{"id":8774,"date":"2021-01-19T17:24:34","date_gmt":"2021-01-19T22:24:34","guid":{"rendered":"https:\/\/cirugiadeobesidad.net\/?page_id=8774"},"modified":"2026-09-03T03:12:09","modified_gmt":"2026-09-03T08:12:09","slug":"type-2-diabetes-surgery","status":"publish","type":"page","link":"https:\/\/cirugiadeobesidad.net\/en\/procedimientos\/cirugia-para-diabetes-2\/","title":{"rendered":"Type 2 Diabetes Surgery"},"content":{"rendered":"TYPE 2 DIABETES SURGERY IN LIMA, PERU\n\t\t\t\t\t\t<h1>Type 2 diabetes surgery<\/h1>\t\t\t\t\t\n\t\t\t<p>Metabolic surgery is an option for selected cases of type 2 diabetes, aiming to improve glucose control and achieve long-lasting remission of the disease.<\/p>\t\t\n<a href=\"\/en\/contact\/#appointment\" target=\"_self\">Book an appointment<\/a>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/streamline-flex_horizontal-slider-2.svg\" alt=\"streamline-flex_horizontal-slider-2\" width=\"52\" height=\"52\" \/>\n\t\t\t\t\t\t<h2>Diabetes remission<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>You can achieve remission and better long-term glucose control<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/hugeicons_digestion.svg\" alt=\"digestion\" width=\"59\" height=\"59\" \/>\n\t\t\t\t\t\t<h2>Lower medication<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Reduce or suspend drugs after surgery<\/p>\t\t\t\t\n\t\t\tWhat is type 2 diabetes?\n\t\t\t\t\t\t<h2>What is type 2 diabetes?<\/h2>\t\t\t\t\t\n\t\t\t<p>It is a chronic metabolic disease in which the body does not use insulin properly and, over time, may fail to produce enough of it, which raises blood glucose levels and increases the risk of complications.<\/p>\t\t\n<h2>\n\t\t\tHOW IT AFFECTS THE BODY\t<\/h2>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/blood.svg\" alt=\"blood\" width=\"54\" height=\"55\" \/>\n\t\t\t\t\t\t<h2>High blood glucose<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Excess glucose damages blood vessels<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/clock-exclam.svg\" alt=\"clock-exclam\" width=\"54\" height=\"55\" \/>\n\t\t\t\t\t\t<h2>Progressive disease<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>It usually worsens gradually if left untreated<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/dna.svg\" alt=\"DNA\" width=\"54\" height=\"55\" \/>\n\t\t\t\t\t\t<h2>Insulin resistance<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Cells reduce their response to insulin<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/stomach.svg\" alt=\"stomach\" width=\"54\" height=\"55\" \/>\n\t\t\t\t\t\t<h2>Organ complications<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>It affects the heart, blood vessels, kidneys, eyes and nerves.<\/p>\t\t\t\t\n\t<a href=\"\/en\/contact\/#appointment\" target=\"_self\">BOOK AN APPOINTMENT<\/a><a href=\"\/en\/contact\/\" target=\"_self\">CONTACT US<\/a>\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/diabetes-tipo2.jpg\" alt=\"type 2 diabetes\" height=\"642\" width=\"642\" title=\"type 2 diabetes\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\tHOW IT WORKS\n\t\t\t\t\t\t<h2>Mechanism of action of metabolic surgery<\/h2>\t\t\t\t\t\n\t\t\t<p>Metabolic surgery changes the passage of food through the intestine, activating hormonal signals that improve insulin sensitivity and glucose control<\/p>\t\t\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/diabetes-tipo-2-illustration.jpg\" alt=\"type-2-diabetes-illustration\" height=\"433\" width=\"856\" title=\"type-2-diabetes-illustration\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\tSTEP 1\n\t\t\t\t\t\t<h2>New route<\/h2>\t\t\t\t\t\n\t\t\t<p>Modify the anatomy to change the interaction of nutrients with the intestine<\/p>\t\t\n\t\t\tSTEP 2\n\t\t\t\t\t\t<h2>Hormonal signals<\/h2>\t\t\t\t\t\n\t\t\t<p>The new digestive tract route increases hormones that regulate appetite and metabolism<\/p>\t\t\n\t\t\tSTEP 3\n\t\t\t\t\t\t<h2>Better use of insulin<\/h2>\t\t\t\t\t\n\t\t\t<p>The body improves its sensitivity, facilitating the entry of glucose<\/p>\t\t\n\t\t\tSTEP 4\n\t\t\t\t\t\t<h2>Control (and possible remission)<\/h2>\t\t\t\t\t\n\t\t\t<p>These metabolic changes favour the clinical remission of the disease<\/p>\t\t\n\t\t\tSelection criteria\n\t\t\t\t\t\t<h2>When is metabolic surgery recommended?