Hormonal
Meal-triggered gastric contractility modulation (GCM) implantation in obese type 2 diabetes patients leads to significant weight loss and reduced systolic blood pressure compared to insulin therapy, while achieving comparable glycemic control with fewer medications.
For obese T2D patients struggling with weight gain from insulin, gastric electrical stimulation (GCM) offers a surgical alternative that promotes weight loss and lowers blood pressure while maintaining blood sugar control similar to insulin. It requires implantation and programming but may reduce medication burden.
In obese T2D patients for whom OADs had failed, GCM implantation was a well-tolerated alternative to insulin therapy, with a low triglyceride level as a possible predictor for glycemic response.
Why this rating
Pilot study with small sample size (n=16) and short duration (12 months), but with a control group.
Source
A Pilot Study to Compare Meal-Triggered Gastric Electrical Stimulation and Insulin Treatment in Chinese Obese Type 2 Diabetes
Simon Kin‐Hung Wong et al. · Diabetes Technology & Therapeutics · 2015
DOI 10.1089/dia.2014.0234
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