Mixed
Bariatric surgery (gastric bypass or sleeve gastrectomy) combined with intensive medical therapy achieves significantly better glycemic control and greater weight loss than intensive medical therapy alone in obese patients with uncontrolled type 2 diabetes.
For obese individuals with uncontrolled type 2 diabetes, bariatric surgery (gastric bypass or sleeve gastrectomy) combined with intensive medical care is significantly more effective at achieving normal blood sugar levels and weight loss than intensive medical care alone. Surgery also reduces the need for diabetes, lipid, and blood pressure medications. While surgery carries risks, this study found no deaths or life-threatening complications at 12 months, suggesting it is a viable and superior option for achieving glycemic control in this population.
In obese patients with uncontrolled type 2 diabetes, 12 months of medical therapy plus bariatric surgery achieved glycemic control in significantly more patients than medical therapy alone.
Why this rating
Randomized, controlled trial with high completion rates (93%) and clear statistical significance.
Source
Bariatric Surgery versus Intensive Medical Therapy in Obese Patients with Diabetes
Philip R. Schauer et al. · New England Journal of Medicine · 2012
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