US study probes how surgery makes diabetes disappear

CHICAGO,  (Reuters) – Weight loss surgery appears  to change the body’s metabolism in a way that dieting alone  cannot, helping to explain why diabetes often disappears after  the surgery even before much weight is lost, U.S. researchers  said yesterday.

Understanding how gastric bypass affects metabolism could  shed light on treatments for type 2 diabetes, a global epidemic  strongly linked with obesity and too little exercise.

Weight loss surgery is becoming increasingly popular as  obese people struggle to lose weight and avoid the health  complications that accompany the extra pounds — including  diabetes, heart disease, joint pain and some cancers.

In research conducted at Columbia University in New York  and Duke University in North Carolina, researchers studied two  small groups of severely obese diabetic patients who either had  gastric bypass surgery or went on strict diets.

Both groups lost about 20 pounds.

For the study, the teams measured metabolites — chemical  byproducts of foods in the body.

They found that unlike dieting, gastric bypass changes a  person’s metabolism by significantly reducing levels of  circulating amino acids — compounds linked with obesity,  diabetes and insulin resistance.

“What we were trying to do is cast a very wide net,” said  Christopher Newgard of Duke, who worked on the study published  in Science Translational Medicine.