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Type 2 diabetes subphenotypes are associated with differential outcomes after metabolic and bariatric surgery: An international multicentre retrospective cohort study - PubMed

4 days ago
  • #Type 2 diabetes
  • #Bariatric surgery
  • #Subphenotypes
  • Type 2 diabetes (T2D) subphenotypes (MOD, SIRD, SIDD) show differential outcomes after metabolic and bariatric surgery (MBS).
  • T2D remission at 2 years was lower in SIDD (36.7%) compared to MOD (79.3%) and SIRD (97.2%).
  • SIDD patients had lower BMI, worse beta-cell function, and higher baseline MASH prevalence compared to MOD and SIRD.
  • HOMA2-IR was highest in SIRD, indicating severe insulin resistance.
  • Total body weight loss (%TWL) was similar across all subphenotypes.
  • The study suggests considering metabolic status in treatment decisions to improve patient outcomes.