December 5, 2012

The Gift of Weight Loss Surgery: Prepare for Success


The curative gift of gastric surgery has been shown to have a profound effect on weight loss and glucose control in people with Type 2 diabetes. This study, published in Obesity Surgery, reports on the long-term remission and relapse in patients who have undergone gastric bypass to absolve their Type 2 diabetes.

The study consisted of 4,434 adults with Type 2 diabetes who were uncontrolled or medication-controlled.  These people underwent a gastric bypass surgery  sometime between 1995 and 2008. Remission and relapse were measured by the use of diabetes medication and lab results of glucose control.

At the end of the study, almost 70% had initial remission of Type 2 diabetes within 5 years of the study. Among  this group of initial remission, 35% of adults redeveloped Type 2 diabetes within 5 years. For this group, Type 2 diabetes disappeared and then reappeared.

The average time period of Type 2 diabetes regression after gastric bypass surgery is estimated to be approximately 8 years. The best way to evaluate the likelihood of complete remission and relapse of the disease prior to the gastric bypass surgery is the measurement of three factors: glucose control, insulin use, and duration of diabetes.

The success of gastric bypass surgery to treat Type 2 diabetes is a robust option to aggressively  control the disease. This study establishes that preparation of patients before surgery is instrumental to the successful outcomes of glucose control and weight reduction. If the prerequisite control is not attained before the gastric bypass about one-third of patients will experience a relapse within 5 years of initial remission.

In order to improve the chances of total remission of Type 2 diabetes indefinitely after gastric bypass surgery researchers need to better understand the stimulating events that result in a relapse.

If you’re having a birthday party, friends are coming to visit, or you’d like to decorate for the holidays  — chances are you prepare beforehand. Why should  gastric bypass surgery be any different? If you know it’s coming, prepare and experience the gift of prolonged good health.

Visit Your Diabetes Health for more resources about health.