Obessy adults with type 2 diabetes that underwent gastric derivation surgery continued to improve after five years to achieve the target of blood sugar control, cholesterol and blood pressure, but that improvement seemed to decrease over time, according to an investigationwhich is published in 'Jama'.
The reduction of vascular and cardiovascular risks related to type 2 diabetes requires blood sugar control along with blood pressure control and cholesterol.Roux-and-and gastric derivation surgery is effective in achieving these diabetes treatment objectives, but it is unknown if the effects are durable.
In this five-year follow-up study, 120 obese adults with type 2 diabetes participated, of which half underwent the Roux-in-and-and-and-and-and more interventions surgery surgery more medical management and lifestyle interventions, while the otherHalf received lifestyle interventions and medical interventions alone.
The researchers continued for five years-until 2016-to randomly assigned patients to gastric bypass Roux-in-and more lifestyle interventions and medical or lifestyle management interventions and medical treatment interventions only.Composite diabetes control measures were carried out: A1C hemoglobin less than 7 percent, low density lipoproteins cholesterol less than 100 mg/dl and systolic blood pressure less than 130 mm Hg after five years after five years.
Patients who underwent gastric bypass surgery together with lifestyle and medical treatment shows continuous improvement in achieving a measure composed of diabetes control after five years, but with some decrease in effectiveness, according toThe authors of the work, led by Charles Billington, from the University of Minnesota, in Minneapolis, United States.
Among the limitations of the study are that the participants had diabetes for an average of nine years when they entered the study, so the effect of treatment in patients with diabetes for a shorter time could be different.Although there was a better achievement of the diabetes control objectives after five years, the effect decreased over time, so more follow -up is needed to understand if the improvement persists.