### Can Bariatric Surgery Reduce Heart Disease and Stroke Risk in Type 2 Diabetes Patients? Recent research from the Cleveland Clinic provides strong evidence that people with type 2 diabetes and obesity can significantly reduce their risk of death and major cardiovascular events by undergoing weight loss or bariatric surgery. This study, presented at the European Society of Cardiology Congress and published in the Journal of the American Medical Association (JAMA), shows that bariatric surgery can lower rates of heart attacks, strokes, and mortality in these patients. The study analyzed 13,722 people, including 2,287 who had bariatric surgery and 11,435 who did not. Over eight years, about 31% of the surgery group experienced major adverse cardiac events or death, compared to 48% in the nonsurgical group—a 40% reduction. Additionally, the surgery group had a 41% lower risk of dying from any cause. Bariatric surgery not only helps with weight loss but also improves other health markers. Patients in the surgery group lost an average of 15% more weight and had better blood sugar control, with their A1C levels dropping by an average of 1.1%. They also needed fewer medications for blood sugar, blood pressure, and cholesterol. While weight loss through diet and exercise might offer similar benefits, bariatric surgery has unique advantages. It alters the digestive system, which can change gut hormones and other metabolic factors, contributing to the health benefits observed. Further research, including randomized controlled trials, is needed to confirm these findings. However, the current evidence suggests that bariatric surgery should be considered more often for patients with type 2 diabetes and obesity to reduce their cardiovascular risks and improve overall health. If you are considering bariatric surgery, consult your doctor to discuss the potential benefits and risks and make an informed decision.