Simple Outpatient Procedure Helps Type 2 Diabetics Control Blood Sugar without Insulin, Study Finds

In the first human trial, a new endoscopic procedure helped improve insulin resistance in people with type 2 diabetes, according to researchers.

A simple 1-hour procedure could help people with type 2 diabetes control their blood sugar without taking insulin, a new study finds. The endoscopic procedure uses electrical pulses to induce changes in a portion of the small intestine called the duodenum. Researchers believe chronic exposure to a high-sugar, high-calorie diet may damage this area, making the body resistant to its own insulin.

In the first human trial, 14 insulin-dependent type 2 diabetics underwent the new procedure. They were discharged the same day, put on a temporary liquid diet, and then prescribed semaglutide, a diabetes medication. Remarkably, 86% of the participants maintained glycemic control without insulin for a year. The lead author calls the results spectacular and says "One of the biggest advantages of this treatment is that a single outpatient endoscopic procedure provides glycemic control, a potential improvement over drug treatment, which depends on patients taking their medication day in and day out."

The authors are now working on a double-blind randomized trial to test these findings.

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