Will Type 2 Diabetes Go into Remission After Weight Loss Surgery?

How often do people have successful remission of diabetes when they lose weight?

Doctor Answers 3

Weight loss surgery and type 2 diabetes

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Weight loss surgery is currently the best treatment option for type 2 diabetes. Several studies have shown that blood sugar control greatly improves after sleeve or bypass surgery compared to medical treatment. The remission rate of diabetes following weight loss surgery depend on many factors. In general, the longer you have had diabetes on insulin the lower the remission rate. 

Houston Bariatric Surgeon

Remission of diabetes

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Weight loss surgery helps a person who suffers from Type 2 diabetes recover completely or at least manage the disease better with less medication. The weight loss surgeries that have the more likely chance that type 2 diabetes will resolve are the metabolic surgeries which include the Gastric Bypass (85%) and the Sleeve Gastrectomy (70 %). Lap Band surgery has a 45% remission rate, which this is mainly due to the amount of weight a person loses.

Another factor for remission of diabetes is whether a person has been on Insulin for greater than 10 years. Those patient’s usually do not have complete remission of their type II diabetes but usually will require less medication to manage it.

Michael Seger, MD
San Antonio Bariatric Surgeon

Remission of type 2 Diabetes after weight loss surgery

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From a statistic standpoint and if one looks at all comers that have type two diabetes then the remission rate breaks down into this: lap  band 40 to 45 percent, sleeve gastrectomy 60 to 65 percent, gastric bypass 85 percent, duodenal switch 98 percent.  As with statistics there are highs and lows  and this is a rough average. Notice that the more "aggressive" the procedure the better the chances for diabetes remission.

Ricardo M. Bonnor, MD, FACS
Houston General Surgeon

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.