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Could Weight Reduction Surgery Be The Key To Diabetic Control?

n the past week the medical blogsphere has been very excited about a recent study that shows that gastric bypass surgery to dramatically reduce weight was not only able to help treat diabetes but in a great number of cases diabetes is considered “cured”.

Obesity and diabetes are often found hand in hand. Unfortunately many of the medicines used to treat diabetes can cause weight gain which can make diabetes worse and the cycle continues.

At 2 years, diabetes remission had occurred in no patients in the medical-therapy group versus 75% in the gastric-bypass group and 95% in the biliopancreatic-diversion group (P<0.001 for both comparisons). Age, sex, baseline BMI, duration of diabetes, and weight changes were not significant predictors of diabetes remission at 2 years or of improvement in glycemia at 1 and 3 months. At 2 years, the average baseline glycated hemoglobin level (8.65±1.45%) had decreased in all groups, but patients in the two surgical groups had the greatest degree of improvement (average glycated hemoglobin levels, 7.69±0.57% in the medical-therapy group, 6.35±1.42% in the gastric-bypass group, and 4.95±0.49% in the biliopancreatic-diversion group).

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