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.

Last Reviewed: 27/05/2016

Reproduced with kind permission from 6minutes.com.au.


 Metabolic Surgery for Type 2 Diabetes: Changing the Landscape of Diabetes Care.