{"id":9574,"date":"2025-05-29T09:36:15","date_gmt":"2025-05-29T09:36:15","guid":{"rendered":"https:\/\/diabetes.surgery\/?p=9574"},"modified":"2025-11-09T17:12:59","modified_gmt":"2025-11-09T14:12:59","slug":"bariatric-surgery-for-diabetes-treatment","status":"publish","type":"post","link":"https:\/\/diabetes.surgery\/el\/blog\/bariatric-surgery-for-diabetes-treatment","title":{"rendered":"\u0395\u03c0\u03b1\u03bd\u03b1\u03c3\u03c4\u03b1\u03c4\u03b9\u03ba\u03ac \u0394\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b1: \u0397 \u0392\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03a5\u03c0\u03b5\u03c1\u03ad\u03c7\u03b5\u03b9 \u03c4\u03b7\u03c2 \u03a6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u0391\u03b3\u03c9\u03b3\u03ae\u03c2 \u03b3\u03b9\u03b1 \u03c4\u03bf\u03bd \u0394\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03a4\u03cd\u03c0\u03bf\u03c5 2"},"content":{"rendered":"<p>\u039f 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\u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b1, \u03b4\u03b5\u03af\u03c7\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03cc\u03c4\u03b9 \u03b7 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03c0\u03c1\u03bf\u03c3\u03c6\u03ad\u03c1\u03b5\u03b9 \u03b1\u03bd\u03ce\u03c4\u03b5\u03c1\u03b1 \u03ba\u03b1\u03b9 \u03c0\u03b9\u03bf \u03b4\u03b9\u03b1\u03c1\u03ba\u03ae \u03bf\u03c6\u03ad\u03bb\u03b7 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7 \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae \u03bc\u03cc\u03bd\u03b7 \u03c4\u03b7\u03c2.<\/p>\n<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_82_2 counter-hierarchy ez-toc-counter ez-toc-custom ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u03a0\u03af\u03bd\u03b1\u03ba\u03b1\u03c2 \u03c0\u03b5\u03c1\u03b9\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03c9\u03bd<\/p>\n<span class=\"ez-toc-title-toggle\"><a href=\"#\" class=\"ez-toc-pull-right ez-toc-btn ez-toc-btn-xs ez-toc-btn-default ez-toc-toggle\" aria-label=\"\u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03b3\u03ae \u03c0\u03af\u03bd\u03b1\u03ba\u03b1 \u03c0\u03b5\u03c1\u03b9\u03b5\u03c7\u03bf\u03bc\u03ad\u03bd\u03bf\u03c5\"><span class=\"ez-toc-js-icon-con\"><span class=\"\"><span class=\"eztoc-hide\" style=\"display:none;\">\u0395\u03bd\u03b1\u03bb\u03bb\u03b1\u03b3\u03ae<\/span><span class=\"ez-toc-icon-toggle-span\"><svg style=\"fill: #592742;color:#592742\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" class=\"list-377408\" width=\"20px\" height=\"20px\" viewbox=\"0 0 24 24\" fill=\"none\"><path d=\"M6 6H4v2h2V6zm14 0H8v2h12V6zM4 11h2v2H4v-2zm16 0H8v2h12v-2zM4 16h2v2H4v-2zm16 0H8v2h12v-2z\" fill=\"currentColor\"><\/path><\/svg><svg style=\"fill: #592742;color:#592742\" class=\"arrow-unsorted-368013\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" width=\"10px\" height=\"10px\" viewbox=\"0 0 24 24\" version=\"1.2\" baseprofile=\"tiny\"><path d=\"M18.2 9.3l-6.2-6.3-6.2 6.3c-.2.2-.3.4-.3.7s.1.5.3.7c.2.2.4.3.7.3h11c.3 0 .5-.1.7-.3.2-.2.3-.5.3-.7s-.1-.5-.3-.7zM5.8 14.7l6.2 6.3 6.2-6.3c.2-.2.3-.5.3-.7s-.1-.5-.3-.7c-.2-.2-.4-.3-.7-.3h-11c-.3 0-.5.1-.7.3-.2.2-.3.5-.3.7s.1.5.3.7z\"\/><\/svg><\/span><\/span><\/span><\/a><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/diabetes.surgery\/el\/blog\/bariatric-surgery-for-diabetes-treatment\/#Bariatric_surgery\" >\u0392\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/diabetes.surgery\/el\/blog\/bariatric-surgery-for-diabetes-treatment\/#Five-Year_Outcomes_Superior_Glycemic_Control_and_Metabolic_Improvements_After_Surgery_1\" >\u0391\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03a0\u03b5\u03bd\u03c4\u03b1\u03b5\u03c4\u03af\u03b1\u03c2: \u039a\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf\u03c2 \u0393\u03bb\u03c5\u03ba\u03b1\u03b9\u03bc\u03b9\u03ba\u03cc\u03c2 \u0388\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03ba\u03b1\u03b9 \u039c\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae \u0392\u03b5\u03bb\u03c4\u03b9\u03ce\u03c3\u03b7 \u039c\u03b5\u03c4\u03ac \u03c4\u03b7 \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae (1)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/diabetes.surgery\/el\/blog\/bariatric-surgery-for-diabetes-treatment\/#Ten-Year_Follow-Up_Durability_of_Diabetes_Remission_2\" >\u03a0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u0394\u03b5\u03ba\u03b1\u03b5\u03c4\u03af\u03b1\u03c2: \u0397 \u0394\u03b9\u03b1\u03c4\u03ae\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u038e\u03c6\u03b5\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u0394\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 (2)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/diabetes.surgery\/el\/blog\/bariatric-surgery-for-diabetes-treatment\/#Pooled_Data_from_US_Trials_Sustained_Benefits_Through_7_to_12_Years_3\" >\u03a3\u03c5\u03b3\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03c4\u03b9\u03ba\u03ac \u0394\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b1 \u03b1\u03c0\u03cc \u039c\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03c3\u03c4\u03b9\u03c2 \u0397\u03a0\u0391: \u039c\u03b1\u03ba\u03c1\u03bf\u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u039f\u03c6\u03ad\u03bb\u03b7 7 \u03ad\u03c9\u03c2 12 \u0395\u03c4\u03ce\u03bd (3)<\/a><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/diabetes.surgery\/el\/blog\/bariatric-surgery-for-diabetes-treatment\/#Clinical_Implications_and_Future_Directions\" >\u039a\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03a3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1 \u03ba\u03b1\u03b9 \u039c\u03b5\u03bb\u03bb\u03bf\u03bd\u03c4\u03b9\u03ba\u03ad\u03c2 \u039a\u03b1\u03c4\u03b5\u03c5\u03b8\u03cd\u03bd\u03c3\u03b5\u03b9\u03c2<\/a><\/li><\/ul><\/nav><\/div>\n<h3><span class=\"ez-toc-section\" id=\"Bariatric_surgery\"><\/span>\u0392\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae<span class=\"ez-toc-section-end\"><\/span><\/h3>\n<h4><span class=\"ez-toc-section\" id=\"Five-Year_Outcomes_Superior_Glycemic_Control_and_Metabolic_Improvements_After_Surgery_1\"><\/span><a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa1600869\" target=\"_blank\" rel=\"noopener\"><strong>\u0391\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03a0\u03b5\u03bd\u03c4\u03b1\u03b5\u03c4\u03af\u03b1\u03c2: \u039a\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03bf\u03c2 \u0393\u03bb\u03c5\u03ba\u03b1\u03b9\u03bc\u03b9\u03ba\u03cc\u03c2 \u0388\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03ba\u03b1\u03b9 \u039c\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae \u0392\u03b5\u03bb\u03c4\u03b9\u03ce\u03c3\u03b7 \u039c\u03b5\u03c4\u03ac \u03c4\u03b7 \u03a7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae (1)<\/strong><\/a><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>\u039c\u03b9\u03b1 \u03ba\u03b1\u03b8\u03bf\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ae \u03c4\u03c5\u03c7\u03b1\u03b9\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03b7 