Bariatric Surgery Bests Medications in Trial
For morbidly obese people with type 2 diabetes, bariatric surgery may provide better outcomes than just using blood glucose–lowering medications, according to researchers. In a study of people with body mass indexes (BMI, a ratio of height to weight) between 27 and 43, more than 4 in 10 people had A1C levels of 6 percent or lower one year after gastric bypass. That was compared with about 1 in 10 people treated with medications alone. In another study of people with BMIs over 35, diabetes went into remission—with a fasting blood glucose under 100 mg/dl and an A1C of 6.5 percent or less without medication—for 75 percent of people who received gastric bypass and 95 percent of those who had biliopancreatic diversion. Both procedures make the stomach smaller and bypass much of the small intestine.
Source: The New England Journal of Medicine, published online March 26, 2012