Patients with pre-diabetes and severe obesity who had metabolic and bariatric surgery were 20 times less likely to develop full-blown type 2 diabetes over the course of 15 years than patients with the condition who did not have surgery, according to a new study presented at the American Society for Metabolic and Bariatric Surgery (ASMBS) 2024...
Metabolic and bariatric surgery found to prevent pre-diabetes from developing into type 2 diabetes in most patientsPatients with pre-diabetes and severe obesity who had metabolic and bariatric surgery were 20 times less likely to develop full-blown type 2 diabetes over the course of 15 years than patients with the condition who did not have surgery, according to a new study presented at the Only 1.
8% of patients progressed to a diagnosis of diabetes in five years after metabolic surgery , which rose to 3.3% in 10 years and 6.7% after 15 years. The protective effect against diabetes was higher among gastric bypass patients. Meanwhile, nearly a third of patients with no prior metabolic surgery saw their prediabetes develop into diabetes within five years, which increased to 51.5% and 68.7% at 10 and 15 years, respectively. Patients on average lost 29.4% of their body weight at 12 months and 27.6% at 36 months. Greater weight loss at three years was associated with a lower risk of progression to diabetes.on the potential progression of prediabetes and the impact is significant and durable," said David Parker, MD, study co-author and a bariatric surgeon at Geisinger Medical Center in Danville, PA."It demonstrates that metabolic surgery is as much a treatment as it is a prevention for diabetes." Prediabetes is a serious condition that occurs when blood sugar levels are higher than normal, but not high enough to be considered type 2 diabetes. According to the CDC, approximately 98 million Americans—more than 1 in 3—have prediabetes and 38.4 million have diabetes. This retrospective study included 1,326 patients who had prediabetes before undergoing either Roux-en-Y gastric bypass or sleeve gastrectomy between 2001 and 2022. Non-surgical controls from a primary care cohort were propensity matched by hemoglobin A1c, age, sex, and body mass index . More than 80% of patients were female, an average of 45 with a mean BMI of 46.9, and median follow-up 7.2 years.The ASMBS reports that nearly 280,000 metabolic and bariatric procedures were performed in 2022, which represents only about 1% of those who meet eligibility requirements based on BMI. According to the U.S. Centers for Disease Control and Prevention , obesity affects 42.4% of Americans. Studies show the disease can weaken or impair the body's immune system and causehas been shown to be the most effective and long-lasting treatment for severe obesity. The operation improves or resolves diseases including type 2and high blood pressure and leads to significant and durable weight loss. Its safety profile is comparable to some of the safest and most commonly performed surgeries in the U.S., including gallbladder surgery, appendectomy and knee replacement.: Metabolic and bariatric surgery found to prevent pre-diabetes from developing into type 2 diabetes in most patients retrieved 11 June 2024 from https://medicalxpress.com/news/2024-06-metabolic-bariatric-surgery-pre-diabetes.html This document is subject to copyright. Apart from any fair dealing for the purpose of private study or research, no part may be reproduced without the written permission. The content is provided for information purposes only.Feb 15, 2022Use this form if you have come across a typo, inaccuracy or would like to send an edit request for the content on this page. For general inquiries, please use ourThank you for taking time to provide your feedback to the editors. Your feedback is important to us. However, we do not guarantee individual replies due to the high volume of messages.to let the recipient know who sent the email. Neither your address nor the recipient's address will be used for any other purpose. The information you enter will appear in your e-mail message and is not retained by Medical Xpress in any form.Get weekly and/or daily updates delivered to your inbox. You can unsubscribe at any time and we'll never share your details to third parties.
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