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Joint Statement States that Weight-Loss Surgery be Used as Treatment for Diabetes in Obese Patients

posted by Admin User at 2016-06-14 11:35:00


A joint statement of several international diabetes organizations was published in this months issue of Diabetes Care, recommending bariatric weight-loss surgery be used as a course of treatment for diabetics with certain categories of the disease — including people who are mildly obese — and who are no longer responsive to conventional treatment.

The statement has been endorsed by the American Diabetes Association (ADA), the International Diabetes Federation and 43 other health groups.

The guidelines are based on “a large body of evidence including 11 randomized clinical trials showing that in most cases surgery can either reduce blood sugar levels below diabetic thresholds ("diabetes remission") or maintain adequate glycemic control despite major reduction in medication usage.”

The new global guidelines were developed at the 2nd Diabetes Surgery Summit (DSS-II), an international consensus conference, as a collaboration between 48 international clinicians/scholars (75% nonsurgeons) and world-leading diabetes organizations. The guidelines are aimed towards policymakers and clinicians, informing them of the benefits and limitations of weight-loss surgery for type II diabetes.

The summit published its results in the statement: “Given its role in metabolic regulation, the gastrointestinal tract constitutes a meaningful target to manage T2D. Numerous randomized clinical trials, albeit mostly short/midterm, demonstrate that metabolic surgery achieves excellent glycemic control and reduces cardiovascular risk factors. On the basis of such evidence, metabolic surgery should be recommended to treat T2D in patients with class III obesity (BMI ≥40 kg/m2) and in those with class II obesity (BMI 35.0–39.9 kg/m2) when hyperglycemia is inadequately controlled by lifestyle and optimal medical therapy. Surgery should also be considered for patients with T2D and BMI 30.0–34.9 kg/m2 if hyperglycemia is inadequately controlled despite optimal treatment with either oral or injectable medications. These BMI thresholds should be reduced by 2.5 kg/m2 for Asian patients.”

These guidelines mark the first time weight-loss surgery is recommended as treatment for diabetics, rather than a treatment targeted towards obese patients only. If you suffer from diabetes, weight-loss surgery could be just the treatment needed- talk to your doctor today!

posted at: 2016-06-14 11:35:00, last updated: 2016-06-14 11:37:11

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