient surgery.  Your medical history and the advice of your surgeon and anesthesiologist will determine if the procedure is best performed on an inpatient or outpatient basis.

LAP-BAND Surgery in Los Angeles

The oBand Center in Los Angeles has been granted full approval, and has been officially recognized as an American College of Surgeons Level Outpatient Accredited Bariatric Center. The institution is also part of the Bariatric Surgery Center Network (BSCN) Accreditation Program, a program that recognizes facilities with a commitment to high quality surgical care for patients.

Did you Know: LAP-BAND is covered by many insurance plans.  Request a FREE insurance verification by calling our office at 1-888-606-2263.

Learn more about LAP-BAND in Los Angeles

If you are interested in learning more about outpatient LAP-BAND surgery in Los Angeles, please call oBand Centers.  You can schedule a free consultation or register for a seminar by visiting our website.

What is Gastric Sleeve Surgery?

 

If you’ve been researching information on weight loss surgery in Las Vegas, you’ve probably come across a procedure called “the gastric sleeve.”  Also known as the sleeve gastrectomy or vertical gastric sleeve, this procedure has been growing in popularity in Las Vegas and throughout the country.

 

Popular weight loss procedures in Las Vegas

 

Today, the most popular weight-loss procedures in Las Vegas are the laparoscopic adjustable gastric band (or lap-band) and the Roux-en-Y gastric bypass.  Both of these procedures adjust the stomach so that it holds less food.  However, they do so in very different ways.

 

  • The lap-band is an implantable device that goes around the upper part of the stomach, transforming it into an hourglass shape.  As the patient eats, the upper portion fills quickly and empties slowly.  Patients feel full after less food and stay longer fuller.

 

  • The Roux-en-Y gastric bypass procedure also shrinks the stomach but does so by removing a large part of the organ.  It is also categorized as “malabsorptive” because the intestines are re-routed in such a way that the body absorbs fewer calories.

 

How is the gastric sleeve performed?

 

The sleeve gastrectomy combines many of the benefits of these two procedures.    During the sleeve gastrectomy operation, the surgeon removes a portion of the stomach leaving the remaining part shaped like a banana while remaining anatomy remains intact.  Patients lose weight because their new, sleeve shaped stomach, holds less food without the need of an implantable device.

 

Watch a gastric sleeve procedure

 

In the past, the sleeve gastrectomy was performed as the first step in a two-step procedure for extremely obese individuals.  It allowed patients to lose an initial amount of weight, become healthier, and then continue to a second, malabsorptive procedure for additional weight loss.

 

In doing this, Surgeons observed that the first step of the procedure was extremely effective and began performing the operation without the second step.

 

Did you Know: gastric sleeve as recently been included in many insurance plans.  Request a FREE insurance verification by calling our office at 1 (800) 606-2263.

 

In 2009, two surgeons at UCLA wrote an article on the gastric sleeve procedure.  They observed that the operation allowed patients to lose 50 to 70 percent of their excess weight, which is similar to the average weight loss with gastric bypass.  The side effects are lower than with gastric bypass, however, because the procedure is less invasive.  This is further evidence as to why the sleeve gastrectomy is performed as a stand-alone procedure today.

 

Learn more about gastric sleeve in Las Vegas

 

If you are interested in learning more about bariatric sleeve procedures in Las Vegas, please visit www.obandcenters.com. You can schedule a free consultation or register for a free seminar by visiting our website.

 

“You can look at the world as mostly friendly, or mostly hostile – either way you’ll find evidence to support both.” – Albert Einstein

I love this quote. It encapsulates the power of perception. Shakespeare also seemed to agree in that he once said “life is neither heaven nor hell, but as one thinks it. ”  The flavor of our world depends so much on how we choose to view it.

Many of the patients I meet with at oBand feel as though life has given up on them when they first come in, and as a result they have given up on life. When life feels hopeless, people begin to feel helpless and that starts to influence how much (or little) they start to take care of their bodies. Many of them are looking for a sense of hope, a light at the end of the tunnel, and want to feel happy again.

One of the first tools I recommend is the “what went well” exercise. This has been proven through research to boost one’s mood by focusing on three things that went well each day. However, many people don’t see results soon enough and stop early, or just get too busy with life to take a few moments to smell the roses.

So here is another idea to stop and take notice of the things that have gone and are going really well in your life- pictures. Many of you have a personal computer by now. Most of you have your pictures on your computer. By going in to the settings tab and changing your screen saver to “slideshow,” and using the directory that holds your pictures- whenever you get a couple of free moments, your computer will start to remind you of all the things that are going really well in your life.

For those of you who have the iphone or ipad, FotoFrame Hub is an excellent application that imports all of your facebook photos, and turns your device into a digital photo frame.

To take it one step further, play some happy and meaningful music while viewing your slideshow of life. Some recommendations to get you started:

1) Israel Kamakawi’wole (spelling?) – Somewhere Over the Rainbow

2) Louis Armstrong – What a Wonderful World

3) Chris Botti/Jeff Buckley – Hallelujah

If you can find 10 minutes today, I think it’s worth your time, to bring a little gratitude and happiness back into perspective. Life’s too short to feel anything else.

