Hormonal
Bariatric surgery yields significantly higher rates of complete and prolonged diabetes remission compared to usual care (lifestyle and medication management).
For patients with Type 2 Diabetes, bariatric surgery is a more effective intervention for achieving remission than lifestyle changes and medications alone. While surgery carries risks and potential for relapse, the data shows it significantly outperforms standard care in both complete and prolonged remission rates. Patients should discuss their eligibility and specific surgical options (like RYGB or Sleeve Gastrectomy) with their healthcare provider, weighing the higher remission probability against surgical risks.
Diabetes remission (complete and prolonged) was higher among bariatric surgeries compared to usual care, odd ratio, 0.06, 95 CI, 0.02–0.25 and 0.12, 95 CI, 0.02–0.72, respectively.
Why this rating
Based on a meta-analysis of 12 randomized controlled trials, though heterogeneity was substantial (I2 88%).
Source
Metabolic surgery versus usual care effects on diabetes remission: a systematic review and meta-analysis
Hyder Osman Mirghani et al. · Diabetology & Metabolic Syndrome · 2023
DOI 10.1186/s13098-023-01001-4
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