Study: Weight-Loss Surgery Effective for Type 2 Diabetes
by M. Butcher; http://www.consultant360.com; 07/07/15
Bariatric surgery associated with two years of low-level lifestyle intervention yielded better health outcomes for obese patients with diabetes (T2DM) in comparison to only lifestyle interventions, according to recent research.
“It remains to get established whether weight loss surgery can be a durable and effective cure for diabetes type 2 symptoms and exactly how bariatric surgery compares with intensive lifestyle modification and medication management for T2DM-related outcomes,” explained the authors with the study.
For the 3-arm, randomized medical trial, researchers examined outcomes for 61 obese patients with diabetes mellitus, aged 25 to 55 years. The study was conducted from October 1, 2009 to June 26, 2014 on the University of Pittsburg Medical Center.
Participants were either randomized with a one-year intensive lifestyle, weight-loss intervention preceding a 2-year low-level lifestyle intervention, or into a surgery treatment (including Roux- en-Y gastric bypass (RYGB) or laparoscopic adjustable gastric banding (LAGB)) accompanied by a 2 to a few year low-level lifestyle intervention.
Overall, researchers found wls to get essentially the most effective means of weight-loss for study participants, with those undergoing RYGB losing 25% in their weight at several years, LAGB participants losing 15%, and lifestyle participants losing 5.7%.
“Partial or complete T2DM remission was achieved by 40% (n = 8) of RYGB, 29% (n = 6) of LAGB, with no intensive lifestyle weight reduction intervention participants (P = .004).” said the study’s authors.
“Thus, these results add with a growing body of literature suggesting that wls is often a viable treatment choice for people with BMI of thirty to forty for whom medical management is ineffective,” they concluded.