NIU wins MAC Championship in double overtime

DETROIT — Northern Illinois won its second straight Mid-American Conference championship Friday night, this time out-dueling No. 17 Kent State 44-37 in double-overtime at Ford Field to successfully defend its title in exhausting fashion.

NIU (12-1) has won 12 consecutive games while Kent State (11-2) had its 10-game winning streak snapped. The Huskies became the first NIU team ever to win 12 games in a season.

Jordan Lynch, the MAC regular-season MVP, rushed for 160 yards and three touchdowns, including the game-winner in the second overtime. Lynch broke the NCAA record for quarterback rushing yards with 1,771 yards, eclipsing the 1,702-yards mark of Michigan's Denard Robinson in 2010. Lynch completed 19 of 34 passes for 212 yards with one touchdown and one interception.

The Golden Flashes had their final offensive opportunity in the second overtime thwarted when Demetrius Stone intercepted Spencer Keith's fourth-down pass in the end zone.

"We beat a team tonight that beat Rutgers at Rutgers," NIU coach Dave Doeren said. "It was a great season for our conference. For us to go through the entire MAC schedule undefeated and beat this team in double overtime says a lot about our football team.

"I don't care where you play. There's a huge target on these guys' back. Because of the streaks we have, it even adds to that incentive. With all that on the line, we just keep winning."

NIU converted 10 of 19 third-down situations and 2 of 2 on fourth down.

"If we can get to fourth-and-short, we're going to try and go," Doeren said. "Leading the way with some beef and with Jordan following them or Akeem (Daniels) following them, it was a nice little package."

NIU's defense limited Kent State first-team All-MAC running back Dri Archer to 15 yards rushing. He entered the game averaging 9.7 yards a carry. Archer did manage to catch five passes for 81 yards.

The Huskies' Tyler Weidel executed short "sky" kickoffs all night to keep the ball away from Archer, but the Golden Flashes came away with excellent field position.

"He's a great football player and (the strategy) hurt us the second half … they got out to the 50 several times," Doeren said.

While pollsters, selection committees and other ranked teams will determine the long shot BCS bowl fate for NIU, the players determined the outcome on the field Friday night.

Akeem Daniels rushed for 128 yards and one touchdown. He also caught four passes for 67 yards. Martel Moore and Perez Ashford also each had four catches.

Doeren and Kent State coach Darrell Hazell each predicted a close game that would come down to the final seconds.

With representatives from the Orange and Sugar bowls in attendance, Northern Illinois led 17-10 at the half. They led 27-13 going into the fourth quarter before Kent State scored 14 points within 15 seconds to tie the game 27-27.

When Lynch scored on a 9-yard run with 3 minutes, 12 seconds left in regulation to make it 34-27, Kent State countered with a 19-yard pass from Keith to Tim Erjavec with 44 seconds left.

Freddy Cortez kicked his third field goal of the night from 33 yards to lift Kent State into a 37-34 lead in the first extra session. But NIU's Mathew Sims came through with a clutch 40-yarder to extend the contest.

Lynch scored from 2 yards out on the next possession setting up the Golden Flashes final, futile drive in OT.

The Huskies appeared in the MAC title game for the third straight year, having won it last season over Ohio on a last-second field goal. Friday night's contest was every bit intriguing.

The Golden Flashes came in ranked 17th and the Huskies 21st in the most recent BCS standings. Hazell was named MAC Coach of the Year. This was the first time since 2003 that two nationally ranked teams were battling for the MAC championship.

Lynch entered the game ranked third in the nation in total offense with 4,361 yards, fifth in rushing with 1,611 yards and 12th in passing efficiency.

The MAC has seven teams eligible for bowl contests: NIU (11-1), Kent State (11-1), Ball State (9-3), Toledo (9-3), Ohio (8-4), Bowling Green (8-4) and Central Michigan (6-6).

fmitchell@tribune.com

Twitter @kicker34

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Dolly Parton talks dreams, love, plastic surgery

NEW YORK (Reuters) – Although Dolly Parton has cemented her place in country and popular music, pop culture, and as an entrepreneur and philanthropist, she still, on occasion, gets nervous.