<\/h2>\t\t\t\t\t\n\t\t\t<p>It is indicated for selected patients with type 2 diabetes who strictly meet the following clinical criteria.<\/p>\t\t\n\t\t\t\t\t\t<h2>Type 2 diabetes <\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Confirmed clinical diagnosis of the disease<\/p>\t\t\t\t\n\t\t\t\t\t\t<h2>BMI \u2265 30 + inadequate control<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Inadequate glycaemic control despite medical treatment<\/p>\t\t\t\t\n\t\t\t\t\t\t<h2>Pharmacological treatment<\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Previous use of anti-diabetic medication or insulin<\/p>\t\t\t\t\n\t\t\t\t\t\t<h2>Disease progression <\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Fewer than 10 years since initial diagnosis<\/p>\t\t\t\t\n\t\t\t\t\t\t<h2>Pancreatic reserve <\/h2>\t\t\t\t\t\n\t\t\t\t\t<p>Higher C-peptide is associated with a better probability of remission<\/p>\t\t\t\t\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/clipboard-outline.svg\" alt=\"clipboard-outline\" width=\"39\" height=\"39\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\n\t\t\t\t\t<p>Each case is unique. A personalised evaluation will make it possible to determine the most suitable treatment for you.<\/p>\t\t\t\t\n<figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/08\/SOP-7.jpg\" alt=\"SOP 7\" height=\"900\" width=\"600\" title=\"SOP 7\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\tChanges and experiences\n\t\t\t\t\t\t<h2>Our patient results<\/h2>\t\t\t\t\t\n\t\t\t<p>Thousands of patients have trusted Dr Dick Manrique and his multidisciplinary team to transform their health, regain their confidence and improve their quality of life.<\/p>\t\t\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie.jpg\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Anggie-9x12.jpg 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1.jpg\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Sandro-1-9x12.jpg 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana.jpg\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Adriana-9x12.jpg 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra.jpg\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Alejandra-9x12.jpg 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael.jpg\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Ismael-9x12.jpg 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<a href=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra.jpg\" target=\"_self\" data-caption=\"\" aria-label=\"\">\n\t\t\t\t\t\t<figure>\n\t\t\t\t\t\t\t<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra.jpg\" alt=\"\" srcset=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra.jpg 1080w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra-216x300.jpg 216w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra-736x1024.jpg 736w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra-768x1068.jpg 768w, https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2024\/10\/Maria-Alexandra-9x12.jpg 9w\" width=\"1080\" height=\"1502\" \/>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/figure>\n\t\t\t\t\t\t\t\t\t\t<\/a>\n\t\t\t\t\t<!-- navigation arrows -->\n\t\t<button aria-label=\"Previous slide\" role=\"button\" tabindex=\"0\">\n\t\t\t\t\t<\/button>\n\t\t<button aria-label=\"Next slide\" role=\"button\" tabindex=\"0\">\n\t\t\t\t\t<\/button>\n<a href=\"\/en\/results\/photo-gallery\/\" target=\"_self\">See all results<\/a><figure itemscope itemtype=\"https:\/\/schema.org\/ImageObject\">\n\t\t\t\t\t<img decoding=\"async\" src=\"https:\/\/cirugiadeobesidad.net\/wp-content\/uploads\/2026\/07\/consult-section-consultation.jpg\" alt=\"consult-section-consultation\" height=\"462\" width=\"874\" title=\"consult-section-consultation\" onerror=\"this.style.display='none'\" loading=\"lazy\" \/>\n\t<\/figure>\n\t\t\tProcess stages\n\t\t\t\t\t\t<h2>From the first appointment to post-bariatric care<\/h2>\t\t\t\t\t\n\t<p>His process goes beyond the procedure: comprehensive initial assessment and long-term multidisciplinary follow-up to sustain his progress and well-being<\/p>\n<a href=\"\/en\/contact\/#appointment\" target=\"_self\">Complete the form<\/a>\n    <!