RESET System Pivotal Trial (Rev F)

This study tests the RESET System — a device placed temporarily inside the duodenum (the first part of the small intestine) that acts as a liner, mimicking some effects of metabolic surgery — for people with type 2 diabetes that is not well controlled on medications. The goal is to improve blood sugar control without major surgery. **You may be eligible if...** - You are between 22 and 65 years old - You have type 2 diabetes with an HbA1c (blood sugar control measure) between 7.5% and 10% - Your BMI is between 30 and 50 - You have tried at least two diabetes medications for 3 months without achieving good blood sugar control - You are not pregnant and agree to use contraception during the trial **You may NOT be eligible if...** - You have type 1 diabetes or a history of ketoacidosis - You have serious liver, kidney, or gastrointestinal disease - You have had previous stomach or intestinal surgery that might interfere with the device - You have a history of pancreatitis, H. pylori infection, or Crohn's disease - You are taking blood thinners, proton pump inhibitors, or NSAIDs (like ibuprofen) - You have a history of coronary artery disease - You are allergic to nickel or titanium Talk to your doctor to see if this trial is right for you.