Her new book, “Dream More: Celebrate the Dreamer in You” encourages readers to overcome their fears, believe in their passions and keep taking risks.

The “I Will Always Love You” singer/songwriter, 66, who has written more than 3,000 songs and sold more than 100 million records, talked to Reuters about the message of the book, which was published this week.

Q. You say you put off writing this book?

A. “It’s just a simple little book. It’s not meant to save the world, or it’s not a complete book of how to be successful, but I think there is enough stuff in it for people to see kinda how I conduct my business and kinda what my thoughts are. And the good part is that all the money, if it sells good, goes to Imagination Library.”

Q. Right – your nonprofit quest to get kids to read?

A. “It’s one of the reasons I wanted to write this too, because I usually do concerts every year, for the foundation to make money to afford a lot of books, but I am not on tour now.”

Q. Talk about your 2009 commencement address at the University of Tennessee. Were you nervous?

A. “Well, yes, when I am out of my element doing things. I am not that educated and I didn’t go that far in school and I thought, ‘What am I going to say to these educated people, not just these kids who have just graduated college and are probably brilliant, but all these professionals and all these teachers?’ And I thought, ‘Oh, I am not smart enough’, but I thought, ‘Well, at least I am a hometown girl. At least they can see that in America, you can start from humble beginnings, that everybody can make it.”

Q. Which is one of the book’s messages, overcoming fears?

A. “Any time I am in a situation where I am just not comfortable, I am uneasy, but that doesn’t mean I won’t go on with it, just like the speech. And that I won’t be good at it, but there are just some things I would prefer not to do!”

Q. Success doesn’t equal happiness, yet you seem so hopeful and modest?

A. “I am always hopeful as a person, I have been since I was little…I really want things to be good. As I mention in the book, I wake up everyday expecting it to be good, and if it is not, then I try to set about changing it before I go to sleep at night.”

Q. Would you describe yourself as religious or spiritual?

A. “Just spiritual, I am not religious. Although I grew up in a very religious family, but…I am no fanatic by any stretch of the word, and I am no angel, believe me. I wrote a song called ‘The Seeker’ many, many years ago, and it says ‘I am a seeker, just a poor sinful creature, there is no one weaker than I am.’

“People say, ‘What do you regret?’ I say, ‘I can’t say that I regret anything because at the time I was doing it, whatever it was, it seemed to be the thing to be doing at the time.’

“I have a good friend base, I have a good husband. So I have a lot of things and people who help me and guide me. I have never had to go to a psychiatrist, but I would if I thought that I needed to.

Q. But we are in New York, Dolly! No psychiatrist?

A. “Well yes (laughs), I guess not. But I do that in my songs, I write my feelings out and then I have such a strong faith and then I have such good friends. I am very close to several of my sisters, and we just talk about everything and anything….And my best friend Judy, there is nothing I can’t tell her, even if it is the awful-est thing in the world.”

Q. You recently had to deny gay rumors. Who is your greatest love?

“My husband is my greatest love, I have been with him 48 years…He is my best buddy.”

Q. Why do you think people always wonder about him?

A. “They don’t think he really exists! When I was doing my show, we were thinking about having a different guy knock on the door every night, as my husband, and then one night he would be a midget, and one night he would be a black man, and one night he would be like a boxer or a wrestler, all these different things that people imagine what my husband looks like.”

Q. You say that looking so artificial works for you, as it lets you prove how real you are. Why all the plastic surgery?

A. “Because I need it. Why does anybody get it?”

Q. Why do you think you need it?

A. “Because I am in show business. I am not a natural beauty. And I am on camera all the time. And I just always see, like if I need – Oh take one of my chins off, at least! – Or whatever. I mean, I don’t go to extremes with it. I just do little bits and pieces, just to try and keep things touched up, just tweaking.”

