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Clinical Diabetes 26:121-122, 2008
DOI: 10.2337/diaclin.26.3.121
© 2008 by the American Diabetes Association
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Landmark Study

Bariatric Surgery Improves Glycemic Control

Michael Pignone, MD, MPH

The first 20% of the full text of this article appears below.


    STUDY
 
Dixon JB, Obrien PE, Playfair J, Chapman L, Schachter LM, Skinner S, Proietto J, Bailey M, Anderson M: Adjustable gastric banding and conventional therapy for type 2 diabetes: a randomized controlled trial. JAMA 299:316 -323, 2008[Abstract/Free Full Text]


    SUMMARY
 
Design. A randomized controlled trial comparing a conventional lifestyle change intervention to conventional management plus laparoscopic adjustable gastric banding for the outcomes of "diabetes regression," defined as fasting glucose < 126 mg/dl and hemoglobin A1c (A1C) < 6.2% while using no glucose-controlling medications.

Subjects. Sixty patients with a BMI of 30-40 kg/m2 and recently (within 2 years) diagnosed diabetes.

Methods. Eligible participants were 20-60 years of age, had type 2 diabetes diagnosed within 2 years, and had no evidence of impaired renal function or diabetic retinopathy. Potential participants completed a 3-month run-in period that included efforts to optimize their diabetes treatment. Those completing the run-in period were randomized, and no attempt was made to blind patients or providers to their intervention . . . [Full Text of this Article]


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Related Article:

Maintaining Success in Self-Care Behaviors: An Elusive Goal?
Tom Elasy
Clin. Diabetes 2008 26: 98-99. [Extract] [Full Text] [PDF]






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Copyright © 2008 by the American Diabetes Association.