Diabetes Self-Management Blog

Gastric banding can be an important tool for treating Type 2 diabetes in people who are overweight but not obese, according to researchers from Monash University in Australia. Over 1 million Australians, and an estimated 26 million Americans, are living with Type 2 diabetes.

Bariatric surgery — in which parts of the stomach and small intestine are surgically altered or removed to reduce how much can be eaten or absorbed, causing weight loss — has been shown to improve diabetes in people who are obese (defined as a body-mass index of 30 or more), but the effect on blood glucose in people who are overweight (a body-mass index of 25–29.9) has not been clearly established.

To determine the impact of gastric banding (a type of bariatric surgery in which a band is placed around the stomach via a small incision to limit how much can be eaten at any one time) on blood glucose control, the researchers looked at 50 overweight Australians with Type 2 diabetes. All of the participants received diabetes care based on guidelines from the American Diabetes Association, including calorie-restricted diets tailored by a dietitian, 150 minutes of moderate-intensity exercise each week, treatment with various diabetes medicines, and meetings with a diabetes educator. Half of the group was also randomly assigned to undergo gastric banding within three months of the start of the trial. The surgery was performed as an outpatient procedure and, according to the study authors, had no significant adverse effects.

Two years into the trial, average weight loss was roughly 25 pounds in the banding group, with 52% of those who’d received the procedure experiencing a remission of their diabetes. Among those who did not have the banding surgery, the average weight loss was about 3.5 pounds, and 8% of the participants were in remission.

“This is the first randomized controlled trial demonstrating that treatment of Type 2 diabetes in overweight people by substantial weight loss is safe and hugely beneficial. As there are no alternative options that can achieve such a result, this study indicates a potentially attractive path for the overweight person with diabetes and for those providing the care” said study author Paul E. O’Brien, MD.

However, according to Greg Johnson, chief executive of Diabetes Australia, the study was too small to show that gastric banding could safely be used to treat Type 2 in people who are overweight. Instead, he recommends that they consider diet and lifestyle changes before surgery, which carries risks.

For more information, read the article “New ammunition in fight against type 2 diabetes” or see the study’s abstract in the journal The Lancet Diabetes & Endocrinology. And to learn more about possible approaches for “reversing” Type 2 diabetes, see this recent article by nurse David Spero.

POST A COMMENT       
  

Comments
  1. There are no comments at this time.


Post a Comment

Note: All comments are moderated and there may be a delay in the publication of your comment. Please be on-topic and appropriate. Do not disclose personal information. Be respectful of other posters. Only post information that is correct and true to your knowledge. When referencing information that is not based on personal experience, please provide links to your sources. All commenters are considered to be nonmedical professionals unless explicitly stated otherwise. Promotion of your own or someone else's business or competing site is not allowed: Sharing links to sites that are relevant to the topic at hand is permitted, but advertising is not. Once submitted, comments cannot be modified or deleted by their authors. Comments that don't follow the guidelines above may be deleted without warning. Such actions are at the sole discretion of DiabetesSelfManagement.com. Comments are moderated Monday through Friday by the editors of DiabetesSelfManagement.com. The moderators are employees of Madavor Media, LLC., and do not report any conflicts of interest. A privacy policy setting forth our policies regarding the collection, use, and disclosure of certain information relating to you and your use of this Web site can be found here. For more information, please read our Terms and Conditions.


Weight Loss
Can Grapefruit Juice Prevent Weight Gain, Increase Insulin Sensitivity? (10/16/14)
Whittle That Middle: A Trimmer Waistline Improves Your Health (09/22/14)
Diabetes UnConference Scholarships Now Available (09/04/14)
Techie Tools to Help With Weight Loss (08/18/14)

Type 2 Diabetes
Discovering I Had Type 2 Diabetes (10/17/14)
Low-Carb Diet Improves Quality of Life in Type 2 Diabetes (10/07/14)
Long Hours at Low-Income Jobs Linked to Increased Diabetes Risk (10/02/14)
Metformin Study Currently Recruiting (08/19/14)

Diabetes Research
Can Grapefruit Juice Prevent Weight Gain, Increase Insulin Sensitivity? (10/16/14)
Low-Carb Diet Improves Quality of Life in Type 2 Diabetes (10/07/14)
Long Hours at Low-Income Jobs Linked to Increased Diabetes Risk (10/02/14)
Statins May Reduce Risk of Nerve Damage, Other Diabetes Complications (09/18/14)

Diabetes News
FDA Approves Remote Glucose-Monitoring Technology (10/24/14)
Can Grapefruit Juice Prevent Weight Gain, Increase Insulin Sensitivity? (10/16/14)
Low-Carb Diet Improves Quality of Life in Type 2 Diabetes (10/07/14)
Long Hours at Low-Income Jobs Linked to Increased Diabetes Risk (10/02/14)

Diane Fennell
FDA Approves Remote Glucose-Monitoring Technology (10/24/14)
Can Grapefruit Juice Prevent Weight Gain, Increase Insulin Sensitivity? (10/16/14)
Low-Carb Diet Improves Quality of Life in Type 2 Diabetes (10/07/14)
Long Hours at Low-Income Jobs Linked to Increased Diabetes Risk (10/02/14)

 

 

Disclaimer of Medical Advice: You understand that the blog posts and comments to such blog posts (whether posted by us, our agents or bloggers, or by users) do not constitute medical advice or recommendation of any kind, and you should not rely on any information contained in such posts or comments to replace consultations with your qualified health care professionals to meet your individual needs. The opinions and other information contained in the blog posts and comments do not reflect the opinions or positions of the Site Proprietor.