(Reporting by Christine Kearney, editing by Jill Serjeant and Carol Bishopric)

Music News Headlines – Yahoo! News

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Attorney accused of letting suspect use cellphone acquitted

Attorney Sladjana Vuckovic talks to the media after being acquitted of the charges against her. (Terrence Antonio James/Chicago Tribune)

Attorney Sladjana Vuckovic was acquitted tonight of charges she improperly gave her personal cell phone to a client who was being questioned in the murder of a Chicago police officer.

A Cook County jury deliberated a little less than three hours before acquitting Vuckovic of two counts of bringing contraband into a penal institution.

The jury began deliberating at about 3:55 p.m.

Sladjana Vuckovic, 44, was charged with a felony count of bringing contraband into a penal institution, faced up to 15 years in prison if convicted and would likely be disbarred from practicing law.

In closing arguments this afternoon in Judge Evelyn Clay’s packed courtroom, attorneys from both sides acknowledged the unusual nature of the case.

Assistant State’s Attorney Michael Golden told jurors that “anyone with common sense” should have known not  to let a suspect in custody for murder use a personal cell phone.

“You shouldn’t expect that attorneys across the country would be charged with such abysmal behavior,” Golden said.

Vuckovic’s attorney, Leonard Goodman, countered that common sense should tell jurors that Vuckovic wasn’t trying to obstruct the police investigation or “help some suspect cook up an alibi or destroy evidence.”

Goodman suggested to jurors that prosecutors were trying to insinuate there was an insidious motive for the calls “to trick you into convicting her based on something that this case is not about.”

The comment drew vehement objections from prosecutors.

“Counsel says she didn’t know it was wrong?” Golden said. “Well maybe somebody should tell her.”

Vuckovic was volunteering for a free legal service for indigent suspects when she twice went to the Calumet Area headquarters in November 2010 to meet with Timothy Herring after a relative of his had contacted the legal hotline about his arrest. Herring was undergoing questioning by detectives in the slayings of Officer Michael Flisk and another man.

Vuckovic testified in her own defense Wednesday she had made at least 100 client visits at police stations and had never been told that cellphones were prohibited. She said she was vaguely aware of a state law prohibiting bringing contraband into a penal institution but thought it barred "knives, guns, drugs." She also said that unlike a police lockup where suspects are behind bars, she didn't consider an interrogation room to be a penal institution.

Prosecutors alleged that 26 calls were made from or received by Vuckovic's cell phone during two meetings with Herring, including incoming calls from a number that was blocked.    

jmeisner@tribune.com

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Taking a page from Louis C.K., Chill launches online store for films, comedy specials

NEW YORK (TheWrap.com) – Chill, a social video platform with close to 20 million users, has launched Chill Direct, a new store for creatives like Maria Bamford and Michael Urie to sell their movies, specials and documentaries directly to fans.

Comedian Louis C.K. sent shockwaves through the entertainment industry this summer by selling a comedy special directly online rather than making a distribution deal with a television network or online service. He made millions, and various others have followed suit, including Jim Gaffigan and Aziz Ansari.

Chill sees an opportunity to enter this emerging market, empowering artists and offering them an opportunity to control the distribution and monetization of their ongoing projects.

“The community gives filmmakers and comedians the ability to distribute premium video directly to fans,” CEO Brian Norgard told TheWrap. “The common analogy is to Louis C.K. and his ‘Live at Beacon Theater.‘ That was a seminal moment in the entertainment business and a lot of things now allow direct-to-fan to become a viable model.”

Artists who choose to sell through Chill also can sell their videos elsewhere, but Chill Direct launches with eight videos exclusive to the site. That slate includes “Maria Bamford: the Special Special Special!,” an hour-long comedy special starring Bamford, “Thank You For Judging,” a documentary from “Ugly Betty” actor Urie about high school speech and debate and “Unknown Sender,” a suspense series from “48 Hrs” and “Die Hard” scribe Stephen E. de Souza.

