CSN-CommunityPost-Bariatric surgery sufficient for the remission of new-onset type 2 diabetes

Those with class I and II obesity who experience bariatric surgery as first-line treatment for type 2 diabetes saying an 89% remission rate after three years of follow-up, as per research presented at ObesityWeek.

Surgical treatment for type 2 diabetes is generally attempted after lifestyle. Medical therapy fails to control hyperglycemia in patients, Ali Aminian, MD, link professor of operation at the Cleveland Clinic Lerner College of Medicine, and co-partner wrote in the background to their poster.

The investigators assessed outcomes of 35 patients (30 women; age, 40.5 years) with BMI between 30 kg/m2 and 40 kg/m2 (implying BMI 37.8 kg/m2) who had been diagnosed with type 2 diabetes in the 12 months former bariatric surgery. Two patients undergo gastric banding, six had sleeve gastrectomy, and 27 underwent Roux-en-Y gastric bypass. Follow-up was at least three years.

At a median follow-up of 5 years, BMI had decreased by 7 kg/m2, and the median extra weight lost was 55%. Those experienced decreased in fasting blood glucose from baseline 129.4 mg/dL to 94.6 mg/dL (P = .001), and HbA1c from baseline 7.1% to 5.8% (P < .001), number of diabetes medicines from baseline 0.7 agents to 0.2 agents (P < .001). Diabetes remission, described as HbA1c below 6.5%, was met by 31 of the patients.

“A important and sustainable remission of [type 2 diabetes] is achievable in patients with obesity class I and II, if bariatric surgery is performed early in the course of the disease,” the researchers wrote. – by Jill Rollet