PMID- 38196781 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240111 IS - 2508-5956 (Electronic) IS - 2287-2930 (Print) IS - 2508-5956 (Linking) VI - 12 IP - 2 DP - 2023 Dec TI - Strategies to Maintain the Remission of Diabetes Following Metabolic Surgery. PG - 26-34 LID - 10.17476/jmbs.2023.12.2.26 [doi] AB - Obesity is a major risk factor for type 2 diabetes mellitus (T2DM). Bariatric surgery is the most effective means of inducing weight loss, and can ameliorate or induce the remission of obesity-related metabolic comorbidities, including T2DM. The guidelines for the management of T2DM emphasize weight management and recommend metabolic surgery for the treatment of T2DM accompanied by obesity. However, despite the clear beneficial effects of metabolic surgery, only 20-50% of patients who experience remission will stay in remission over the long term. Moreover, the beneficial effects of metabolic surgery tend to diminish with time, and a subset of patients experience a relapse of their diabetes. Therefore, in the present review, we discuss potential strategies for the maintenance of diabetic remission following metabolic surgery. CI - Copyright (c) 2023, The Korean Society for Metabolic and Bariatric Surgery. FAU - Kim, Mi Kyung AU - Kim MK AUID- ORCID: 0000-0001-5750-3598 AD - Department of Internal Medicine, Keimyung University School of Medicine, Dongsan Hospital, Daegu, Korea. AD - Center of Bariatric and Metabolic Surgery, Keimyung University, Dongsan Hospital, Daegu, Korea. FAU - Kim, Hye Soon AU - Kim HS AUID- ORCID: 0000-0001-6298-3506 AD - Department of Internal Medicine, Keimyung University School of Medicine, Dongsan Hospital, Daegu, Korea. AD - Center of Bariatric and Metabolic Surgery, Keimyung University, Dongsan Hospital, Daegu, Korea. LA - eng PT - Journal Article PT - Review DEP - 20231129 PL - Korea (South) TA - J Metab Bariatr Surg JT - Journal of metabolic and bariatric surgery JID - 9918383866806676 PMC - PMC10771975 OTO - NOTNLM OT - Bariatric surgery OT - Obesity OT - Type 2 diabetes mellitus COIS- Conflict of Interest: None of the authors have any conflict of interest. EDAT- 2024/01/10 06:42 MHDA- 2024/01/10 06:43 PMCR- 2023/12/01 CRDT- 2024/01/10 03:42 PHST- 2023/09/26 00:00 [received] PHST- 2023/11/19 00:00 [revised] PHST- 2023/11/20 00:00 [accepted] PHST- 2024/01/10 06:43 [medline] PHST- 2024/01/10 06:42 [pubmed] PHST- 2024/01/10 03:42 [entrez] PHST- 2023/12/01 00:00 [pmc-release] AID - 10.17476/jmbs.2023.12.2.26 [doi] PST - ppublish SO - J Metab Bariatr Surg. 2023 Dec;12(2):26-34. doi: 10.17476/jmbs.2023.12.2.26. Epub 2023 Nov 29.