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03c3\u03b5 150 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c3\u03b1\u03ba\u03c7\u03b1\u03c1\u03ce\u03b4\u03b7 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2 \u03ba\u03b1\u03b9 \u0394\u039c\u03a3 27\u201343 kg\/m\u00b2 \u03c3\u03c5\u03bd\u03ad\u03ba\u03c1\u03b9\u03bd\u03b5 \u03c4\u03b7\u03bd \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae \u03bc\u03cc\u03bd\u03b7 \u03c4\u03b7\u03c2 \u03bc\u03b5 \u03c4\u03b7\u03bd \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae \u03c3\u03b5 \u03c3\u03c5\u03bd\u03b4\u03c5\u03b1\u03c3\u03bc\u03cc \u03bc\u03b5 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u2014 \u03b5\u03af\u03c4\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7, \u03b5\u03af\u03c4\u03b5 \u03b5\u03c0\u03b9\u03bc\u03ae\u03ba\u03b7 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae.\n\u039a\u03cd\u03c1\u03b9\u03bf\u03c2 \u03c3\u03c4\u03cc\u03c7\u03bf\u03c2 \u03ae\u03c4\u03b1\u03bd \u03b7 \u03b5\u03c0\u03af\u03c4\u03b5\u03c5\u03be\u03b7 \u03b1\u03c5\u03c3\u03c4\u03b7\u03c1\u03bf\u03cd \u03b3\u03bb\u03c5\u03ba\u03b1\u03b9\u03bc\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5, \u03bf\u03c1\u03b9\u03b6\u03cc\u03bc\u03b5\u03bd\u03bf\u03c5 \u03c9\u03c2 HbA1c \u22646,0%, \u03bc\u03b5 \u03ae \u03c7\u03c9\u03c1\u03af\u03c2 \u03c4\u03b7 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03b1\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03b2\u03b7\u03c4\u03b9\u03ba\u03ce\u03bd \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd.<\/p>\n<p>\u039c\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c0\u03ad\u03bd\u03c4\u03b5 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1, \u03bc\u03cc\u03bb\u03b9\u03c2 5% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03c0\u03bf\u03c5 \u03ad\u03bb\u03b1\u03b2\u03b1\u03bd \u03bc\u03cc\u03bd\u03bf \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1 \u03c0\u03ad\u03c4\u03c5\u03c7\u03b1\u03bd \u03b1\u03c5\u03c4\u03cc\u03bd \u03c4\u03bf\u03bd \u03c3\u03c4\u03cc\u03c7\u03bf, \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 29% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b2\u03bb\u03ae\u03b8\u03b7\u03ba\u03b1\u03bd \u03c3\u03b5 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7 \u03ba\u03b1\u03b9 23% \u03c3\u03b5 \u03b5\u03c0\u03b9\u03bc\u03ae\u03ba\u03b7 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae.\n\u0397 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03bf\u03b4\u03ae\u03b3\u03b7\u03c3\u03b5 \u03c3\u03b5 \u03c0\u03bf\u03bb\u03cd \u03bc\u03b5\u03b3\u03b1\u03bb\u03cd\u03c4\u03b5\u03c1\u03b7 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 HbA1c (\u03ba\u03b1\u03c4\u03ac \u03bc\u03ad\u03c3\u03bf \u03cc\u03c1\u03bf \u20132,1% \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u20130,3%), \u03ba\u03b1\u03b8\u03ce\u03c2 \u03ba\u03b1\u03b9 \u03c3\u03b5 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03b1\u03c0\u03ce\u03bb\u03b5\u03b9\u03b1 \u03b2\u03ac\u03c1\u03bf\u03c5\u03c2 (\u201323% \u03ba\u03b1\u03b9 \u201319%, \u03b1\u03bd\u03c4\u03af\u03c3\u03c4\u03bf\u03b9\u03c7\u03b1, \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u20135% \u03c3\u03c4\u03b7\u03bd \u03bf\u03bc\u03ac\u03b4\u03b1 \u03c4\u03b7\u03c2 \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b1\u03b3\u03c9\u03b3\u03ae\u03c2).