Bariatric surgery on the menu for obese people with type 2 diabetes
27 May 2016
Bariatric surgery (such as gastric bypass surgery) is now recommended to treat type 2 diabetes in most obese patients, according to new international guidelines set to dramatically change practice.
The new recommendations help identify clinical scenarios where surgical treatment of type 2 diabetes should be prioritised.
These are 3 of the recommendations:
- Metabolic (bariatric) surgery should be recommended in patients with a BMI of 40 or above and type 2 diabetes and in those with a BMI of 35–39.9 and poor glucose control in spite of lifestyle changes and medication;
- Surgery should be considered in patients with a BMI of 30–34.9 with inadequate glucose control despite use of oral or injectable drugs, including insulin; and
- BMI thresholds for patients of Asian descent should be 2.5 lower.
The recommendations, published in the journal Diabetes Care, came out of the 2nd Diabetes Surgery Summit (DSS-II) and were endorsed by 45 professional medical and surgical societies.