[ Diabetes Type 1 ]

Bariatric Surgery Linked to Diabetes Remission

Bickel, G., J. Stigma works in two ways. In this study, we tested the hypothesis that the FGF19–BA pathway plays a role in the remission of human diabetes after RYGB surgery. Three randomized controlled trials and one prospective study have so far been published comparing the effect of Roux-en-Y gastric bypass (RYGB) procedure against optimal medical therapy, with a follow-up ranging from 1 to 6 years: the percentage of diabetic patients in remission (hemoglobin A1C < 6-6.5 % without medications) ranged from 38 to 75 % at the end of follow-up. Conventional thinking holds that insulin resistance and diabetes are primarily due to becoming overweight. There are many things that happen after surgery – changes in hormonal responses to food intake (e.g. For the study, the researchers enrolled 835 extremely obese patients who were seeking a from of gastric bypass known as Roux-en-Y.
Surgical weight loss has gained traction in recent years as a growing number of extremely obese patients turn to this option after failing to lose weight through diet, exercise or medication – strategies that can also manage diabetes. A significant number of patients had improvement in their glycemic control, including 97 (71.3 %) patients who had complete remission (HbA1c < 6.0 %), 27 (19.9 %) partial remission (HbA1c < 6.5 %), and 12 (8.8 %) improved condition (HbA1c < 7 %). Remission of nephrotic-range proteinuria occurred in 7 of 42 patients assigned to captopril (16.7%, mean follow-up 3.4 ± 0.8 years) and in 1 of 66 patients assigned to placebo (1.5%, mean follow-up 2.3 ± 1.1 years; P = 0.005, comparing remission rate in captopril vs. Gastric bypass surgery was the most effective, followed by sleeve gastrectomy and then by gastric banding (for more information on the types of bariatric surgery, read here). It’s also possible some data might have been incomplete. These data should be taken into consideration in the decision-making process for the most appropriate operation for a given obese patient,” the authors write. These results suggest that the spontaneous remission phase may be a crucial point of intervention in immunotherapy of type 1 diabetes and that randomized trials with MP at this particular phase would be worthwhile. Chih-Cheng Hsu from the China Medical University in Taiwan and colleagues. The literature is starting to use the language “diabetes in remission” if blood sugar levels are normal for one year. Look AHEAD (action for HEAalth in diabetes) study clearly hinted that intensive LSM result in significant weight loss and reduced glycated hemoglobin (HbA1c) levels, although primary objective of reduction in cardiovascular (CV) events were not achieved. By five years post-surgery, the operated group had lost 21 percent of their initial body weight, bringing their BMIs down from about 31 to 24.5. In addition, their average HBA1c levels dropped from 9.1 percent to 6.3 percent over the same period. It'll be interesting to see if I actually learn anything I haven't already found out through sites such as this! In contrast, only one person in the medically-managed group, had a complete remission of their disease, and their HBA1c was, on average, 8 percent still in the diabetic range. It could also provide an accessible way to help people with this condition live for longer with an improved quality of life and a reduced risk of serious health complications, without the need for invasive weight loss surgery. Thus, these two studies link bariatric surgery with successful weight loss and T2DM remission, although as retrospective, observational studies that link cannot be said to be causal. Further, they extend this success to those with lower BMIs, and suggest that it may be long-lasting. With a reduced stomach size, some patients have described feeling full after merely one or two bites of food and anything further would cause them to vomit, while others find they can consume very small meals without a problem.

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