WEIGHT LOSS SURGERY CUTS DIABETES RISK

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• Weight loss surgery , such as gastric bypass or gastric banding, could reduce the risk of developing type 2 diabetes by around 80% in obese people, compared with standard care, a new research has found. Being overweight or obese is the main modifiable risk factor for type 2 diabetes. More than 80% of adults with type 2 diabetes are overweight or obese. Using electronic health records from the UK Clinical Practice Research Data link, Martin Gulliford, professor of public health at King's College London, UK, and colleagues assessed the effect of contemporary surgical weight loss procedures on the development of diabetes.

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• They identified 2,167 obese adults without diabetes who under i went one of three surgical procedures (laparoscopic adjustable banding, sleeve gastrectomy , or gastric bypass) for weight loss from 2002 onwards. These participants were compared with 2,167 controls matched for age, sex, BMI, and blood glucose control who did not have surgery or other obesity treatments. Participants were followed up for a maximum of 7 years (median 2.8 years). During follow-up, 38 new diagnoses of diabetes among participants who had weight loss surgery were recorded, compared with 177 in control participants.

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• Compared with controls, diabetes incidence was reduced by about 80% in participants who had surgery , even after controlling for other important factors including smoking, high blood pressure, and high cholesterol.

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