13-Year diabetes showdown: surgery vs. meds – which wins?
NCT ID NCT02328599
First seen Jun 27, 2026 · Last updated Jun 27, 2026
Summary
This study combines data from four earlier trials to track 262 adults with type 2 diabetes and obesity for up to 13 years. Researchers want to see if bariatric surgery keeps blood sugar under control longer than medical or lifestyle changes. Participants were originally in randomized studies and are now being followed to measure long-term diabetes remission and blood sugar levels.
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Study facts
What this study's own registry entry says, in plain language.
- Participants
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262 people
The number who actually took part.
- Started
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Apr 2018
- Finished
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Feb 2024
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
Who is studied
Subjects who were previously enrolled in a Randomized Control Trial (RCT) at one of the four participating sites who initiated one of the intervention procedures - bariatric surgery or medical/lifestyle therapy.
- Ages
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20 to 65 years
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Original inclusion criteria for participation in the RCTs at all sites included: * Candidate for general anesthesia or unsupervised exercise. * Age ≥20 and ≤65 years. * Body mass index \>27 and ≤45 kg/m2. * Diagnosis of type 2 diabetes confirmed by either requiring diabetes medication and/or having elevated glycemia based on HbA1c, fasting plasma glucose, and/or oral glucose tolerance test (OGTT) results, according to American Diabetes Association criteria. * Ability and willingness to participate in the study and agree to any of the research arms. * Able to understand the options and to comply with the requirements of each program. * Negative urine pregnancy test at screening and baseline visits (prior to surgery) for women of childbearing potential (i.e., biologically capable of becoming pregnant). Exclusion Criteria: * Subjects who were randomized in one of the four RCTs but never initiated intervention / did not receive randomized treatment * Refusal to sign informed consent
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Cleveland Clinic Digestive Disease Institute
Cleveland, Ohio, 44195, United States
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Joslin Diabetes Center
Boston, Massachusetts, 02215, United States
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University of Pittsburg Medical Center
Pittsburgh, Pennsylvania, 15213, United States
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University of Washington
Seattle, Washington, 98108, United States
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