New guideline for bariatric surgery in type 2 diabetes

A gastric band

Bariatric surgery is increasingly seen as an effective and cost-effective treatment for obesity.  There is even some evidence that it can reverse type 2 diabetes. The American Association of Clinical Endocrinologists (AACE) have co-produced a guideline for bariatric surgery that includes within its scope, its use in patients with type 2 diabetes. The guideline covers: [read the full story…]

Share this post: Share on Facebook Tweet this on Twitter Share on LinkedIn Share on Google+ Share via email

Bariatric surgery improved HbA1c in obese type 2 diabetes with BMI < 35

A gastric band

A number of recent studies have found that bariatric surgery can improve diabetes or even reverse it.  This meta-analysis looked at its use in people with type 2 diabetes who are obese but not severely obese. Clinical question: In obese type 2 diabetics with BMI < 35, does bariatric surgery reduce improve glycaemic control? The [read the full story…]

Bariatric surgery may be cost-effective for obesity with type 2 diabetes

A gastric band

An economic evaluation reported by the Centre for Reviews and Dissemination concludes that bariatric surgery, whether gastric bypass or gastric band, is cost-effective in a US payor setting. Clinical question In severely obese people with type 2 diabetes, is bariatric surgery cost-effective compared with usual care? The evidence This is a critical appraisal of a [read the full story…]

Gastric bypass surgery may reverse type 2 diabetes

Photo of an operating theatre

This systematic review in Archives of Surgery identified ten different studies that reported rates of type 2 diabetes reversal.  Patients undergoing bariatric surgery were found to have high rates of reversal. However, the literature search was limited to PubMed, and only identified one randomised trial and eight observational studies. The reviewers reported that: Roux-en-Y gastric [read the full story…]

Share this post: Share on Facebook Tweet this on Twitter Share on LinkedIn Share on Google+ Share via email