Bariatric surgery tied to T2DM resolution in obese patients

Bariatric surgery tied to T2DM resolution in obese patients

(HealthDay)—Five years after bariatric surgery, patients with type 2 diabetes who have the procedure show better improvements in quality of life and overall health, compared with those who only take diabetes medications, according to a study published in the Feb. 16 issue of the New England Journal of Medicine.

Philip Schauer, M.D., director of the Cleveland Clinic Bariatric and Metabolic Institute, and colleagues followed 150 obese patients with type 2 diabetes who were randomly assigned to medication alone or to medication plus bariatric surgery (Roux-en-Y or sleeve gastrectomy). Five years later, the researchers looked for reductions in glycated hemoglobin and whether patients could stop taking their diabetes medications.

The investigators found that among the patients who completed the study, two of the 28 patients assigned to medical treatment alone were able to stop their (5 percent). This compared with 14 of the 49 patients who had (29 percent), and 11 of the 47 patients who underwent sleeve gastrectomy (23 percent). Patients who had also had lower glycated hemoglobin than treated with medication alone. Patients who underwent surgery lost significantly more weight and had dramatically lower triglycerides and cholesterol than those who were treated with medication alone. No major late surgical complications were reported, except for one reoperation.

"Surgery has come as close as any treatment that we know of that can lead to long-term remission of type 2 diabetes, which is about as close to a cure as you can get," Schauer told HealthDay.

The study was funded in part by Ethicon Endo-Surgery.

Explore further

In mildly obese patients, sleeve-it surgery may increase weight loss and glycemic control

More information: Full Text (subscription or payment may be required)
Journal information: New England Journal of Medicine

Copyright © 2017 HealthDay. All rights reserved.

Citation: Bariatric surgery tied to T2DM resolution in obese patients (2017, February 16) retrieved 24 June 2021 from
This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.

Feedback to editors

User comments