Sleeve Gastrectomy Versus Medical Management for Remission of Diabetes in Mild to Moderately Obese Patients
NCT00965302 · Status: TERMINATED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 50
Last updated 2023-04-25
Summary
The investigators plan to randomize mild to moderately obese (BMI 30-34.9) subjects to medical management (diet, exercise, and best medical therapy) versus sleeve gastrectomy with medical management, with a primary endpoint of diabetes remission (normal fasting glucose, off medications and insulin) at one year. Sleeve gastrectomy (also called greater curvature gastrectomy, vertical sleeve gastrectomy, and sleeve gastroplasty) involves stapled resection of the gastric fundus. Secondary endpoints include weight loss, improvement in hypertension, sleep apnea, c-reactive protein, and fasting lipid profile.
Conditions
- Diabetes Mellitus, Type 2
- Obesity
Interventions
- PROCEDURE
-
Laparoscopic sleeve gastrectomy
Laparoscopic sleeve gastrectomy, also known as vertical sleeve gastrectomy, sleeve gastroplasty, or sleeve gastrectomy, will be performed over a 32 to 40 French sizing bougie.
- BEHAVIORAL
-
Intensive medical management
Intensive medical therapy for Diabetes mellitus, Type 2, will include weight management counseling, exercise, glucose control, and healthy dietary choices.
Sponsors & Collaborators
-
59th Medical Wing
lead FED
Principal Investigators
-
Jason M Pfluke, MD · Wilford Hall Medical Center, United States Air Force
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 65 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2009-08-31
- Primary Completion
- 2012-12-31
- Completion
- 2014-09-30
Countries
- United States
Study Locations
More Related Trials
-
Efficacy of Laparoscopic Sleeve Gastrectomy and Intensive Medical Management in Obese Type 2 Diabetes
NCT01429506 ·Status: COMPLETED ·Phase: NA
-
Surgical Treatment of Non-obese Type 2 Diabetic Patients With Duodenal Exclusion
NCT00566358 ·Status: COMPLETED ·Phase: PHASE1/PHASE2
-
Surgical Intervention for the Treatment of Diabetes in Overweight Non-responders-1
NCT02610530 ·Status: UNKNOWN
-
Elucidating the Mechanism of Remission of Type 2 Diabetes in Morbid Obese Patients After Bariatric Surgery
NCT03038373 ·Status: UNKNOWN
-
The Surgical Treatment of Type 2 Diabetes Mellitus in Non-Morbidly Obese Patients: A Community Hospital Study
NCT01323114 ·Status: UNKNOWN ·Phase: NA
-
Early Sleeve Gastrectomy In New Onset Diabetic Obese Patients
NCT02488733 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
New Frontiers on Bariatric Surgical Procedures: Classical Bypass for Type-2 Diabetic Patients With Obesity Grade I
NCT00566189 ·Status: COMPLETED ·Phase: PHASE2/PHASE3
-
Comparison of Body Composition Changes With Weight Loss Interventions
NCT07115069 ·Status: RECRUITING
-
Mechanisms of Diabetes Relapse After Bariatric Surgery
NCT01516320 ·Status: COMPLETED ·Phase: NA
-
A Pilot Study of Metabolic Effects of Omentectomy
NCT00565799 ·Status: TERMINATED ·Phase: PHASE2
-
Effect of Bariatric Surgery on Mechanisms of Type 2 Diabetes
NCT01278823 ·Status: COMPLETED ·Phase: NA
-
Laparoscopic Sleeve Gastrectomy Plus Weight Watchers vs. Weight Watchers Alone in Underserved Minority Women
NCT01929850 ·Status: WITHDRAWN ·Phase: PHASE4
-
Bariatric Surgery Versus Non-alcoholic Steato-hepatitis
NCT03524365 ·Status: COMPLETED ·Phase: NA
-
Transoral Gastric Volume Reduction as an Intervention for Weight Management
NCT02578836 ·Status: WITHDRAWN ·Phase: NA
-
An Analysis of Lipid and Glucose Metabolism Following Bariatric Surgery
NCT02067585 ·Status: COMPLETED ·Phase: NA
-
Mechanisms of Diabetes Control After Weight Loss Surgery
NCT00571220 ·Status: COMPLETED
-
Alliance of Randomized Trials of Medicine vs Metabolic Surgery in Type 2 Diabetes
NCT02328599 ·Status: COMPLETED
-
Mitigation of Type 2 Diabetes by Partial Ileal Bypass
NCT02493374 ·Status: WITHDRAWN
-
Clinical Evaluation of the Effect of Duodenal-Jejunal Bypass on Type 2 Diabetes
NCT00694278 ·Status: UNKNOWN
-
Restoration of Beta Cell Function and Cardiovascular Parameters in Relation to Adipoinsular and Enteroinsular Axes After Gastric Bypass Surgery
NCT01271062 ·Status: COMPLETED ·Phase: NA
-
A Decade of Sleeve Gastrectomy: Analysis of Short and Long-term Outcome of 562 Patients
NCT02931292 ·Status: COMPLETED
-
Outcomes of Sleeve Gastrectomy in Obese Patients, Retrospective Study.
NCT04967053 ·Status: COMPLETED
-
Effects of Caloric Restriction Alone Versus Postoperative Caloric Restriction Following Bariatric Surgery on Glucose Metabolism in Patients With Diabetes Mellitus
NCT01083108 ·Status: TERMINATED ·Phase: PHASE2
-
Diet and Medical Therapy Versus Bariatric Surgery in Type 2 Diabetes
NCT00888836 ·Status: COMPLETED ·Phase: NA
-
Changes in Insulin Sensitivity After Weight Loss
NCT00627484 ·Status: COMPLETED