New guideline for bariatric surgery in type 2 diabetes

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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…]

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In people with obesity and type 2 diabetes, an intensive lifestyle programme reduced disability

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We don’t usually include individual studies in diabetes because there are so many of them.  However, a new report of the Look AHEAD trial, published in the New England Journal of Medicine, points towards significant potential benefits from an intensive lifestyle intervention for people suffering from obesity and type 2 diabetes. Clinical question: In overweight [read the full story…]

Uncertainty around the influence of childhood obesity on metabolic syndrome in adulthood.

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Clinical question Although observational studies have shown that childhood obesity is positively associated with an increased risk of metabolic syndrome, full diabetes and other diseases, it could be that this is because obese adults who have these diseases are more likely to have been obese as children. So, is childhood obesity associated with an increased [read the full story…]

Even modest weight loss may be worthwhile in type 2 diabetes

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One of the main aims of diabetes care is to reduce the risk of serious complications such as cardiovascular disease. We already know that obesity is associated with an increased risk of cardiovascular outcomes in people with type 2 diabetes, and treatment aims to reduce the risk by reducing blood pressure, cholesterol levels, body weight [read the full story…]

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Treating obesity in primary care prevents diabetes

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A systematic review by the US Governmen thas been published in the Annals of Internal Medicine/  The review sets out to assess the potential benefits and harms of primary care-led behavioural interventions to reduce obesity. The interventions they looked at included behavioural and medical treatments.  They found that overall, weight loss treatments prevented the development [read the full story…]

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