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Bariatric surgery for the prevention or delay of diabetes mellitus

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A Swedish study enrolled a large cohort of adult nondiabetic subjects who had already chosen to undergo various bariatric surgeries including banding (19%), vertical banded gastroplasty (69%), or gastric bypass (12%), and matched them with a nonrandomized control group [98]. At the time of enrollment, 17.2% of the control group had IFG, compared to 16% of the surgical group. After a median follow‐up time of 10 years, bariatric surgery compared with usual care reduced progression to DM by 87% among subjects with IFG. Another study reported that 98.6% of subjects with prediabetic range dysglycemia had normal FPG following gastric bypass [99].

Clinical Dilemmas in Diabetes

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