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Bariatric Surgery More Effective For Diabetes Than Medical Therapy

Bariatric Surgery News & Research | Adelaide Bariatric Centre

15 Oct 2013 3:57 PM

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A recent study has reported that gastric surgery procedures are more likely to help obese patients with type 2 diabetes than medical therapy alone.

The study, which was published in the BioMed Research International journal, identified three randomised controlled trials from a retrospective literature search of 269 publications. They included 170 patients in the bariatric surgery group and 100 patients in the medical therapy group.

The researchers found a significant contrast between the surgery group and medical therapy group in diabetes remission rates, with bariatric surgery being associated with an increase in diabetes remission. The researchers also noted that, according to the results, bariatric surgery could improve patients' glycaemic control two years after undergoing the procedure.

“This meta-analysis showed that bariatric procedures could significantly induce and maintain well-glycaemic control, which was confirmed by the results of several other studies,” the researchers wrote.

Patients in the bariatric surgery group were significantly less likely to have hypoglycaemia when compared to the medical therapy group. Furthermore, bariatric surgery was associated with a notable reduction in the patients' weight, in comparison to patients who only underwent medical therapy.

"Bariatric surgery could not only significantly decrease... the amount of medicines (including hypoglycaemic, antihypertensive, and lipid-lowering ones), weight, and triglycerides, but also increase the rate of diabetes remission and the levels of high-density lipoprotein," the researchers wrote.

"Meanwhile, there were no statistical differences in the serious adverse events between surgical and medical groups.”

 MAGE CREDIT: aldenchadwick