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Metabolic surgery for type 2 diabetes

Clinicians note that bariatric operations can dramatically resolve type 2 diabetes, often before and out of proportion to postoperative weight loss. Now two randomized controlled trials formally show superior results from surgical compared with medical diabetes care, including among only mildly obese patients. The concept of 'metabolic surgery' to treat diabetes has taken a big step forward.

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Figure 1: Different methods of bariatric surgery ameliorate type 2 diabetes to varying degrees.


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Correspondence to David E Cummings.

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Dr. Cummings is a Principal Investigator on the COSMID trial, which is funded by Johnson & Johnson.

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Cummings, D. Metabolic surgery for type 2 diabetes. Nat Med 18, 656–658 (2012).

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