Medication Following Bariatric Surgery for Type 2 Diabetes Mellitus

Conditions studied

Obesity, Type 2 Diabetes

About this study

The aim of this study is to investigate the continued usage of standard diabetes medications in the post operative period following bariatric surgery to determine whether this approach may improve long term diabetes control. At present, the standard of treatment in patients with type 2 diabetes is that all medication is stopped in the immediate postoperative period and only re-started if symptoms of diabetes re-emerge. Although a large proportion of patients with diabetes will initially go in to remission, 80% experience relapse within five years. This study is needed to determine whether continuing medications is not only safe but will improve long term outcomes for patients with diabetes.

Interventions

• Procedure: Bariatric surgery + goal directed medical therapy — Patients will undergo bariatric surgery (RYGB or SG) with goal directed medical therapy titrated to specific end points for BP, HbA1c and lipids
• Procedure: Bariatric surgery — Patients will undergo bariatric surgery (RYGB or SG) with usual care for diabetes mellitus undertaken by their primary care provider/general practitioner

Primary outcomes

• Proportion of patients in each group reaching the composite end point (5 years)
• Proportion of patients reaching end point for glycemic control (1 year)

Eligibility information

Study locations

• University College Dublin, Dublin, Ireland