Diet, Weight Loss Helps Reverse Type 2 diabetes (Health)
Studies: By Surgery or Diet, Weight Loss
Helps Reverse Type 2 diabetes
By Meredith Melnick Friday, June 24, 2011
In two new studies, researchers offer evidence that weight-loss surgery or a severely restricted-calorie
diet could help some people reverse their diabetes.
In one study, a meta-analysis in the journal Archives of Surgery, researchers from the Netherlands
looked at data on 424 people with Type 2 diabetes who received gastric-bypass surgery for weight
loss and 211 people who received gastric banding surgery.
Gastric bypass involves stapling off a small pouch of the stomach and connecting it to a lower
section of the small intestine; that forces food to bypass most of the stomach and part of the
small intestine, reducing absorption. Gastric banding involves placing an adjustable band around
the stomach that squeezes it to a smaller size.
In their analysis, the researchers found that 83% of gastric bypass patients and 62% of the
banding patients were able to stop taking medication for their diabetes within a few days of
surgery. Even at one- and two-year follow ups, those patients remained off medication.
However, for many, the diabetes reversal was short-lived. By the 10-year follow up, only
36% of all patients were able to maintain normal blood glucose levels without medicine.
With both types of bariatric surgery, patients who lost weight more weight were more likely
to experience reversal of Type 2 diabetes; therefore, the authors said it may be better for
severely obese diabetes patients who have chosen surgery to have the procedure early in
the course of disease.
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