SURGERY FOR DİABETES
- Someone in the world dies from complications associated with diabetes.
- Approximately 90 percent of type 2 diabetes mellitus (T2DM) is attributable to excessive body fat.
- Metabolic and bariatric surgery is the most effective treatment for T2DM among individuals who are affected by obesity and may result in remission or improvement in nearly all cases.
Metabolic and Bariatric Surgery and Type 2 Diabetes
- Lowering blood sugar
- Reducing the dosage and type of medication required
- Improving diabetes-related health problems
- Reducing blood sugar levels to normal levels
- Eliminating the need for diabetes medications
- INTERATIONAL DIABETES FOUNDATION POSITION STATEMENT ON BARIATRIC SURGERY IN THE TREATMENT OF T2DM
The document recognized that:
- In addition to behavioral and medical treatments, bariatric surgeries constitute a powerful option to ameliorate diabetes in patients affected by severe obesity.
- Bariatric surgery is an appropriate treatment for people with T2DM and obesity not achieving recommended treatment targets with medical therapies
- Surgery should be an accepted option in people who have T2DM and a BMI of 35 or more.
- Surgery should be considered as an alternative treatment option in patients with a BMI between 30 and 35 when T2DM cannot be adequately controlled by optimal medical regimen, especially in the presence of other major cardiovascular disease risk factors.
- The risk for complications and death with bariatric surgery is low and similar to that of well-accepted procedures.
Metabolic and bariatric surgery for T2DM must be performed within accepted guidelines which include an ongoing multidisciplinary care, patient education, follow-up and clinical audit, as well as safe and effective surgical procedures.