\n\u03a0\u03b1\u03c1\u03b1\u03c4\u03b7\u03c1\u03ae\u03b8\u03b7\u03ba\u03b1\u03bd \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03b2\u03b5\u03bb\u03c4\u03b9\u03ce\u03c3\u03b5\u03b9\u03c2 \u03c3\u03c4\u03b1 \u03c4\u03c1\u03b9\u03b3\u03bb\u03c5\u03ba\u03b5\u03c1\u03af\u03b4\u03b9\u03b1, \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 \u03b1\u03bd\u03ac\u03b3\u03ba\u03b7\u03c2 \u03b3\u03b9\u03b1 \u03b9\u03bd\u03c3\u03bf\u03c5\u03bb\u03af\u03bd\u03b7, \u03ba\u03b1\u03b9 \u03bf\u03c5\u03c3\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03ae \u03b1\u03cd\u03be\u03b7\u03c3\u03b7 \u03c4\u03c9\u03bd \u03b4\u03b5\u03b9\u03ba\u03c4\u03ce\u03bd \u03c0\u03bf\u03b9\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03b6\u03c9\u03ae\u03c2 \u03c3\u03c4\u03b9\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ad\u03c2 \u03bf\u03bc\u03ac\u03b4\u03b5\u03c2.\n\u0399\u03b4\u03b9\u03b1\u03af\u03c4\u03b5\u03c1\u03b7\u03c2 \u03c3\u03b7\u03bc\u03b1\u03c3\u03af\u03b1\u03c2 \u03b5\u03af\u03bd\u03b1\u03b9 \u03cc\u03c4\u03b9 \u03bf\u03b9 \u03cc\u03c8\u03b9\u03bc\u03b5\u03c2 \u03bc\u03b5\u03c4\u03b5\u03b3\u03c7\u03b5\u03b9\u03c1\u03b7\u03c4\u03b9\u03ba\u03ad\u03c2 \u03b5\u03c0\u03b9\u03c0\u03bb\u03bf\u03ba\u03ad\u03c2 \u03ae\u03c4\u03b1\u03bd \u03b5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03b5\u03c2, \u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c2 \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b3\u03c1\u03b1\u03bc\u03bc\u03af\u03b6\u03b5\u03b9 \u03c4\u03b7\u03bd \u03b1\u03c3\u03c6\u03ac\u03bb\u03b5\u03b9\u03b1 \u03c4\u03c9\u03bd \u03b5\u03c0\u03b5\u03bc\u03b2\u03ac\u03c3\u03b5\u03c9\u03bd \u03cc\u03c4\u03b1\u03bd \u03c0\u03c1\u03b1\u03b3\u03bc\u03b1\u03c4\u03bf\u03c0\u03bf\u03b9\u03bf\u03cd\u03bd\u03c4\u03b1\u03b9 \u03c3\u03b5 \u03b5\u03be\u03b5\u03b9\u03b4\u03b9\u03ba\u03b5\u03c5\u03bc\u03ad\u03bd\u03b1 \u03ba\u03ad\u03bd\u03c4\u03c1\u03b1.<\/p>\n<p>\u0397 \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03b1\u03c5\u03c4\u03ae \u03ba\u03b1\u03b8\u03b9\u03ad\u03c1\u03c9\u03c3\u03b5 \u03bf\u03c1\u03b9\u03c3\u03c4\u03b9\u03ba\u03ac \u03c4\u03b7 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03c9\u03c2 \u03c0\u03b9\u03bf \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03b5\u03c3\u03bc\u03b1\u03c4\u03b9\u03ba\u03ae \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b5\u03c0\u03b9\u03bb\u03bf\u03b3\u03ae \u03c3\u03b5 \u03c3\u03c7\u03ad\u03c3\u03b7 \u03bc\u03b5 \u03c4\u03b7 \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae \u03bc\u03cc\u03bd\u03b7 \u03c4\u03b7\u03c2 \u2014 \u03c4\u03cc\u03c3\u03bf \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03b2\u03b5\u03bb\u03c4\u03af\u03c9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b3\u03bb\u03c5\u03ba\u03b1\u03b9\u03bc\u03b9\u03ba\u03bf\u03cd \u03b5\u03bb\u03ad\u03b3\u03c7\u03bf\u03c5, \u03cc\u03c3\u03bf \u03ba\u03b1\u03b9 \u03b3\u03b9\u03b1 \u03c4\u03b7 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03c9\u03bd \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03ce\u03bd \u03c0\u03b1\u03c1\u03b1\u03b3\u03cc\u03bd\u03c4\u03c9\u03bd \u03ba\u03b9\u03bd\u03b4\u03cd\u03bd\u03bf\u03c5 \u03c3\u03b5 \u03bc\u03b5\u03c3\u03b1\u03af\u03bf \u03c7\u03c1\u03bf\u03bd\u03b9\u03ba\u03cc \u03bf\u03c1\u03af\u03b6\u03bf\u03bd\u03c4\u03b1.