Mechanisms of Diabetes Control After Weight Loss Surgery, Sub-study #1



Status:Withdrawn
Conditions:Diabetes, Diabetes
Therapuetic Areas:Endocrinology
Healthy:No
Age Range:20 - 60
Updated:4/21/2016
Start Date:September 2008
End Date:September 2014

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Gastric bypass (GBP) and laparoscopic adjustable banding (AGB) are common procedures that
can result in significant weight loss and significantly improve type 2 diabetes in 40-80% of
cases. The mechanism and time course of these changes have not been well studied and are
poorly understood. The primary aim of this study is to investigate the potential
weight-independent mechanisms of diabetes remission after GBP, by comparing GBP and AGB
subjects after similar weight loss.

All participants will be tested before and then after 10 and 20-30% weight loss after either
GBP or AGB surgery. Subjects will undergo an oral glucose tolerance test (OGTT) an
isoglycemic intravenous glucose test (IVGT) to assess the incretin effect, a measure of
insulin sensitivity by an intravenous insulin sensitivity test (IVGTT) and body composition
measurements.

Inclusion Criteria:

- obese type 2 diabetes individuals scheduled to undergo bariatric surgery by either
gastric banding or gastric bypass surgery
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