Type 2 Diabetes and Low BMI – Metabolic Surgery Reverses Diabetes

Posted on: 29th Aug, 2019

It is now widely known that metabolic surgery provides a profound reduction in type 2 diabetes metrics among obese individuals, with durable published remissions in a high percentage of patients beyond 10 years. Metabolic surgery reverses the type 2 diabetes completely in the first year in most obese individuals, and surgery induces a profound survival advantage, as well as dramatic reductions in blindness, kidney failure and amputations compared to medically managed diabetics. Low BMI individuals with type 2 diabetes have also enjoyed a significant improved clinical outcome with metabolic surgery compared to medical management, and a recent 2019 meta-analysis describes the published results in Asian patient with type 2 diabetes and a BMI under 30.

Metabolic surgery induces a significant reduction in all metrics of type 2 diabetes among Asians with an average BMI of 26. The published results are sustained at 2 years, in studies reported in this paper thus far. BMI, Glucose, and Hemoglobin A1c al drop considerably and remain lowered two years later.

 

This datat reinforces other mechanism and clinical data that demonstrate the reversal of type 2 diabetes occurs via several mechanisms, some that are weight-dependent (such as improved insulin sensitivity) and some that are weight-independent (direct hormonal effects). It is significant that major improvement and resolution of type 2 diabetes occurs even in low BMI individuals. Asians appear to develop type 2 diabetes at lower BMI than non-Asians.
 
Metabolic surgery is today a 45-minute procedure requiring 4 small Band-aids and is recommended as a top-tier treatment of type 2 diabetes by The American Diabetes Association.
 
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