Research
Energy balance
Gastric band (GB) surgery achieved a median weight loss of 9.8% at 10 years compared to 5.6% in the medical group (median difference 4.2%; p = .008).
GB surgery may be a more effective option for weight loss in overweight individuals with type 2 diabetes compared to medical care.
StrongSupportsmedium confidence
The median (Q1, Q3) weight loss in the GB group was 9.8 (6.7, 16.3)% at 10 years compared with 5.6 (3.4, 7.6)% in the medical group (median difference 4.2%; p = .008).
Why this rating
Based on randomized trial design.
Source
Long‐term impact of weight loss for people with overweight but not obesity, and with type 2 diabetes: 10‐year outcomes of a randomized trial of gastric band surgery
Qi Yang Damien Qi et al. · Diabetes Obesity and Metabolism · 2023
DOI 10.1111/dom.14992
rct · n=51Cited 12×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
More from this paper
- Diabetes remission occurred in five GB participants and no medical participants (relative risk 0.76, 95% CI: 0.55-0.93, p = .048).Strong
- GB participants used fewer glucose-lowering medications at 10 years, but HbA1c, fasting glucose, calculated cardiovascular risk, quality-of-life, and incident diabetes complications did not differ significantly between the groups.Strong
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
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