Bariatric surgery and Diabetics
As weight-loss surgery has become more common over the last several years, doctors have had tantalizing clues that certain procedures bring dramatic reduction in type 2 diabetes — beyond getting their ability to reduce the patient’s weight. Bariatric surgery can significantly reduce the need for insulin and can even induce complete remission of type 2 diabetes mellitus, but some forms of the procedure pose too much risk and should be shunned, said a diabetes specialist at the annual advanced postgraduate course held by the American Diabetes Association.
Depending on the type of procedure, weight loss in the first year following bariatric surgery can range from about 30 kg to more than 50 kg, and the surgery can reduce the risk of mortality for formerly obese patients by about 25%,
Bariatric surgery should be considered in type 2 diabetic patients with a body mass index greater than 35 kg/m2, and may also benefit patients with a BMI of 30-35,