by e.j. mundell
. Health reporter
Types Weight Loss Surgery - For Obese Diabetics, Weight-Loss Surgery May Work Best
Wednesday, (Health News) - Compared with diet and lifestyle changes, gastric bypass surgery seems to be the clear winner to help obese people with type 2 diabetes lose weight and even Even if you get rid of the disease, new studies show.
The discoveries "confirm that the gastric bypass is the most effective way to treat type 2 diabetes in obese patients, and this surgery is higher than medical treatment for the disease in terms of blood sugar control," said the dr . Subhash Kini, a bariatric surgeon and associate professor of surgery at the ICAHN Medicine School and Hospital Monte Sinai in New York. He was not involved in the two new studies.
The discoveries were published on June 4 in Jama's surgery.As obesity rates in the United States continue to rise, thus type 2 diabetes rates linked to obesity. For years, better diet, lifestyle changes and certain weight loss medications were considered the only way to help obese diabetics decrease. However, the advent of weight loss surgeries, such as gastric bypass and gastric band procedure brought new forward treatments.
In one of the new studies, researchers led by Dr. Anita Courcoulas, from the Medical Center of the University of Pittsburgh, the results screened for 69 obese or very obese patients who were assigned to receive gastric bypass, gastric bands or change intervention life.
They report that people who were submitted to gastric bypass had an average drop of 27% in relation to their weight, compared with a weight loss of 17.3 percent for those who received gastric bands, and about 10% loss for those who have tried diet / exercise changes.
The results were similar when it was diabetes: one year after the intervention, 50% of patients with gastric bypass saw their type 2 diabetes partially facility and 17% saw completely disappear compared with 27% and 23%, respectively, for those who received the treatment of bands.
None of the patients in the life change scheme saw any remission of his diabetes, observed the authors of the study.
In the second study, a team led by Dr. Florence Halperin from Hospital Brigham and Women in Boston, screened the results of a year of 38 obese or very obese people with diabetes type 2. Patients were submitted to bypass interventions gastric or drug / management weight life.
One more time, surgery seemed to produce the best results, according to the study. Fifty-eight percent of people in the gastric bypass group saw their type 2 diabetes come into remission within one year after the procedure, compared to only 16% of those who received the intervention of the lifestyle.People who received surgery also saw improvements in weight, waist circumference, blood pressure and blood cholesterol levels, Boston researchers said.
Both studies were funded in part by U.S. National Health Institutes.
The Halperin team emphasized, however, that a much greater clinical trial is needed - something that can be difficult to ride. Kini agreed. He said that there are "potential challenges to successfully complete a randomized and randomized assay greater for the treatment of type 2 diabetes and obesity in obese patients." Both new studies had only a small number of people enrolled, Kini watched.dr. Mitchell Roslin is chief bariatric surgery in northern Westchester Hospital at Mount Kisco, NY, he said that "data is clear - the treatment of choice for type 2 diabetes and obesity [grave] is a gastric bypass procedure."
Roslin believes that time came to insurance companies and other third party payers to help cover the cost of these obese diabetics procedures type 2.
"Why, with such clear data, are only a minority of patients with diabetes and other metabolic diseases secondary to obesity with these rescue procedures?" he asked. "Until there is better medical remedies, type 2 obese diabetics should be treated with gastric bypass procedures."
