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The researchers first analyzed a bariatric surgery study involving 30 patients age 19 or younger. All had Type 2 diabetes and a body mass index (BMI) of 35 or more, which is severely obese (for example, a 5-foot-9 boy age 17 who weighs around 240 has a BMI of 35). All underwent either laparoscopic gastric bypass or laparoscopic sleeve gastrectomy. Two years after surgery, the teens' BMI had declined nearly 30 percent on average. And their hemoglobin A1C levels — a key indicator of diabetes severity — dropped from 6.8 percent on average to 5.5 percent. However, nearly one quarter required a second surgery in that time frame. The team then compared those results to the findings of another study in which 63 teens with Type 2 diabetes were treated traditionally. Participants also had a BMI of 35 or higher at the study launch. These teens were aggressively treated with the diabetes drugs metformin and/or rosiglitazone, and received lifestyle advice. Insulin treatment was provided as needed. However, over the next two years, average BMI in this group jumped almost 4 percent. And their A1C levels crept up from 6.4 percent to 7.8 percent on average, according to the study. And while blood pressure and kidney function improved among the surgery group, that was not the case with the medication group.
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