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DANVILLE, PA -- Researchers at Geisinger’s Obesity Institute have demonstrated that a scoring system they have developed can accurately predict the likelihood of patients being “cured” of Type 2 diabetes by gastric bypass surgery.

Doctors consider a remission lasting more than five years as a cure.

Details about the scoring system, known as DiaRem, and its success in predicting outcomes from surgery for Type 2 diabetes patients were published today in the medical journal JAMA Surgery, a publication associated with the American Medical Association.

Study author Annemarie G. Hirsch, Ph.D., MPH, said the study found that the higher the DiaRem score, the less likelihood there was that the Roux-en-y gastric bypass (RYGB) surgery would lead to a cure.

A DiaRem score, ranging from 0 to 22, is based on four factors – insulin use, age, hemoglobin A1c concentration (a measure of blood sugar) and type of anti-diabetic drug use. The DiaRem score had previously been shown to accurately predict remissions lasting at least 12 months. This further research has shown the scoring system is also a good predictor of curing Type 2 diabetes with gastric bypass surgery, Hirsch said.

Gastric bypass surgery is a highly effective treatment for type 2 diabetes, but the likelihood that a patient will have long-term remission of diabetes varies extremely from patient to patient. The DiaRem score provides a patient with a personalized prediction of whether or not they can expect long-term remission of their disease if they choose to have surgery, she said.

About Geisinger
Geisinger is committed to making better health easier for the more than 1 million people it serves. Founded more than 100 years ago by Abigail Geisinger, the system now includes 10 hospital campuses, a health plan with more than half a million members, a research institute and the Geisinger College of Health Sciences, which includes schools of medicine, nursing and graduate education. With more than 25,000 employees and 1,700+ employed physicians, Geisinger boosts its hometown economies in Pennsylvania by billions of dollars annually. Learn more at or connect with us on Facebook, Instagram, LinkedIn and Twitter.