Research says weight loss surgery more helpful in treating Type 2 diabetes compared to lifestyle change

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A new study suggests that people with type 2 diabetes undergoing weight loss surgery are more likely to have considerable improvements in their diabetes three years when compared to diabetics who are bending towards lifestyle changes.

The leader of the research, Dr. Anita Courcoulas of the University of Pittsburgh Medical Center said, “One of the most important things to take away is that there is durability of remission over time.”

Studies conducted in the past also support that weight loss surgeries have resulted in improvement for people with type 2 diabetes. Researchers are still waiting to find if surgeries work better than changing lifestyles in treating the condition, as published in the JAMA surgery.

About 9% of the U.S. population that is about 29 million approximately has diabetes and as per the reports of the Centers for Disease Control and Prevention, around 30% of them are undiagnosed.

Type 2 diabetes is the common form of diabetes and it is very often connected to obesity as it doesn’t make enough hormone insulin, which helps cells use glucose for fuel, or sufficient insulin is produced but cells resist them.

This new research studied 61 random participants between an age range of 25 to 55-year-olds with type 2 diabetes and 50% of the participants had class 1 obesity while the rest were heavier than average. The participants had been assigned to receive one of three treatments that were intensive lifestyle intervention for a year for helping them to lose weight with diet, exercise and behavior changes, which had been followed by a lower-intensity lifestyle intervention that involved behavioral counseling a few times a month for 2 consecutive years.

Alternatively, the participants had been assigned one of the two weight loss surgeries, either Roux-en-Y gastric bypass (RYGB) or laparoscopic adjustable gastric banding (LAGB). The surgeries had been followed by the same low-intensity lifestyle intervention the non-surgery group got, for two years.

Following three years, 40% of the RYGB group, 29% in the LAGB group and 0% in the lifestyle intervention group had at least a partial remission of their type 2 diabetes. 3 people from the RYGB group and one person in the LAGB group had their diabetes disappear completely whereas no such thing happened for anyone in the group that altered their lifestyle.

These results are considered as the “gold standard” of medical research.

Courcoulas said that it is necessary to observe more patients at several medical colleges for a long period of time for have more concrete conclusions.The data of similar data are being pooled from all over the nation, said Courcoulas.

“We’ll be able to see what the remissions look like at five and seven years. I think that’s the next step in this field.” Courcoulas said.

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