Starting Thursday, any artist can create a page for a project and has complete creative control over the page, from information about the project to trailers to pricing. Meanwhile, Chill handles distribution across devices as well as payments.

Artists retain rights to their own intellectual property while Chill takes a 30 percent cut of any transaction.

“What Chill does is let anyone build out socially integrated marketing pages – we call them story pages – beautiful, high-resolution tantalizing receptacles of premium videos,” Norgard said.

Chill, funded by WME and Kleiner Perkins Caulfield & Byers and others, has previously enabled frictionless uploading, consumption and sharing of the web’s most popular videos. This maintains a social layer, allowing for commenting and offering bundles that combine the video with other perks like merchandise or meeting the creator.

“The land of premium video is still a very closed marketplace,” Norgard said. “If you have tremendous business development skills or connections to sell a film to Netflix or Hulu, you’re lucky. The ad-supported model doesn’t fit every type of content. There is plenty of stuff out there like documentary films and comedy specials where creators are between a rock and a hard place and wan to get it out there, distribute it, own the right but not put it on a free streaming site like YouTube.”

Selling direct to fans also offers a new revenue stream to a company that until now was mostly luring people a few times a day for videos.

Internet News Headlines – Yahoo! News

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Adkins explains Confederate flag earpiece

NEW YORK (AP) — Trace Adkins wore an earpiece decorated like the Confederate flag when he performed for the Rockefeller Center Christmas Tree Lighting but says he meant no offense by it.

Adkins appeared with the earpiece on a nationally televised special for the lighting on Wednesday. Some regard the flag as a racist symbol and criticized Adkins in Twitter postings.

But in a statement released Thursday, the Louisiana native called himself a proud American who objects to any oppression and says the flag represents his Southern heritage.

He noted he’s a descendant of Confederate soldiers and says he did not intend offense by wearing it.

Adkins — on a USO tour in Japan — also called for the preservation of America’s battlefields and an “honest conversation about the country’s history.”

___

Online:

http://www.traceadkins.com

Entertainment News Headlines – Yahoo! News

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Medicare Is Faulted in Electronic Medical Records Conversion

The conversion to electronic medical records — a critical piece of the Obama administration’s plan for health care reform — is “vulnerable” to fraud and abuse because of the failure of Medicare officials to develop appropriate safeguards, according to a sharply critical report to be issued Thursday by federal investigators.

Mike Spencer/Wilmington Star-News, via Associated Press

Celeste Stephens, a nurse, leads a session on electronic records at New Hanover Regional Medical Center in Wilmington, N.C.

Centers for Medicare and Medicaid Services

Marilyn Tavenner, acting administrator for Medicare.

The use of electronic medical records has been central to the aim of overhauling health care in America. Advocates contend that electronic records systems will improve patient care and lower costs through better coordination of medical services, and the Obama administration is spending billions of dollars to encourage doctors and hospitals to switch to electronic records to track patient care.

But the report says Medicare, which is charged with managing the incentive program that encourages the adoption of electronic records, has failed to put in place adequate safeguards to ensure that information being provided by hospitals and doctors about their electronic records systems is accurate. To qualify for the incentive payments, doctors and hospitals must demonstrate that the systems lead to better patient care, meeting a so-called meaningful use standard by, for example, checking for harmful drug interactions.

Medicare “faces obstacles” in overseeing the electronic records incentive program “that leave the program vulnerable to paying incentives to professionals and hospitals that do not fully meet the meaningful use requirements,” the investigators concluded. The report was prepared by the Office of Inspector General for the Department of Health and Human Services, which oversees Medicare.

The investigators contrasted the looser management of the incentive program with the agency’s pledge to more closely monitor Medicare payments of medical claims. Medicare officials have indicated that the agency intends to move away from a “pay and chase” model, in which it tried to get back any money it has paid in error, to one in which it focuses on trying to avoid making unjustified payments in the first place.

