DiaRem Score Predicts Long-Term Diabetes Remission After Bariatric Surgery

MedicalResearch.com Interview with:

Annemarie G. Hirsch, PhD, MPH Center for Health Research Geisinger Health System Danville, Pennsylvania

Dr. Annemarie Hirsch

Annemarie G. Hirsch, PhD, MPH
Center for Health Research
Geisinger Health System
Danville, Pennsylvania

MedicalResearch.com: What is the background for this study? What are the main findings?

Response: Bariatric surgery is currently the most effective treatment in reversing insulin resistance in patients with type 2 diabetes. However, the likelihood of remission or cure after surgery varies tremendously based on certain patient characteristics. The DiaRem score provides patients with a personalized prediction of whether or not they can expect long-term remission of their disease if they choose to have surgery.

MedicalResearch.com: What should clinicians and patients take away from your report?

Response: The DiaRem score is based on four factors readily available in the medical record: age, insulin use, hemoglobin A1c, and the use of other anti-diabetic medications. Using a simple weighted score, patients and doctors can determine the likelihood that surgery will result in long-term remission of type 2 diabetes.

MedicalResearch.com: What recommendations do you have for future research as a result of this study?

Response: One of the next important areas of research is to determine what modifiable factors after surgery impact how long a patient stays in remission, so that we can find a way to prevent or delay diabetes relapse.

Citation:

Wood G, Mirshahi T, Still CD, Hirsch AG. Association of DiaRem Score With Cure of Type 2 Diabetes Following Bariatric Surgery. JAMA Surg. Published online April 20, 2016. doi:10.1001/jamasurg.2016.0251.

 

 

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