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...]
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...]
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...]
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