Certified Diabetes Care and Education Specialist (CDCES) Practice Exam

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Higher remission rates following bariatric surgery are typically associated with which of the following conditions?

Higher BMI
Higher A1C
Shorter duration of type 2 diabetes
Insulin use

The correct answer is: Shorter duration of type 2 diabetes

Higher remission rates following bariatric surgery are typically associated with a shorter duration of type 2 diabetes. This correlation can be attributed to the fact that the longer a person has had type 2 diabetes, the more likely it is for the body's insulin sensitivity to decrease and for pancreatic beta-cell function to decline. When patients undergo bariatric surgery early in their diabetes journey, they often have better metabolic responses due to less significant damage to their insulin-producing capabilities. Furthermore, surgical interventions can lead to significant weight loss and metabolic changes that enhance insulin sensitivity, thus leading to remission of diabetes. In contrast, those with diabetes for a longer duration may not experience the same level of improvement because their condition may have progressed significantly. Overall, timely intervention through bariatric surgery can result in favorable outcomes in terms of diabetes management for individuals who have had a shorter history with the disease.