-- Stap 1 -->\n    <article>\n            01.\n                <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/consult.svg\"\n                    alt=\"\"\n                    aria-hidden=\"true\"\/>\n            <h3>First appointment and assessment<\/h3>\n            \n                Evaluate your case with Dr Dick Manrique's team to define your goals, clarify any questions and explore your treatment options\n            \n    <\/article>\n    <!-- Stap 2 -->\n    <article>\n            02.\n                <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/treatmentplan.svg\"\n                    alt=\"\"\n                    aria-hidden=\"true\"\/>\n            <h3>Personalised plan<\/h3>\n            \n                 Every patient is unique. We design a plan tailored to your health profile, lifestyle and long-term goals\n            \n    <\/article>\n    <!-- Stap 3 -->\n    <article>\n            03.\n                <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/procedure.svg\"\n                    alt=\"\"\n                    aria-hidden=\"true\"\/>\n            <h3>Bariatric procedure<\/h3>\n            \n                 With an international career and reputation, Dr Dick Manrique performs his procedure with the utmost precision and safety\n            \n    <\/article>\n    <!-- Stap 4 -->\n    <article>\n            04.\n                <img decoding=\"async\" src=\"\/wp-content\/uploads\/2026\/07\/support.svg\"\n                    alt=\"\"\n                    aria-hidden=\"true\"\/>\n            <h3>Continuous monitoring<\/h3>\n            \n                Lasting results require follow-up; our team will support you after the procedure\n            \n    <\/article>\n<style>\n.dm-process{\n    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target=\"_self\">Take a tour of our facilities<\/a>","protected":false},"excerpt":{"rendered":"<p>CIRUG\u00cdA PARA DIABETES TIPO 2 EN LIMA, PER\u00da Cirug\u00eda para la diabetes tipo 2 La cirug\u00eda metab\u00f3lica es una opci\u00f3n para casos seleccionados con diabetes tipo 2, que busca mejorar el control de glucosa y lograr una remisi\u00f3n duradera de la enfermedad. Agende una cita Remisi\u00f3n de la diabetes Puede lograr remisi\u00f3n y mejor control&hellip;<\/p>","protected":false},"author":11,"featured_media":23181,"parent":8749,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"inline_featured_image":false,"footnotes":""},"class_list":["post-8774","page","type-page","status-publish","has-post-thumbnail","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.5 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Cirug\u00eda para Diabetes 2 - Dr. Dick Manrique<\/title>\n<meta name=\"description\" content=\"El Dr. Dick Manrique Mansilla MD, FASMBS es un destacado Cirujano Bariatra, fundador y actual Director M\u00e9dico del Centro de Cirug\u00eda de Obesidad de Lima, prestigiosa instituci\u00f3n donde se realizan procedimientos de Bypass G\u00e1strico, Manga G\u00e1strica, Banda G\u00e1strica, Bal\u00f3n G\u00e1strico y Cirug\u00eda Metab\u00f3lica.El Centro de Cirug\u00eda de Obesidad de Lima se encuentra ubicado en el distrito de San Isidro y cuenta con la \u00fanica Unidad L\u00e1ser Post-Bari\u00e1trica de Am\u00e9rica Latina, donde se realizan una amplia gama de procedimientos l\u00e1ser de \u00faltimas generaciones destinadas a la recuperaci\u00f3n del paciente post-bari\u00e1trico.El Dr. Dick Manrique es Jefe de la Unidad de Cirug\u00eda Bari\u00e1trica y Metab\u00f3lica de la Cl\u00ednica Oncosalud, Lima - 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