Obesity

Metabolic Bariatric Surgery Leads to Similar Benefits for Diabetes Management and Glycaemia in Remitters and Non‐Remitters

Diabetes Obes MetabPublished Prospective observational study

Authors' conclusion

While those who do not experience post-MBS remission have a longer diabetes duration and higher baseline adjusted HbA1c, they benefit similarly from improvements in glycaemia and de-escalation of treatment as those who remit. We suggest that the likelihood of diabetes remission, as assessed by scoring systems, should not be used as a criterion to recommend MBS to patients.

Study context

Population
Adults with obesity and Type 2 diabetes undergoing a standardised RYGB in the United Kingdom or Singapore; multiethnic cohortdiscovery cohort 67 · validation cohort (separate UK cohort undergoing RYGB) 195
Exposure
Remitters vs non-remitters
Outcome
Diabetes remission
Follow-up
12-15 months
Methodological detailsdiscovery cohort, validated by retrospective clinical audit of a separate UK cohort
  • Discovery cohort
  • Validated by retrospective clinical audit of a separate UK cohort

Main finding

As reported in the abstract

  • Diabetes remission was predicted by diabetes duration, measures of treatment intensity and resulting glycaemia (expressed as adjusted HbA1c) and post-prandial insulin secretion

Observational data: associations, not effects.

Further findings

OutcomeREMITTERSNON-REMITTERSP value
Change in adjusted HbA1c (discovery cohort)Similar improvements−38.2 ± 17.5 mmol/mol−39.5 ± 15.5 mmol/molP = 0.739

Change in adjusted HbA1c (discovery cohort)

Finding confirmed in the validation cohort

Original publication

Metabolic Bariatric Surgery Leads to Similar Benefits for Diabetes Management and Glycaemia in Remitters and Non‐Remitters. Diabetes Obes Metab. Published 10 November 2026. doi:10.1111/dom.71522

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