Abstract Background Bariatric surgery is known to be effective in controlling type 2 diabetes and achieving metabolic improvement. However, limited data are available regarding the potential impact of muscle loss during this process on diabetes remission rates. This study aimed to investigate the effect of changes in muscle mass on diabetes remission in type 2 diabetic patients who underwent bariatric surgery by evaluating the relationship between postoperative muscle mass changes, metabolic parameters, glycemic control, and diabetes remission. Material and method This retrospective study included 51 type 2 diabetic patients who underwent bariatric surgery. Demographic data, preoperative and postoperative 1-year body composition analysis results, and glucose parameters (fasting glucose, HbA1c) were collected retrospectively from patient records. Results When comparing patients who achieved remission and those who did not, postoperative mean muscle percentage was significantly higher in those with remission (69 ± 8.9 versus 61.6 ± 11.3, P = 0.014). Additionally, muscle mass change (7.4 ± 3.8 versus 14.9 ± 7.7, P 0.001) and postoperative mean fat percentage (27.5 ± 9.1 versus 34.5 ± 10.7, P = 0.015) were significantly lower in patients who achieved remission compared to those who did not. Conclusion Diabetic patients with lower muscle loss had significantly higher diabetes remission rates compared to those with greater muscle loss.
Aydin et al. (Thu,) studied this question.
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