Late Wednesday, a Medicare spokesman said in a statement: “Protecting taxpayer dollars is our top priority and we have implemented aggressive procedures to hold providers accountable. Making a false claim is a serious offense with serious consequences and we believe the overwhelming majority of doctors and hospitals take seriously their responsibility to honestly report their performance.”

The government’s investment in electronic records was authorized under the broader stimulus package passed in 2009. Medicare expects to spend nearly $7 billion over five years as a way of inducing doctors and hospitals to adopt and use electronic records. So far, the report said, the agency has paid 74, 317 health professionals and 1,333 hospitals. By attesting that they meet the criteria established under the program, a doctor can receive as much as $44,000 for adopting electronic records, while a hospital could be paid as much as $2 million in the first year of its adoption. The inspector general’s report follows earlier concerns among regulators and others over whether doctors and hospitals are using electronic records inappropriately to charge more for services, as reported by The New York Times last September, and is likely to fuel the debate over the government’s efforts to promote electronic records. Critics say the push for electronic records may be resulting in higher Medicare spending with little in the way of improvement in patients’ health. Thursday’s report did not address patient care.

Even those within the industry say the speed with which systems are being developed and adopted by hospitals and doctors has led to a lack of clarity over how the records should be used and concerns about their overall accuracy.

“We’ve gone from the horse and buggy to the Model T, and we don’t know the rules of the road. Now we’ve had a big car pileup,” said Lynne Thomas Gordon, the chief executive of the American Health Information Management Association, a trade group in Chicago. The association, which contends more study is needed to determine whether hospitals and doctors actually are abusing electronic records to increase their payments, says it supports more clarity.

Although there is little disagreement over the potential benefits of electronic records in reducing duplicative tests and avoiding medical errors, critics increasingly argue that the federal government has not devoted enough time or resources to making certain the money it is investing is being well spent.

House Republicans echoed these concerns in early October in a letter to Kathleen Sebelius, secretary of health and human services. Citing the Times article, they called for suspending the incentive program until concerns about standardization had been resolved. “The top House policy makers on health care are concerned that H.H.S. is squandering taxpayer dollars by asking little of providers in return for incentive payments,” said a statement issued at the same time by the Republicans, who are likely to seize on the latest inspector general report as further evidence of lax oversight. Republicans have said they will continue to monitor the program.

In her letter in response, which has not been made public, Ms. Sebelius dismissed the idea of suspending the incentive program, arguing that it “would be profoundly unfair to the hospitals and eligible professionals that have invested billions of dollars and devoted countless hours of work to purchase and install systems and educate staff.” She said Medicare was trying to determine whether electronic records had been used in any fraudulent billing but she insisted that the current efforts to certify the systems and address the concerns raised by the Republicans and others were adequate.

This article has been revised to reflect the following correction:

Correction: November 30, 2012

An article on Thursday about a federal report critical of Medicare’s performance in assuring accuracy as doctors and hospitals switch to electronic medical records misstated, in some copies, the timing of a statement from a Medicare spokesman in response to the report. The statement was released late Wednesday, not late Thursday.

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Groupon board ends meeting; takes no action on CEO Mason's job

Groupon CEO Andrew Mason at the Nasdaq after his company's initial public offering in 2011. (Brendan McDermid/Reuters / November 29, 2012)

By Melissa Harris




Tribune reporter

3:14 p.m. CST, November 29, 2012

Today's meeting of Groupon's board of directors concluded minutes ago with no announced action on chief executive Andrew Mason's job, according to the company's spokesman.

For now, it appears Mason will continue leading the daily deals company as it seeks to turn around its sluggish performance in Europe, expand its offerings and draw in more customers via Google search vs. email blasts.

"The meeting is over and the board and management team are keenly focused on the performance of the company," said company spokesman Paul Taaffe. "And they are all working together with their heads down to achieve Groupon's objectives."

mmharris@tribune.com | Twitter @ChiConfidential

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Starters and reserves make short work of Mavs

About the only thing missing from the Bulls' 101-78 victory over the Mavericks Wednesday night was the United Center faithful breaking out a "Rad-man-o-vic" chant, a la "Scal-a-brine" from seasons past.

