Bariatric surgery restricts how much food a person can eat, sharply reducing caloric intake.

肥胖外科手术会限制人吃下去的食物的量，从而大大减少卡路里的摄取。

Bariatric surgery is costly. In the United States, insurance companies will not always pay for the surgery.

减肥手术费用高昂。在美国，保险公司并不总是为这类手术买单。

If diabetics have bariatric surgery early on, they can be cured.

如果糖尿病患者早期进行减肥手术，他们是可以被治愈的。

Brethauer added that the rules for who gets bariatric surgery need to be changed.

柏思德补充说，减肥手术适用对象的规定需要作出改变。

If people with diabetes have bariatric surgery early on, their diabetes can be cured.

如果糖尿病患者在早期进行减肥手术，他们的糖尿病是可以治愈的。

For those who have had the disease for 10 years or more, and need insulin, bariatric surgery will not cure their diabetes.

对于那些患有糖尿病10年或10年以上并需要胰岛素治疗的人来说，减肥手术并不能治愈他们的糖尿病。

And weight loss from sustained lifestyle changes, or invasive treatments like bariatric surgery, can improve insulin resistance and decrease inflammation.

通过持续的生活方式改变或减肥手术等侵入性治疗来减轻体重，可以改善胰岛素抵抗并减少炎症。