Obesity

Glycaemic and weight effects of metabolic surgery or semaglutide in diabetes dosage for patients with type 2 diabetes

Diabetes Obes MetabPublished Registry-based propensity-score matched cohort study

Authors' conclusion

Semaglutide and MBS were both associated with improvements in weight and improved glycaemic control at 2 years after the start of the intervention, but MBS was associated with better weight loss and glucometabolic control.

Study context

Population
Patients with T2D and obesity in Sweden, Scandinavian Obesity Surgery Registry and National Diabetes Registry, treatment started 2018–2020matched cohort
Participants
606 vs 997
Exposure
Metabolic and bariatric surgery (MBS) vs semaglutide
  • MBSn = 606
  • Semaglutiden = 997reference
Outcome
Weight loss and glycaemic control
Follow-up
2 years
Methodological detailspropensity score matching (1:1-2), adjusted for glomerular filtration rate and body mass index
  • Propensity score matching (1:1-2)
  • Adjusted for glomerular filtration rate and body mass index

Main finding

As reported in the abstract

HbA1c

MBS

42.3

mean · ± 11.18

Semaglutide

50.7

mean · ± 12.48

P < 0.001

Observational data: associations, not effects.

Further findings

Complete remission without other treatment than the intervention · 2 years

P < 0.001

Total weight loss · 2 years

P < 0.001

Original publication

Glycaemic and weight effects of metabolic surgery or semaglutide in diabetes dosage for patients with type 2 diabetes. Diabetes Obes Metab. Published 18 September 2024. doi:10.1111/dom.15952

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