19th Jun, 2020
If you're investigating metabolic surgery, it's likely that outcomes and efficacy are important to you. In the case of the gastric sleeve, a common question is whether it always works. The short answer is no, because nothing always works. But there is very encouraging data showing that it almost always works. And it works way better, and is much safer, than doing nothing or continuing… Read more »
31st Jan, 2020
Most people lose a large amount of weight and keep it off long term, but a significant number of people will regain weight in the years after metabolic surgery. Others will simply not lose adequate amounts of weight or not completely reverse their type 2 diabetes, often due to genetic factors, or simply because of starting at a very high BMI. Today, there are excellent… Read more »
22nd Feb, 2019
Macrovascular disease, including coronary artery disease and cerebrovascular disease, is a leading cause of morbidity and mortality among people with type 2 diabetes. And, as the Kaiser Permanente Health Research Institute researchers state in the introduction to this study, medical management, including lifestyle change, may not actually be successful at reducing the risk. In the 2018 Fisher matched cohort study published in the Journal the… Read more »
5th Dec, 2018
With obesity and Type 2 diabetes continuing to grow as major health problems and causes of early morbidity and mortality, improved studies have examined longer follow-up time periods for diabetes remission after metabolic surgery. Sleeve gastrectomy is a 45-minute laparoscopy procedure. Ten-year studies help paint a picture of the durability of the remission rates for diabetes among individuals who undergo sleeve gastrectomy. Similar to other… Read more »
21st Nov, 2018
Intensive medical management of Type 2 diabetes at the Cleveland Clinic consists of intensive tight control medical management with oral and injectable medication including GLP-1 agonists, together with dietary counseling and modification, an exercise program and support groups. This strategy was compared to metabolic surgery in a randomized, prospective controlled trial called the Stampede Trial published in the New England Journal of Medicine. 150 patients with… Read more »
8th Nov, 2018
recommendations for the treatment of type 2 diabetes. According to both the National Institutes of Health and the American Diabetes Association, bariatric surgery is recommended for all individuals with a BMI of 35 or more who have type 2 diabetes -without exceptions. Based on research that shows remission of diabetes even among lower-BMI individuals after metabolic surgery, the ADA also recommends bariatric surgery for individuals… Read more »
3rd Apr, 2017
The study concludes that 3% of body weight was lost at 2-5 years compared to before the program. The meta-analysis does not take into account the weight of the study subjects who did not continue with followup, a likely source of bias that tends to exaggerate the success of the programs. It also does not take into account what is often called “publication bias”, the… Read more »
27th Feb, 2017
Even an increase of body mass index from 24 to 32 results in about three years of life lost. Why does this occur exactly? There are a multitude of reasons, and researchers have a look at them from a molecular level all the way up to a more structural level of the body. Starting with the simpler things, excess weight creates a mechanical restriction on… Read more »
16th Jan, 2017
diabetes treatments has made a profound impact, echoing around the corridors of many major medical centers and universities. The study, in which individuals with diabetes were randomized to receive either intensive medical treatment, sleeve gastrectomy, or gastric bypass surgery, closely monitored all the patients, and results were reported at one year, and three years. But the release of the most recent five-year data (See graph)… Read more »