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Ten-Year_Follow-Up_Durability_of_Diabetes_Remission_2\"><\/span><a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(20)32649-0\/abstract\" target=\"_blank\" rel=\"noopener\">\u03a0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u0394\u03b5\u03ba\u03b1\u03b5\u03c4\u03af\u03b1\u03c2: \u0397 \u0394\u03b9\u03b1\u03c4\u03ae\u03c1\u03b7\u03c3\u03b7 \u03c4\u03b7\u03c2 \u038e\u03c6\u03b5\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u0394\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 (2)<\/a><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>\u03a4\u03b1 \u03bc\u03b1\u03ba\u03c1\u03bf\u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03b4\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b1 \u03c3\u03c7\u03b5\u03c4\u03b9\u03ba\u03ac \u03bc\u03b5 \u03c4\u03bf \u03ba\u03b1\u03c4\u03ac \u03c0\u03cc\u03c3\u03bf \u03b7 \u03cd\u03c6\u03b5\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b5\u03c0\u03ad\u03bc\u03b2\u03b1\u03c3\u03b7 \u03bc\u03c0\u03bf\u03c1\u03b5\u03af \u03bd\u03b1 \u03b4\u03b9\u03b1\u03c4\u03b7\u03c1\u03b7\u03b8\u03b5\u03af \u03c3\u03c4\u03bf \u03c7\u03c1\u03cc\u03bd\u03bf \u03ae\u03c4\u03b1\u03bd \u03ad\u03c9\u03c2 \u03c0\u03c1\u03cc\u03c3\u03c6\u03b1\u03c4\u03b1 \u03c0\u03b5\u03c1\u03b9\u03bf\u03c1\u03b9\u03c3\u03bc\u03ad\u03bd\u03b1.\n\u0393\u03b9\u03b1 \u03bd\u03b1 \u03ba\u03b1\u03bb\u03c5\u03c6\u03b8\u03b5\u03af \u03b1\u03c5\u03c4\u03cc \u03c4\u03bf \u03ba\u03b5\u03bd\u03cc, \u03bc\u03b9\u03b1 \u03c4\u03c5\u03c7\u03b1\u03b9\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03b7 \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ae \u03bc\u03b5\u03bb\u03ad\u03c4\u03b7 \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u0399\u03c4\u03b1\u03bb\u03af\u03b1 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b5 60 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03bc\u03b5 \u03c3\u03b1\u03ba\u03c7\u03b1\u03c1\u03ce\u03b4\u03b7 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c4\u03cd\u03c0\u03bf\u03c5 2 (\u03bc\u03b5 \u03bc\u03ad\u03c3\u03bf \u0394\u039c\u03a3 \u226535 kg\/m\u00b2) \u03b3\u03b9\u03b1 \u03b4\u03ad\u03ba\u03b1 \u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u03bc\u03b5\u03c4\u03ac \u03c4\u03b7\u03bd \u03c4\u03c5\u03c7\u03b1\u03b9\u03bf\u03c0\u03bf\u03af\u03b7\u03c3\u03ae \u03c4\u03bf\u03c5\u03c2 \u03c3\u03b5 \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae, \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7 \u03ae \u03c7\u03bf\u03bb\u03b9\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03b5\u03ba\u03c4\u03c1\u03bf\u03c0\u03ae (biliopancreatic diversion).\n\u0397 \u03cd\u03c6\u03b5\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03bf\u03c1\u03af\u03c3\u03c4\u03b7\u03ba\u03b5 \u03c9\u03c2 HbA1c &lt;6,5% \u03ba\u03b1\u03b9 \u03b3\u03bb\u03c5\u03ba\u03cc\u03b6\u03b7 \u03bd\u03b7\u03c3\u03c4\u03b5\u03af\u03b1\u03c2 &lt;5,55 mmol\/L, \u03c7\u03c9\u03c1\u03af\u03c2 \u03c7\u03c1\u03ae\u03c3\u03b7 \u03b1\u03bd\u03c4\u03b9\u03b4\u03b9\u03b1\u03b2\u03b7\u03c4\u03b9\u03ba\u03ce\u03bd \u03c6\u03b1\u03c1\u03bc\u03ac\u03ba\u03c9\u03bd \u03b3\u03b9\u03b1 \u03c4\u03bf\u03c5\u03bb\u03ac\u03c7\u03b9\u03c3\u03c4\u03bf\u03bd \u03ad\u03bd\u03b1 \u03ad\u03c4\u03bf\u03c2.<\/p>\n<p>\u03a4\u03b1 \u03b1\u03c0\u03bf\u03c4\u03b5\u03bb\u03ad\u03c3\u03bc\u03b1\u03c4\u03b1 \u03ae\u03c4\u03b1\u03bd \u03b5\u03bd\u03c4\u03c5\u03c0\u03c9\u03c3\u03b9\u03b1\u03ba\u03ac:\n37,5% \u03c4\u03c9\u03bd \u03b1\u03c3\u03b8\u03b5\u03bd\u03ce\u03bd \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b2\u03bb\u03ae\u03b8\u03b7\u03ba\u03b1\u03bd \u03c3\u03b5 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b4\u03b9\u03b1\u03c4\u03ae\u03c1\u03b7\u03c3\u03b1\u03bd \u03cd\u03c6\u03b5\u03c3\u03b7 \u03b3\u03b9\u03b1 \u03bf\u03bb\u03cc\u03ba\u03bb\u03b7\u03c1\u03b7 \u03c4\u03b7 \u03b4\u03b5\u03ba\u03b1\u03b5\u03c4\u03af\u03b1 \u2014 50% \u03c3\u03c4\u03b7\u03bd \u03bf\u03bc\u03ac\u03b4\u03b1 \u03c4\u03b7\u03c2 \u03c7\u03bf\u03bb\u03b9\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b5\u03ba\u03c4\u03c1\u03bf\u03c0\u03ae\u03c2 \u03ba\u03b1\u03b9 25% \u03c3\u03c4\u03b7\u03bd \u03bf\u03bc\u03ac\u03b4\u03b1 \u03c4\u03b7\u03c2 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae\u03c2 \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7\u03c2 \u2014 \u03c3\u03b5 \u03c3\u03cd\u03b3\u03ba\u03c1\u03b9\u03c3\u03b7 \u03bc\u03b5 \u03bc\u03cc\u03bb\u03b9\u03c2 5,5% \u03c3\u03c4\u03b7\u03bd \u03bf\u03bc\u03ac\u03b4\u03b1 \u03c4\u03b7\u03c2 \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae\u03c2 \u03b1\u03b3\u03c9\u03b3\u03ae\u03c2.\n\u0391\u03bd \u03ba\u03b1\u03b9 \u03c0\u03b5\u03c1\u03b9\u03c3\u03c3\u03cc\u03c4\u03b5\u03c1\u03bf\u03b9 \u03b1\u03c0\u03cc \u03c4\u03bf\u03c5\u03c2 \u03bc\u03b9\u03c3\u03bf\u03cd\u03c2 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03bf\u03c5 \u03b5\u03af\u03c7\u03b1\u03bd \u03b1\u03c1\u03c7\u03b9\u03ba\u03ac \u03b5\u03c0\u03b9\u03c4\u03cd\u03c7\u03b5\u03b9 \u03cd\u03c6\u03b5\u03c3\u03b7 \u03c0\u03b1\u03c1\u03bf\u03c5\u03c3\u03af\u03b1\u03c3\u03b1\u03bd \u03c5\u03c0\u03bf\u03c4\u03c1\u03bf\u03c0\u03ae, \u03bf \u03b3\u03bb\u03c5\u03ba\u03b1\u03b9\u03bc\u03b9\u03ba\u03cc\u03c2 \u03ad\u03bb\u03b5\u03b3\u03c7\u03bf\u03c2 \u03c0\u03b1\u03c1\u03ad\u03bc\u03b5\u03b9\u03bd\u03b5 \u03b9\u03ba\u03b1\u03bd\u03bf\u03c0\u03bf\u03b9\u03b7\u03c4\u03b9\u03ba\u03cc\u03c2 (\u03bc\u03ad\u03c3\u03b7 HbA1c \u03c0\u03b5\u03c1\u03af\u03c0\u03bf\u03c5 6,7%).\n\u039f\u03b9 \u03b1\u03c3\u03b8\u03b5\u03bd\u03b5\u03af\u03c2 \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b2\u03bb\u03ae\u03b8\u03b7\u03ba\u03b1\u03bd \u03c3\u03b5 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03b5\u03af\u03c7\u03b1\u03bd \u03b5\u03c0\u03af\u03c3\u03b7\u03c2 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ac \u03bb\u03b9\u03b3\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03b5\u03c0\u03b9\u03c0\u03bb\u03bf\u03ba\u03ad\u03c2 \u03c0\u03bf\u03c5 \u03c3\u03c7\u03b5\u03c4\u03af\u03b6\u03bf\u03bd\u03c4\u03b1\u03b9 \u03bc\u03b5 \u03c4\u03bf\u03bd \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7, \u03c3\u03c5\u03bc\u03c0\u03b5\u03c1\u03b9\u03bb\u03b1\u03bc\u03b2\u03b1\u03bd\u03bf\u03bc\u03ad\u03bd\u03c9\u03bd \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03ce\u03bd \u03c3\u03c5\u03bc\u03b2\u03b1\u03bc\u03ac\u03c4\u03c9\u03bd, \u03b3\u03b5\u03b3\u03bf\u03bd\u03cc\u03c2 \u03c0\u03bf\u03c5 \u03c5\u03c0\u03bf\u03b3\u03c1\u03b1\u03bc\u03bc\u03af\u03b6\u03b5\u03b9 \u03c4\u03b1 \u03c0\u03c1\u03bf\u03c3\u03c4\u03b1\u03c4\u03b5\u03c5\u03c4\u03b9\u03ba\u03ac \u03bf\u03c6\u03ad\u03bb\u03b7 \u03c4\u03b7\u03c2 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2 \u03c0\u03ad\u03c1\u03b1 \u03b1\u03c0\u03cc \u03c4\u03b7 \u03c1\u03cd\u03b8\u03bc\u03b9\u03c3\u03b7 \u03c4\u03bf\u03c5 \u03c3\u03b1\u03ba\u03c7\u03ac\u03c1\u03bf\u03c5.