Type 2 & other diabetes

Weight change in patients with new‐onset type 2 diabetes mellitus and its association with remission: Comprehensive real‐world data

Diabetes Obes MetabPublished Retrospective cohort study

Main finding · Diabetes remission (FPG <126 mg/dl at ≥2 consecutive examinations after stopping medication)Result — go to the resultAOR for remission 2.56 95% CI 2.35–2.79

Authors' conclusion

Weight loss within the first 2 years of treating type 2 diabetes mellitus was associated with diabetes remission. Physicians should pay more attention to weight management in new-onset type 2 diabetes mellitus, particularly for young and obese individuals.

Study context

Population
Korean adults with new-onset T2D diagnosed 2009–2012, followed to 2017, Korean National Health Insurance Service health examination database
Exposure
Weight loss >5% vs stable body weight
  • Weight lossn = 23,156
Outcome
Diabetes remission: FPG <126 mg/dl at ≥2 consecutive health examinations after stopping medication
Methodological detailsnationwide health examination database, real-world data
  • Nationwide health examination database
  • Real-world data

Main finding

As reported in the abstract

Diabetes remission (FPG <126 mg/dl at ≥2 consecutive examinations after stopping medication)

AOR for remission

2.56

95% CI 2.35–2.79

Weight lossvs Stable body weight
aOR for remission 2.56 (95% CI 2.35–2.79)
Achieved remission (all patients)
2429 (2.1%)

Observational data: associations, not effects.

Further findings

Sensitivity analysis by degree of weight change

The greater the weight loss, the higher the likelihood of remission

Subgroups

Effect of weight loss on remission significantly greater in age <65 years, male sex and BMI >25

Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.

Original publication

Weight change in patients with new‐onset type 2 diabetes mellitus and its association with remission: Comprehensive real‐world data. Diabetes Obes Metab. Published 8 November 2023. doi:10.1111/dom.15345

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