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Can Diabetes Mellitus Type Ⅱ be cured? Based on established scientific data, conventional wisdom has no for an answer.However, looking at more aggressive treatment strategies, the diabetic might just have the chance for cure and the ray of hope is beamed towards Metabolic Surgery.The key principle in the management of DM Ⅱ is the limitation of the Glycemic Load.Enhancing the secretion and action of Insulin is likewise important.Decreasing the glycemic load allows the over-functioning beta cell to rest and up-regulate the utilization of insulin.Placing the diabetic in a Very low Caloric Diet can initiate reversal of the diabetic process.However, compliance to such conservative measure for restriction of caloric intake is poor, so that even when combined with oral hypoglycemic agents, this type of management eventually fails.Metabolic Surgery guarantees extreme control of glycemic load by the following mechanisms: 1.Decreasing the volume of food that is taken in by virtue of the diminution of the capacity of the stomach to contain food as well as controlling hunger and satiety;2.Decreasing the capacity of the proximal small intestine to absorb the ingested calories;3.The release of gut hormones called Incretins that would improve insulin resistance and therefore facilitate utilization of glucose.Overall, the effect of metabolic surgery is very promising not only to control diabetes but maybe to reverse it and aim for cure.Taking from the observations on the results of Gastric Bypass surgery in the morbidly obese Type 2 Diabetic patient where improvement, if not, resolution of hyperglycemia happens before significant weight loss is observed, the procedure is now being done in the non-obese Type 2 Diabetic.Modifications and innovations in surgery have created varied procedures that have similar successful control of diabetes.To describe one, the Laparoscopic Gastric Sleeve Resection with a Loop Duodenojejunal bypass has been performed on the non-obese type 2 diabetic.Results will be presented.