Wentworth J. Hensman T. et al. Diabetologia. Doi: 10.1007/s00125-013-3129-0
Although the conclusion of this research is not earth shattering, it is nice that a hypothesis which has reasonable credibility is actually proven. Obese people with impaired fasting glucose who are subjected to a laparoscopic adjustable gastric banding (LAGB) procedure leading to a loss of weight, significantly reduce their chances of subsequently developing diabetes. Even better, the follow up period was at least 4 years, giving the research and conclusions more authority. The results in themselves will not come as a great surprise to many of us and also provides more ammunition for the supporters of bariatric surgery, as this is proof that it can offer some form prevention of diabetes, in this group. It’s also a good argument to justify the cost of bariatric surgery. But it is also a drastic option and may be a difficult to access service in some areas of the country. Perhaps this research which highlights the impact of weight loss could be extrapolated to other interventions which may also lead to weight loss such as intensive dietetic support services and maybe can be offered to even more people.