Otherwise, the Bulls and Tom Thibodeau responded to Monday's debacle against the Bucks, in which they blew a 27-point lead while riding the starters, with resolve and reserves. Lots and lots of reserves.

Taj Gibson, Jimmy Butler, Nate Robinson and even Marco Belinelli and Nazr Mohammed changed the complexion of the game during a second quarter in which the Bulls outscored the Mavericks 34-19.

On Monday, reserves played a total of 40 minutes, 2 seconds. They played 43:03 in the second quarter alone.

"The bench was great," Thibodeau said. "The starters got us off to a good start. We needed everybody. The defense and rebounding was very good. Overall, I thought we played a lot tougher with the lead."

And, yes, the Bulls led by 27 at one point and by as many as 29.

Luol Deng scored 22 points and Joakim Noah posted his sixth double-double with 13 points and 10 rebounds to prove starters still have a pulse. But for at least one night, the reserves were the story for positive reasons.

"I don't think any of them were happy sitting last game," Deng said. "They responded great."

Robinson's 14 points led the Bulls' 50-34 edge in bench points. Butler added a career-high 13 points. Belinelli, who didn't play last game, contributed 11 points.

"If you care about the team and playing basketball, you have to be mad," Belinelli said of not playing Monday. "So I was really mad. We lost and I didn't play. I have to play more aggressive."

Mohammed, who hadn't played the last three games, added five rebounds, two blocks and the dunk that put the Bulls over the century mark for free fast-food sandwiches for the fans. Thibodeau said the Mavericks' big centers were good matchups for the veteran and passionately defended his overall playing-time approach.

"My decisions have to be based on what's best for the team," Thibodeau said. "I've always been that way and I'm not going to change.

"The scoreboard tells you. When a group is maintaining or building a lead, then they're going to play longer. If the lead is not going the right direction, then you have to make adjustments. Everything is based on performance. That's the only way you can do it."

The Bulls also flashed stout defense, holding the Mavericks to 34.6 percent shooting. A nicked-up O.J. Mayo, who entered averaging a team-high 20.8 points, managed a season-low four points on 2-for-9 shooting.

The blowout allowed all 12 Bulls to see action. And, yes, that meant Vladimir Radmanovic, who, in lieu of Brian Scalabrine-type chants, drew cheers when he dropped in a sweet pass from Butler late.

"This was important," Butler said. "We had to bounce back."

kcjohnson@tribune.com

Twitter @kcjhoop

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Adele’s “21″ sells 10 million, Rihanna leads Billboard

LOS ANGELES (Reuters) – British singer and Grammy darling Adele reached the 10 million sales mark in the United States on Wednesday with her heartbreak album “21″ becoming the first by British woman to reach the milestone, Nielsen SoundScan said.

“21,” released in February 2011, produced the hits “Someone Like You” and “Rolling In The Deep” and became the top-selling album of 2011. Earlier this year, Adele swept the Grammy Awards with six, including song, record and album of the year.

“21″ became the third album to cross 10 million in 2012, along with Linkin Park‘s “Hybrid Theory” and Usher’s “Confessions.” But it is the only album to reach the milestone in less than two years in the last decade, Nielsen said.

“What an incredible honor,” Adele said in a statement. “A huge, huge thank you to my American fans for embracing this record on such a massive level.”

“21″ will receive the diamond certification from the Recording Industry Association of America, marking its 10 million milestone, joining the ranks of albums by artists such as Michael Jackson, The Beatles and Madonna.

“Adele‘s unique talent is a gift to music fans, and her success is certainly cause for a celebration of Diamond magnitude,” Cary Sherman, RIAA’s chairman & CEO, said in a statement.

Adele, 24, is enjoying the success of her latest single “Skyfall,” the official theme song for the James Bond film of the same name. It has sold more than 2 million copies worldwide. The singer also gave birth to her first child earlier this year.