Dr. Colleen Long is the resident psychologist at oBand Centers, and the author of “Happiness in B.A.L.A.N.C.E.”  She facilitates weekly support groups for weight loss on OBanding Together, and does individual and couples therapy aimed at helping individuals lead a healthier lifestyle. Dr. Long works mainly from a positive psychology framework as it applies to addiction, depression, relationships,  body image and weight loss. Her website can be found at www.DrColleenLong.com.

Keep Doing What You’ve Always Done, Keep Getting What You’ve Always Gotten…

June 30, 2011

 The above title is the quintessential reason why I see hundreds of patients each month at oBand. Many people are coming in because they are “sick and tired of being sick and tired.” They find themselves caught in an endless cycle of eating because they feel badly about themselves and then feeling badly about themselves because they’ve eaten.

 

Usually by the time the patient walks through the door, they’ve decided that what they are doing is no longer working for them, and it is time to try something new. That is where oBand comes in. oBand can be a powerful tool for a patient, combined with the right diet and exercise.

 

However, there is one more missing factor that people tend to miss when doing most diets- happiness. In the chase for a thinner, leaner “you”, people tend to become tunnel focused, leaving behind all the things that once brought them happiness. That is why most diets inevitably fail.

 

It is my hope that all oBand patients, and even patients who don’t get the oBand, do not forget how to be happy along the journey.

 

The “L” in my B.A.L.A.N.C.E model stands for learning. Learning, in this sense, is meant to represent the novelty or challenge in our lives that have been proven through research to be responsible for increased feelings of well-being, contentment, and well- happiness.

The literature on happiness shows us that by engaging in new activities, we utilize structures in the left hemisphere of our brain (structures associated with happiness also reside in the left hemisphere), while engaging in the same routine every day and not doing anything new, we continuously call on our right hemisphere (associated with structures found to be responsible for depression, negative thinking, and hopeless assumptions about the future)….or in other words- you keep on doing what you’ve always done, you’ll keep on getting what you’ve always got- depression, anxiety, and feelings of “is this all there is?” This is very common in dieters that tend to stick to the same meals every day and the same exercise routines.

 

Novelty and challenge can be implemented in a multitude of forms. My therapy can often encompass challenging someone to learn a new subject and teach me about it, join a new group, or sometimes- I simply request that the patient takes a different route to work that week.

 

The irony of depression is that one’s mind intuitively tells them “if you just lay low you will start to feel better, don’t try and push yourself too hard.” This idea works when one is physically sick with the flu, but the flu of the mind requires a different antidote. In order to escape the chains of depression, one must do what feels the least do able- getting outside of what feels comfortable.

 

Even for those who don’t suffer with depression, challenge and novelty are the medicines of the spirit. They can be the difference in transforming a life starting to feel like Bill Murray’s Groundhog Day into a reinvigorated and energetic way of being.

 

 

At the same time, I appreciate how impossible this can seem to the depressed mind. People might be reading this and saying, “Yeah great for everyone else, meanwhile I’m doing well to just get my kids their bath, homework finished, and supper in their bellies before the next day repeats.” However, there is much that can be done to incite happiness back home.

 

The idea of this post is that happiness is not a golden ring to be grasped at the end of a long life of career success and material possessions. It is not even a prize to be had after one finds true love and achieves what they believe to be – the American dream. Happiness is a muscle that must be exercised every day in order to reap its benefits, and part of that exercise is seeking novelty and challenge in every day life.

 

Aristotle once said “ Happiness is the meaning and purpose of life. The whole aim and end of human existence.” I tend to agree, and after spending years working with thousands of individuals, I believe it’s a universally human need to find happiness (although we all tend to start off going about it our different ways). So if happiness is the purpose, we no longer have an excuse not to begin exercising our happiness muscles today. How can you begin to be different? What have you always wanted to do but never had enough time? What are you saving at the end of your to-do list?

 

Dr. Colleen Long is the resident psychologist at oBand Centers, and the author of “Happiness in B.A.L.A.N.C.E.”  She facilitates weekly support groups for weight loss on OBanding Together, and does individual and couples therapy aimed at helping individuals lead a healthier lifestyle. Dr. Long works mainly from a positive psychology framework as it applies to addiction, depression, relationships,  body image and weight loss. Her website can be found at www.DrColleenLong.com.

Sweet Sweet Charity

June 22, 2011

As we all know- part of looking good is feeling good. In other words, the way we look is often a reflection of how we feel on the inside. If we are disheveled and unkempt- chances are, our minds are chaotic as well. If we are put together and polished, there is a better chance that we are feeling at peace and calm.

So for a twist today, instead of talking about what we are taking in (to our bodies, our mouths, our stomachs), we are going to look at what we are putting out.

Much of the literature today points to doing good works as part of feeling happy. In a major study of happiness, 80% of people that ranked high on the happiness scale, all had one thing in common- they thought about others. Whether it was through a simple call to an aunt, a donation to a charity, or volunteering in their community- all people that report a high level of happiness seem to know a secret we don’t and that is giving.

