diabetes news, diabetes research news, diabetes information, diabetes news

NEWS

NEWS

REPORT

Updates on obesity levels and gastric bypass surgery success.

T

he Obesity Health

Alliance - a coalition of

over 40 leading health

organisations, medical

royal colleges and

campaign groups - has responded to

Public Health England's publication earlier

this month of calorie reduction guidelines

for the food industry.

Caroline Cerny, Alliance Lead at the

Obesity Health Alliance, said: "It's much

harder to eat healthily when so much of

the food available to us is overloaded with

excess calories. To improve our nation's

health now and in the longer term, the

food industry must play its role to make

the food they produce healthier. Industry

has been consulted extensively on these

new targets, and as such, we expect

them to step up and meet the targets

on time and in full. But this is ultimately

a voluntary programme, which is why we

need the government to clearly commit to

sanctions for companies that do not take

the responsible approach, such as fines

and levies."

Eleanor Pearce Willis, Senior Policy

Officer at Diabetes UK, added: "This

report further shows that progress on

addressing and tackling childhood obesity

has been slow, and significant further

action is needed across government.

The evidence-based measures proposed

in the government's obesity strategy

in July 2020 should be implemented

without delay, but they also need to go

further to end childhood obesity. Local

authorities also have an important role to

play in addressing childhood obesity and

need to be properly funded to achieve

this. Improving children's health must be

everyone's responsibility, and to this end,

A weighty matter

Diabetes UK will continue to put pressure

on the government."

calorie-reduction-guidelines

T2 diabetes remission

Weight loss from surgery or diet is the

driver behind Type 2 remission. Gastric

bypass surgery is the most effective

therapy to treat or reverse Type 2 diabetes

in severely obese patients. However,

weight loss after surgery - rather than

the surgery itself - drives metabolic

improvements, such as diabetes

remission, according to a new study.

Because many people achieve Type

2 remission after surgery and no longer

need diabetes medications, it has led to

the theory that gastric bypass surgery has

unique, weight loss-independent effects

in treating diabetes, which has been

questioned in the field.

Researchers from the Washington

University School of Medicine studied

severely obese patients with diabetes

who had gastric bypass surgery and then

lost 18% of their body weight. They then

compared those patients with people who

also were severely obese with diabetes

but had lost the same percentage of body

weight through diet alone.

People in both groups experienced

similar improvements in metabolism

- lower blood sugar levels throughout

the day, better insulin action in the liver,

muscle and fat tissue, and reductions in

the need for insulin and other diabetes

medications. As a result, the researchers

concluded the improvements were due

to weight loss alone, rather than to any

physiological changes that resulted from

the surgery itself.

The study was published in The New

England Journal of Medicine.

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