Weight-Loss Surgery for Obese People With Diabetes
Those who had gastric bypass dropped the most weight, some saw their type 2 diabetes disappear, studies found
Both studies were funded in part by the U.S. National Institutes of Health.
Halperin's team stressed, however, that a much larger clinical trial is needed -- something that might be difficult to put together.
Kini agreed. He said there are "potential challenges to successfully completing a larger randomized, controlled trial for treatment of type 2 diabetes and obesity in obese patients." Both of the new studies had only a small number of people enrolled, Kini noted.
Dr. Mitchell Roslin is chief of bariatric surgery at Northern Westchester Hospital in Mount Kisco, N.Y. He said that "the data is clear -- the treatment of choice for type 2 diabetes and morbid [severe] obesity is a gastric bypass procedure."
Roslin believes that the time has come for insurance companies and other third-party payers to help cover the cost of these procedures for obese type 2 diabetics.
"Why, with data this clear, are only a minority of patients with diabetes and other metabolic diseases secondary to obesity having these lifesaving procedures?" he asked. "Until there are better medical remedies, obese type 2 diabetics should be treated with gastric bypass procedures."