<\/p>\n<p>\u0391\u03bd \u03ba\u03b1\u03b9 \u03bf\u03b9 \u03c3\u03bf\u03b2\u03b1\u03c1\u03ad\u03c2 \u03b1\u03bd\u03b5\u03c0\u03b9\u03b8\u03cd\u03bc\u03b7\u03c4\u03b5\u03c2 \u03b5\u03bd\u03ad\u03c1\u03b3\u03b5\u03b9\u03b5\u03c2 \u03ae\u03c4\u03b1\u03bd \u03c3\u03c5\u03c7\u03bd\u03cc\u03c4\u03b5\u03c1\u03b5\u03c2 \u03bc\u03b5\u03c4\u03ac \u03b1\u03c0\u03cc \u03c7\u03bf\u03bb\u03b9\u03bf\u03c0\u03b1\u03b3\u03ba\u03c1\u03b5\u03b1\u03c4\u03b9\u03ba\u03ae \u03b5\u03ba\u03c4\u03c1\u03bf\u03c0\u03ae, \u03ba\u03b1\u03bd\u03ad\u03bd\u03b1\u03c2 \u03b8\u03ac\u03bd\u03b1\u03c4\u03bf\u03c2 \u03b4\u03b5\u03bd \u03c3\u03b7\u03bc\u03b5\u03b9\u03ce\u03b8\u03b7\u03ba\u03b5 \u03c3\u03c4\u03b9\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ad\u03c2 \u03bf\u03bc\u03ac\u03b4\u03b5\u03c2 \u2014 \u03b5\u03c0\u03b9\u03b2\u03b5\u03b2\u03b1\u03b9\u03ce\u03bd\u03bf\u03bd\u03c4\u03b1\u03c2 \u03c4\u03b7 \u03bc\u03b1\u03ba\u03c1\u03bf\u03c0\u03c1\u03cc\u03b8\u03b5\u03c3\u03bc\u03b7 \u03b1\u03c3\u03c6\u03ac\u03bb\u03b5\u03b9\u03b1 \u03ba\u03b1\u03b9 \u03c4\u03bf \u03bf\u03c5\u03c3\u03b9\u03b1\u03c3\u03c4\u03b9\u03ba\u03cc \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03c5\u03c4\u03b9\u03ba\u03cc \u03cc\u03c6\u03b5\u03bb\u03bf\u03c2 \u03c4\u03b7\u03c2 \u03bc\u03b5\u03c4\u03b1\u03b2\u03bf\u03bb\u03b9\u03ba\u03ae\u03c2 \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae\u03c2.<\/p>\n<h4><span class=\"ez-toc-section\" id=\"Pooled_Data_from_US_Trials_Sustained_Benefits_Through_7_to_12_Years_3\"><\/span><a href=\"https:\/\/jamanetwork.com\/journals\/jama\/fullarticle\/2815401\" target=\"_blank\" rel=\"noopener\">\u03a3\u03c5\u03b3\u03ba\u03b5\u03bd\u03c4\u03c1\u03c9\u03c4\u03b9\u03ba\u03ac \u0394\u03b5\u03b4\u03bf\u03bc\u03ad\u03bd\u03b1 \u03b1\u03c0\u03cc \u039c\u03b5\u03bb\u03ad\u03c4\u03b5\u03c2 \u03c3\u03c4\u03b9\u03c2 \u0397\u03a0\u0391: \u039c\u03b1\u03ba\u03c1\u03bf\u03c7\u03c1\u03cc\u03bd\u03b9\u03b1 \u039f\u03c6\u03ad\u03bb\u03b7 7 \u03ad\u03c9\u03c2 12 \u0395\u03c4\u03ce\u03bd (3)<\/a><span class=\"ez-toc-section-end\"><\/span><\/h4>\n<p>\u0397 \u03bc\u03b5\u03c4\u03b1-\u03b1\u03bd\u03ac\u03bb\u03c5\u03c3\u03b7 ARMMS-T2D, \u03bc\u03b9\u03b1 \u03c3\u03c5\u03bd\u03b5\u03c1\u03b3\u03b1\u03c3\u03af\u03b1 \u03c4\u03b5\u03c3\u03c3\u03ac\u03c1\u03c9\u03bd \u03c4\u03c5\u03c7\u03b1\u03b9\u03bf\u03c0\u03bf\u03b9\u03b7\u03bc\u03ad\u03bd\u03c9\u03bd \u03ba\u03bb\u03b9\u03bd\u03b9\u03ba\u03ce\u03bd \u03b4\u03bf\u03ba\u03b9\u03bc\u03ce\u03bd \u03b1\u03c0\u03cc \u03c4\u03b9\u03c2 \u0397\u03bd\u03c9\u03bc\u03ad\u03bd\u03b5\u03c2 \u03a0\u03bf\u03bb\u03b9\u03c4\u03b5\u03af\u03b5\u03c2, \u03c3\u03c5\u03bd\u03ad\u03ba\u03c1\u03b9\u03bd\u03b5 \u03c4\u03b7 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae (\u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03ae \u03c0\u03b1\u03c1\u03ac\u03ba\u03b1\u03bc\u03c8\u03b7, \u03b5\u03c0\u03b9\u03bc\u03ae\u03ba\u03b7 \u03b3\u03b1\u03c3\u03c4\u03c1\u03b5\u03ba\u03c4\u03bf\u03bc\u03ae \u03ae \u03c1\u03c5\u03b8\u03bc\u03b9\u03b6\u03cc\u03bc\u03b5\u03bd\u03bf \u03b3\u03b1\u03c3\u03c4\u03c1\u03b9\u03ba\u03cc \u03b4\u03b1\u03ba\u03c4\u03cd\u03bb\u03b9\u03bf) \u03bc\u03b5 \u03c4\u03b7 \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b4\u03b9\u03b1\u03b9\u03c4\u03b7\u03c4\u03b9\u03ba\u03ae \u03b8\u03b5\u03c1\u03b1\u03c0\u03b5\u03af\u03b1, \u03bc\u03b5 \u03c0\u03b1\u03c1\u03b1\u03ba\u03bf\u03bb\u03bf\u03cd\u03b8\u03b7\u03c3\u03b7 \u03ad\u03c9\u03c2 \u03ba\u03b1\u03b9 12 \u03ad\u03c4\u03b7. \u03a3\u03b5 \u03c3\u03cd\u03bd\u03bf\u03bb\u03bf 262 \u03c3\u03c5\u03bc\u03bc\u03b5\u03c4\u03b5\u03c7\u03cc\u03bd\u03c4\u03c9\u03bd, \u03b7 \u03b2\u03b1\u03c1\u03b9\u03b1\u03c4\u03c1\u03b9\u03ba\u03ae \u03c7\u03b5\u03b9\u03c1\u03bf\u03c5\u03c1\u03b3\u03b9\u03ba\u03ae \u03bf\u03b4\u03ae\u03b3\u03b7\u03c3\u03b5 \u03c3\u03b5 \u03c3\u03b7\u03bc\u03b1\u03bd\u03c4\u03b9\u03ba\u03ae \u03ba\u03b1\u03b9 \u03b4\u03b9\u03b1\u03c4\u03b7\u03c1\u03ae\u03c3\u03b9\u03bc\u03b7 \u03bc\u03b5\u03af\u03c9\u03c3\u03b7 \u03c4\u03b7\u03c2 HbA1c (\u03ba\u03b1\u03c4\u03ac \u03bc\u03ad\u03c3\u03bf \u03cc\u03c1\u03bf \u20131,6% \u03b1\u03c0\u03cc \u03c4\u03b7\u03bd \u03b1\u03c1\u03c7\u03b9\u03ba\u03ae \u03c4\u03b9\u03bc\u03ae), \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 \u03bc\u03cc\u03bb\u03b9\u03c2 \u20130,2% \u03c3\u03c4\u03b7\u03bd \u03bf\u03bc\u03ac\u03b4\u03b1 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\u03c5\u03c8\u03b7\u03bb\u03cc\u03c4\u03b5\u03c1\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03ac \u03cd\u03c6\u03b5\u03c3\u03b7\u03c2 \u03c4\u03bf\u03c5 \u03b4\u03b9\u03b1\u03b2\u03ae\u03c4\u03b7 \u03c3\u03c4\u03b1 7 \u03ad\u03c4\u03b7 (18,2% \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 6,2%) \u03ba\u03b1\u03b9 \u03c3\u03c4\u03b1 12 \u03ad\u03c4\u03b7 (12,7% \u03ad\u03bd\u03b1\u03bd\u03c4\u03b9 0%).\n\u03a4\u03b1 \u03c0\u03bf\u03c3\u03bf\u03c3\u03c4\u03ac \u03b8\u03bd\u03b7\u03c3\u03b9\u03bc\u03cc\u03c4\u03b7\u03c4\u03b1\u03c2 \u03ba\u03b1\u03b9 \u03bc\u03b5\u03b3\u03ac\u03bb\u03c9\u03bd \u03ba\u03b1\u03c1\u03b4\u03b9\u03b1\u03b3\u03b3\u03b5\u03b9\u03b1\u03ba\u03ce\u03bd \u03c3\u03c5\u03bc\u03b2\u03b1\u03bc\u03ac\u03c4\u03c9\u03bd \u03ae\u03c4\u03b1\u03bd \u03c0\u03b1\u03c1\u03cc\u03bc\u03bf\u03b9\u03b1 \u03bc\u03b5\u03c4\u03b1\u03be\u03cd \u03c4\u03c9\u03bd \u03bf\u03bc\u03ac\u03b4\u03c9\u03bd\u00b7 \u03c9\u03c3\u03c4\u03cc\u03c3\u03bf, \u03b7 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\u03c5\u03c0\u03b5\u03c1\u03b2\u03b1\u03af\u03bd\u03bf\u03c5\u03bd \u03ba\u03b1\u03c4\u03ac \u03c0\u03bf\u03bb\u03cd \u03cc\u03c3\u03b1 \u03bc\u03c0\u03bf\u03c1\u03bf\u03cd\u03bd \u03bd\u03b1 \u03b5\u03c0\u03b9\u03c4\u03b5\u03c5\u03c7\u03b8\u03bf\u03cd\u03bd \u03bc\u03b5 \u03c4\u03b7 \u03c6\u03b1\u03c1\u03bc\u03b1\u03ba\u03b5\u03c5\u03c4\u03b9\u03ba\u03ae \u03b1\u03b3\u03c9\u03b3\u03ae \u03bc\u03cc\u03bd\u03bf.<\/p>","protected":false},"excerpt":{"rendered":"<p>Type 2 diabetes is a chronic metabolic disease characterized by high blood sugar and associated complications, particularly prevalent in individuals with obesity. Although medical and lifestyle interventions remain the cornerstone of treatment, many patients struggle to achieve sustained glycemic control, prompting researchers to explore alternative strategies. Over the past decade, bariatric surgery has emerged not [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":9591,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5],"tags":[30,24,4,39,27],"class_list":["post-9574","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-diabetes-surgery-history","tag-bariatric-surgery","tag-diabetes-mellitus-type-2","tag-diabetes-remission","tag-gastric-bypass","tag-glycemic-control"],"acf":[],"_links":{"self":[{"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/posts\/9574","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/comments?post=9574"}],"version-history":[{"count":15,"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/posts\/9574\/revisions"}],"predecessor-version":[{"id":9806,"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/posts\/9574\/revisions\/9806"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/media\/9591"}],"wp:attachment":[{"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/media?parent=9574"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/categories?post=9574"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/diabetes.surgery\/el\/wp-json\/wp\/v2\/tags?post=9574"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}