A Gut Feeling to Cure Diabetes: Potential Mechanisms of Diabetes Remission after Bariatric Surgery

A cure for type 2 diabetes was once a mere dream but has now become a tangible and achievable goal with the unforeseen success of bariatric surgery in the treatment of both obesity and type 2 diabetes. Popular bariatric procedures such as Roux-en-Y gastric bypass and sleeve gastrectomy exhibit high...

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Main Author: Young Min Cho
Format: Article
Language:English
Published: Korean Diabetes Association 2014-12-01
Series:Diabetes & Metabolism Journal
Subjects:
Online Access:http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-38-406.pdf
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author Young Min Cho
author_facet Young Min Cho
author_sort Young Min Cho
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description A cure for type 2 diabetes was once a mere dream but has now become a tangible and achievable goal with the unforeseen success of bariatric surgery in the treatment of both obesity and type 2 diabetes. Popular bariatric procedures such as Roux-en-Y gastric bypass and sleeve gastrectomy exhibit high rates of diabetes remission or marked improvement in glycemic control. However, the mechanism of diabetes remission following these procedures is still elusive and appears to be very complex and encompasses multiple anatomical and physiological changes. In this article, calorie restriction, improved β-cell function, improved insulin sensitivity, and alterations in gut physiology, bile acid metabolism, and gut microbiota are reviewed as potential mechanisms of diabetes remission after Roux-en-Y gastric bypass and sleeve gastrectomy.
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spelling doaj.art-092ad1b02d0a4ef78888ec425e4180d42022-12-22T03:46:04ZengKorean Diabetes AssociationDiabetes & Metabolism Journal2233-60792233-60872014-12-0138640641510.4093/dmj.2014.38.6.40614649A Gut Feeling to Cure Diabetes: Potential Mechanisms of Diabetes Remission after Bariatric SurgeryYoung Min ChoA cure for type 2 diabetes was once a mere dream but has now become a tangible and achievable goal with the unforeseen success of bariatric surgery in the treatment of both obesity and type 2 diabetes. Popular bariatric procedures such as Roux-en-Y gastric bypass and sleeve gastrectomy exhibit high rates of diabetes remission or marked improvement in glycemic control. However, the mechanism of diabetes remission following these procedures is still elusive and appears to be very complex and encompasses multiple anatomical and physiological changes. In this article, calorie restriction, improved β-cell function, improved insulin sensitivity, and alterations in gut physiology, bile acid metabolism, and gut microbiota are reviewed as potential mechanisms of diabetes remission after Roux-en-Y gastric bypass and sleeve gastrectomy.http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-38-406.pdfBariatric surgeryDiabetes mellitus, type 2ObesityRoux-en-Y gastric bypassSleeve gastrectomy
spellingShingle Young Min Cho
A Gut Feeling to Cure Diabetes: Potential Mechanisms of Diabetes Remission after Bariatric Surgery
Diabetes & Metabolism Journal
Bariatric surgery
Diabetes mellitus, type 2
Obesity
Roux-en-Y gastric bypass
Sleeve gastrectomy
title A Gut Feeling to Cure Diabetes: Potential Mechanisms of Diabetes Remission after Bariatric Surgery
title_full A Gut Feeling to Cure Diabetes: Potential Mechanisms of Diabetes Remission after Bariatric Surgery
title_fullStr A Gut Feeling to Cure Diabetes: Potential Mechanisms of Diabetes Remission after Bariatric Surgery
title_full_unstemmed A Gut Feeling to Cure Diabetes: Potential Mechanisms of Diabetes Remission after Bariatric Surgery
title_short A Gut Feeling to Cure Diabetes: Potential Mechanisms of Diabetes Remission after Bariatric Surgery
title_sort gut feeling to cure diabetes potential mechanisms of diabetes remission after bariatric surgery
topic Bariatric surgery
Diabetes mellitus, type 2
Obesity
Roux-en-Y gastric bypass
Sleeve gastrectomy
url http://e-dmj.org/Synapse/Data/PDFData/2004DMJ/dmj-38-406.pdf
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