Skip to content

    Diabetes Health Center

    Font Size
    A
    A
    A

    Surgery Reverses Type 2 Diabetes in Teens

    Gastric Bypass Weight Loss Surgery May Halt Diabetes in Obese Youths
    By
    WebMD Health News
    Reviewed by Louise Chang, MD

    Dec. 29, 2008 -- A popular type of weight loss surgery among adults may reverse the course of type 2 diabetes in extremely obese adolescents.

    A small new study shows Roux-en-Y gastric bypass weight loss surgery halted the use of medications for type 2 diabetes in 10 out of 11 obese adolescents treated with the procedure. And the surgery reduced their risk factors for heart disease.

    "Although the long-term efficacy of Roux-en-Y gastric bypass is not known, these findings suggest that Roux-en-Y gastric bypass is an effective treatment option for the treatment of extremely obese adolescents with type 2 diabetes," write researcher Thomas H. Inge, MD, of Cincinnati Children's Hospital, and colleagues in Pediatrics.

    Researchers say type 2 diabetes has traditionally been considered an adult disease. But with the rise of childhood obesity, the rate of type 2 diabetes among children has increased more than tenfold in the last two decades, from 3% to nearly half of all new pediatric diabetes cases.

    Weight Loss Surgery for Diabetes

    Previous studies have shown that weight loss surgery can prompt the remission of type 2 diabetes in adults, but this is the first to show that the treatment may have the same effect in adolescents.

    Roux-en-Y gastric bypass is the most common form of weight loss surgery.

    In the study, researchers examined the effects of the gastric bypass surgery on 11 extremely obese adolescents with type 2 diabetes and numerous heart disease risk factors.

    A year after the weight loss surgery, researchers found evidence of remission of type 2 diabetes in all but one of the patients.

    Specifically, the average BMI (body mass index, a measure of obesity) was reduced by 34% and fasting blood glucose and insulin concentrations decreased by 41% and 81%, respectively. Improvements in blood pressure and cholesterol levels, two major risk factors for heart disease, were also found.

    In comparison, a group of 67 similarly obese adolescents with type 2 diabetes who were treated medically without surgery for one year did not lose weight and did not experience any beneficial drop in blood pressure or need for diabetes medication.

    Today on WebMD

    Diabetic tools
    Symptoms, diagnosis, treatment, and more.
    woman flexing muscles
    10 strength training exercises.
     
    Blood sugar test
    12 practical tips.
    Tom Hanks
    Stars living with type 1 or type 2.
     
    kenneth fujioka, md
    Video
    Can Vinegar Treat Diabetes
    Article
     
    Middle aged person
    Tool
    jennie brand miller
    Video
     

    Prediabetes How to Prevent Type 2 Diabetes
    Article
    type 2 diabetes
    Slideshow
     
    food fitness planner
    Tool
    feet
    Slideshow