Other fat reduction methods have produced a reduced need for insulin in type 2 diabetes. Is this true of CoolSculpting?

Coolsculpting reduces the subcutaneous fat. There is no research supporting loosing subcutaneous fat will decrease the amount of insulin you take. Coolsculpting is an excellent form of non-invasive  fat reduction for
the right patient. Some applicators take 1 or 2 hours but the new advantage
applicators take only 35 minutes and have significantly less risk for delayed
onset pain (especially in the abdomen). Results are seen at 2 months and
typically 1-3 treatments will be necessary on each area to achieve ideal
results. The number of treatments depends on the amount of fat there and the
patient's goals.  There is not downtime and the results can be impressive
in the right patient.  We also use the Zimmer Z-wave for improved patient
comfort and added results. The best candidates are those who are in pretty
good shape with areas of stubborn fat that won't go away no matter what.My best,

Sheila Nazarian, MD, MMM

Beverly Hills, Board Certified Plastic Surgeon

Your question is very insightful! You are correct that the reduction of weight and abdominal fat has been shown to decrease insulin resistance and improve levels of hemoglobin A1C.  Unfortunately, the fat that influences blood sugar and insulin release is the intra-abdominal fat, the fat that is under the abdominal muscles and around your internal abdominal organs.  CoolSculpting can only treat the fat layer just beneath the skin, subcutaneous fat. CoolSculpitng is not intended for weight loss, it is intended to shape and sculpt the body  Good luck!

I have not seen or heard of any type of correlation between CoolSculpting and a reduced need for insulin in type 2 diabetes.  CoolSculpting is a cosmetic procedure and there is little to no weight loss from the treatment.