An ancient spiritual principle (as well as physics) holds that energy is never destroyed. So when we put negative energy out there, whether it be through gossip, ill-will, or anger…it comes back. When we put good things out there in the form of helping another, speaking kind words about someone else, or simply getting involved in our community, we set up our own personal karma credit account.

Giving and doing good can start for you today, and it doesn’t necessarily require a major time commitment. My suggestion to my patients is to set an alarm on their phones around 4pm, that just reminds them to “do good.” Then use a couple of those moments to reach out to a loved one, write an email of appreciation for a co-worker, or simply sit down and thank the universe for all the blessings you have received. Not only will you start feeling better, you’ll also start look better as a result.

 

Want online weight loss support? Visit our oBanding Together Thursday, June 23rd at 2pm for live help from our resident shrink

Dr. Colleen Long is the resident psychologist at oBand Centers, and the author of “Happiness in B.A.L.A.N.C.E.”  She facilitates weekly support groups for weight loss on OBanding Together, and does individual and couples therapy aimed at helping individuals lead a healthier lifestyle. Dr. Long works mainly from a positive psychology framework as it applies to addiction, depression, relationships,  body image and weight loss. Her website can be found at www.DrColleenLong.com.

Many of the patients I meet with at oBand can be classified into four distinct categories of eating types. Which of the following do you find yourself falling into, in a typical day, or do you have a different weight loss hurdle?

1) Emotional Eater- uses food as a primary coping tool for boredom, stress, anxiety, anger, depression

2) Skip & Binger- may not eat breakfast, may even skip lunch..by the time you do eat, often you are making the wrong food choices and consuming too large of portion sizes

3) Grazer- eating small amounts of food all throughout the day

4) Miscellaneous- overall you recognize you are eating too large of portion sizes, or the wrong types of food

I’m interested in hearing others’ feedback regarding their own weight loss struggles. I have heard some unique situations from people who are in the entertainment industry, and find it hard to abstain when there are tons of rich and innovative foods around them all the time. What is your unique struggle?

Dr. Colleen Long is the resident psychologist at oBand Centers, and the author of “Happiness in B.A.L.A.N.C.E.”  She facilitates weekly support groups for weight loss on OBanding Together, and does individual and couples therapy aimed at helping individuals lead a healthier lifestyle. Dr. Long works mainly from a positive psychology framework as it applies to addiction, depression, relationships,  body image and weight loss. Her website can be found at www.DrColleenLong.com.

 

Just Say No

June 7, 2011 //

We all heard it time and time again growing up. Nancy Reagan’s campaign to make kids just say no to drugs reverberated throughout our childhood (and for some- young adulthood), loud and clear. Yet, when it comes to saying “no” to anything else, we are made to feel that we are somehow failing others. Ironically, by always saying “yes,” -we end up failing ourselves.

 

Many of the patients I see at oBand, are over-achievers. They run corporations, small businesses, families, relationships- and somehow manage to fit in dry-cleaning, volunteering, and barbecues in between.

 

The problem is that in the process of saying “yes” to everyone else, they end up saying “no” to themselves, mentally and physically. By getting lost in the noise of everyday life, avoiding asking ourselves the question of what we truly want, and becoming slaves to our to-do lists- we become out of touch with ourselves, and our outer image starts to reflect this.

 

Many oBand patients come in because they saw an unflattering picture of themselves, or they caught a glimpse in the mirror and asked “who is that person?” Within us all, there is an inherent need to please, that we must quell some times, in order to truly live and to reclaim and re-inhabit ourselves, our minds, and our bodies.

 

So maybe you start with your weekly schedule. You move appointments closer together and block out time for your self. If you notice that things are booked back to back- make sure you schedule some down time. Try setting your phone alarm to wake you up 15 minutes early each morning to meditate and welcome the day in a more calm and conscious state.  Start setting a cut off time where you disconnect from email, voicemail, and the internet and start reconnecting with the ones you love. Guess what- the world will not end. Not even a breaking news report that you were less available this week. But what will happen, will amaze you, and that is an increased sense of awareness and self.

 

You will notice that your daily spiritual rituals, whether it be praying or meditating will become more frequent and of greater quality. You will be able to sleep more easily and deeply throughout the night. You’ll become a better person to be around and find it much easier to be present.

What other ways might you start saying “no” today? Is there a meeting you don’t really need to attend? Is there someone you can delegate a task to, to make your life a bit easier this week? Do you have a toxic relationship that continually pushes you to tax yourself? What can you do today to start clearing out the clutter of your life?

 

 

 

 

 

 

 

Dr. Colleen Long is the resident psychologist at oBand Centers, and the author of “Happiness in B.A.L.A.N.C.E.”  She facilitates weekly support groups for weight loss on OBanding Together, and does individual and couples therapy aimed at helping individuals lead a healthier lifestyle. Dr. Long works mainly from a positive psychology framework as it applies to addiction, depression, relationships,  body image and weight loss. Her website can be found at www.DrColleenLong.com.

Follow

Get every new post delivered to your Inbox.