Type 2 diabetes: How gastric bypass surgery can help with remission

Evan Walker
Evan Walker TheMediTary.Com |
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Researchers say gastric bypass is more effective than gastric sleeve surgery for people with type 2 diabetes. VICTOR TORRES/Stocksy
  • Researchers say people who have gastric bypass surgery for weight loss are significantly less likely to have their type 2 diabetes return, even after gaining back weight.
  • Insulin use, higher A1c, and a longer duration of type 2 diabetes before surgery were more closely associated with diabetes recurrence.
  • Overall, 75% of people who had gastric bypass saw their diabetes stay in remission, compared with 34% of people in the sleeve gastrectomy group.

People with obesity and type 2 diabetes who have had gastric bypass surgery are more likely to experience remission for their diabetes, even if they regain weight, than those who received a gastric sleeve procedure.

That’s according to a new study published in the Journal of the American College of Surgeons.

Researchers from the Mayo Clinic in Minnesota examined the relationship between weight loss surgery and diabetes remission.

They reviewed the medical records of 224 participants who underwent a gastric bypass at the Mayo Clinic between 2008 and 2017. They also looked at the records of 46 people who received a gastric sleeve procedure.

All participants had been diagnosed with obesity and type 2 diabetes before their gastric surgery.

The scientists monitored the participants for at least five years following surgery to see if weight gain led to a recurrence of diabetes.

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