University of Lynchburg DMSc Doctoral Project Assignment Repository

University of Lynchburg DMSc Doctoral Project Assignment Repository




Dr. Thomas Colletti



Purpose: The purpose of this article is to review the treatment for Type 2 Diabetes mellitus with bariatric surgery and examine the difference in lifestyle changes alone in comparison to bariatric surgery for diabetics, with the measure of Hemoglobin A1C being the outstanding measure.

Method: A PubMed literature search was conducted with search terms bariatric surgery, type 2 diabetes, and A1C. Twelve pertinent articles were retrieved and served as the basis for this clinical review.

Results: Among obese participants with T2DM, bariatric surgery with 2 years of an adjunctive low-level lifestyle intervention resulted in more disease remission than did lifestyle intervention alone.

Conclusion: Overall, these studies came to similar conclusions that patients undergoing bariatric surgery had significantly lower Hemoglobin A1c levels. Additionally, those who underwent bariatric surgery were found to have lower lipid levels, reduced weight, and more disease remission than those who did lifestyle management alone.


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