By Anne Harding (Reuters Health) - Weight-loss surgery beats medication for controlling type 2 diabetes in obese people, according to the longest-term trial ever to compare the two approaches. Half of the patients treated with weight-loss surgery in the study were diabetes-free at five years, said Dr. Francesco Rubino of Kings College London in the UK and colleagues in a report in The Lancet. “The five-year mark is an important mark in many diseases,” Dr. Rubino told Reuters Health by phone. “The fact that some patients at five years are basically disease-free is a remarkable finding.” In 2009, he and his colleagues randomly assigned 20 obese patients with type 2 diabetes to receive medical treatment, 20 to receive a type of weight-loss surgery called a gastric bypass, and another 20 to undergo a weight-loss operation called a biliopancreatic diversion. Eighty percent of patients who had surgery had their blood sugar under good long-term control, versus about 25 percent of patients treated with drugs only. All of the study groups had a reduction in cardiovascular risk. But the surgery-treated patients had a 50 percent lower risk of heart and blood vessel disease than those treated with drugs only, and they needed fewer drugs for treating high blood pressure or high cholesterol. The improvements in blood sugar control and heart disease risk weren’t related to how much weight patients lost. “What really is causing the remission of diabetes after surgery remains mysterious,” Dr. Rubino said. What is known, he added, is that the intestines produce a host of hormones involved in regulating metabolism. Reconstructing the gastrointestinal tract so that food bypasses the stomach and small intestine may help restore normal metabolic control, he explained. Like any surgery, weight loss operations carry risks. An international study published earlier this, for example, found that after two years, people randomized to have gastric bypass surgery had better control of their type 2 diabetes than people assigned to a medication group, but they also had a higher risk for infections and bone fractures. (See Reuters Health story of May 21, 2015.) And some patients may gain back some of the weight they lost. Still, doctors are increasingly referring to this type of surgery as “diabetes surgery,” rather than obesity surgery, said Dr. Philip Schauer, the director of the Cleveland Clinic Bariatric and Metabolic Institute and a bariatric surgeon, in a telephone interview with Reuters Health. Dr. Schauer did not participate in the new study. “There are some people, this study shows, that can go into remission for up to five years or more,” he said. “We hesitate to use the word ‘cure,’ but it’s pretty darn close to a cure, about as close to a cure as you can get.’” Dr. Schauer pointed out that about half of patients with type 2 diabetes are unable to control their blood sugar with medication and lifestyle measures. Based on the new findings, he said, bariatric surgery should be offered to these patients if they are moderately obese, for example with a body mass index (BMI) of 35. (BMI is a measure of weight in relation to height.) Currently the National Institutes of Health states that patients should have a BMI of 40, or a BMI of 35 with obesity-related illness, such as type 2 diabetes, in order to be eligible for weight loss surgery. “There are still many insurance companies today that will not pay for this surgery for any reason, whether it’s for obesity or diabetes. It means that they are denying people effective treatment,” Dr. Schauer said. “This study is going to make insurance carriers and third party payers rethink their coverage policies regarding bariatric or diabetes surgery, as we prefer to call it.” SOURCE: http://bit.ly/1JTRaqX The Lancet, online September 3, 2015.
Our goal is to create a safe and engaging place for users to connect over interests and passions. In order to improve our community experience, we are temporarily suspending article commenting
Brian Laundrie, fiancé of missing 22-year-old Gabby Petito, has also gone missing, attorney for the family says
The news comes hours after law enforcement entered Laundrie's home to speak with his family after they invited authorities to the residence.
- Fort Worth Star-Telegram
A high school football coach’s reaction to a player quitting the team has gone viral.
- NBC Sports Chicago
Heres everything you need to know about NFL practice squads, from player salaries to rules and more.
- Washington Examiner
The cybersecurity lawyer indicted this week by a grand jury in special counsel John Durham's investigation could end up being the "fall guy" for Hillary Clinton's 2016 campaign, warned a top House Republican.
- Good Housekeeping
This is really big!
Gabby Petito, Laundrie's 22-year-old girlfriend, was reported missing last week by her mother after she hadn't heard from Gabby since late August.
- Footwear News
The singer's style just gets bolder and bolder.
- Country Living
She looks so good!! 😍
- The Daily Beast
REUTERSJust a day after testing positive for COVID-19, a Florida Republican official who battled against mask mandates, attacked the vaccine, and railed at CDC officials has died in Tampa.Gregg Prentice, who was 61, led the Hillsborough County Election Integrity Committee—and his sudden death has sent the local GOP scrambling as it no longer has access to essential campaign finance software without his help.In a Sept. 14 letter to the Federal Election Commission, the Hillsborough County Republic
3 Zodiac Signs That Spend the Most Money1. LibraLibras truly live each day like it’s a final sale at a soon-to-be shuttered department store. Ruled by the beauty planet Venus, our delicate air sign friends are...
- Miami Herald
Outspoken anti vaxxer and alt-right agitator Laura Loomer is feeling the effects of COVID-19.
Wrestler Tommy Dreamer Reportedly Suspended For Dark Side of the Ring Comments on Ric Flair Allegations
Wrestler Tommy Dreamer has reportedly been suspended indefinitely by Impact Wrestling following comments he made during Vice’s docuseries, Dark Side of the Ring. Pro Wrestling Insider reports that Dreamer was “asked to leave effective immediately” from this week’s taping in Tennessee after making statements that were “out of line” with the company’s core values. Impact […]
Twitter users issued a collective "no" in response to a post from Donald Trump's son.
- NBC News
Cellphone footage obtained by NBC New York shows a brawl outside Carmine's on the Upper West Side.
- NBC Sports Washington
Umpire Tim Timmons heard enough from the Orioles grounds crew, kicking them off the field during the final inning Wednesday night.
People on Twitter think they spotted side-eye, and sent the term "even Bannon" trending.
New police body camera footage captured a visibly distraught Gabrielle “Gabby” Petito and her fiancé after an alleged physical altercation between them on a
- WPTV- West Palm Beach Scripps
Police have named Gabrielle Petito's boyfriend Brian Laundrie as a person of interest in her disappearance.
- USA TODAY
The world's whitest paint has been created in a lab at Purdue, a paint so white that it could eventually reduce the need for air conditioning.
- Kansas City Star
The girl suffered “mental and emotional distress, embarrassment (and) humiliation” after the haircut, according to the lawsuit.