On the Billboard 200 chart this week, R&B star Rihanna scored her first No. 1 album with “Unapologetic,” selling 238,000 copies.

She held off new entries from “American Idol” winner Phillip Phillips, who landed at No. 4 with his debut album “The World From the Side of the Moon,” and country-rock singer Kid Rock, who rounded out the top five with his latest album “Rebel Soul.”

(Reporting By Piya Sinha-Roy Editing by Jill Serjeant, Grant McCool and Andre Grenon)

Music News Headlines – Yahoo! News

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Well: Weight Loss Surgery May Not Combat Diabetes Long-Term

Weight loss surgery, which in recent years has been seen as an increasingly attractive option for treating Type 2 diabetes, may not be as effective against the disease as it was initially thought to be, according to a new report. The study found that many obese Type 2 diabetics who undergo gastric bypass surgery do not experience a remission of their disease, and of those that do, about a third redevelop diabetes within five years of their operation.

The findings contrast with the growing perception that surgery is essentially a cure for Type II diabetes. Earlier this year, two widely publicized studies reported that surgery worked better than drugs, diet and exercise in causing a remission of Type 2 diabetes in overweight people whose blood sugar was out of control, leading some experts to call for greater use of surgery in treating the disease. But the studies were small and relatively short, lasting under two years.

The latest study, published in the journal Obesity Surgery, tracked thousands of diabetics who had gastric bypass surgery for more than a decade. It found that many people whose diabetes at first went away were likely to have it return. While weight regain is a common problem among those who undergo bariatric surgery, regaining lost weight did not appear to be the cause of diabetes relapse. Instead, the study found that people whose diabetes was most severe or in its later stages when they had surgery were more likely to have a relapse, regardless of whether they regained weight.

“Some people are under the impression that you have surgery and you’re cured,” said Dr. Vivian Fonseca, the president for medicine and science for the American Diabetes Association, who was not involved in the study. “There have been a lot of claims about how wonderful surgery is for diabetes, and I think this offers a more realistic picture.”

The findings suggest that weight loss surgery may be most effective for treating diabetes in those whose disease is not very advanced. “What we’re learning is that not all diabetic patients do as well as others,” said Dr. David E. Arterburn, the lead author of the study and an associate investigator at the Group Health Research Institute in Seattle. “Those who are early in diabetes seem to do the best, which makes a case for potentially earlier intervention.”

One of the strengths of the new study was that it involved thousands of patients enrolled in three large health plans in California and Minnesota, allowing detailed tracking over many years. All told, 4,434 adult diabetics were followed between 1995 and 2008. All were obese, and all underwent Roux-en-Y operations, the most popular type of gastric bypass procedure.

After surgery, about 68 percent of patients experienced a complete remission of their diabetes. But within five years, 35 percent of those patients had it return. Taken together, that means that most of the subjects in the study, about 56 percent — a figure that includes those whose disease never remitted — had no long-lasting remission of diabetes after surgery.

The researchers found that three factors were particularly good predictors of who was likely to have a relapse of diabetes. If patients, before surgery, had a relatively long duration of diabetes, had poor control of their blood sugar, or were taking insulin, then they were least likely to benefit from gastric bypass. A patient’s weight, either before or after surgery, was not correlated with their likelihood of remission or relapse.

In Type 2 diabetes, the beta cells that produce insulin in the pancreas tend to wear out as the disease progresses, which may explain why some people benefit less from surgery. “If someone is too far advanced in their diabetes, where their pancreas is frankly toward the latter stages of being able to produce insulin, then even after losing a bunch of weight their body may not be able to produce enough insulin to control their blood sugar,” Dr. Arterburn said.

Nonetheless, he said it might be the case that obese diabetics, even those whose disease is advanced, can still benefit from gastric surgery, at least as far as their quality of life and their risk factors for heart disease and other complications are concerned.

“It’s not a surefire cure for everyone,” he said. “But almost universally, patients lose weight after weight loss surgery, and that in and of itself may have so many health benefits.”

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