Obese individuals with type 2 diabetes mellitus experienced a remission of their diabetes after bariatric surgery followed by 2 years of lifestyle weight loss intervention, according to a recent randomized clinical trial. Those who had 3 years of lifestyle modification alone—1 year of intensive weight loss counseling followed by 2 years of twice-monthly sessions focused on weight loss strategies—saw no remission of their diabetes. The study provided important data on the surgical treatment of individuals with class I obesity (body mass index of 30 to <35), who have previously been excluded from bariatric surgical trials. The trial also assessed type 2 diabetes remission among individuals who received laparoscopic adjustable gastric banding (LABG), a reversible and low-risk procedure that may be a better surgical alternative for those with lower body mass index (Courcoulas AP et al. JAMA Surg. doi:10.1001/jamasurg.2015.1534 [published online July 1, 2015]).
Slomski A. Diabetes Remission 3 Years After Bariatric Surgery. JAMA. 2015;314(8):762. doi:10.1001/jama.2015.9172