weight loss

Weight loss surgery should become a routine method of treatment for type 2 diabetes, according to international leading diabetes organizations.

Type 2 diabetes accounts for roughly 90 percent of diabetes cases. Related to metabolic health, and often obesity, weight loss and healthier living can help manage and reduce the effects of the condition. Metabolic surgery (also known as bariatric surgery) not only helps people to lose weight, but can improve diabetes management, and even push the condition into remission.

Approximately 26 million Americans have diabetes, and often it can be managed successfully, but in cases where BMI is extraordinarily high (above 30) and lifestyle changes or medication have been unsuccessful, the new guidelines recommend looking into metabolic surgery.

Prevalence of the disease is rising, with 422 million people having the condition, globally, last year (and this figure is thought to be an underestimate). Cases of obesity are likewise on the rise, pushing up numbers of type 2 diabetes cases through the related risk factors. As a result of these new recommendations, it is hoped that the landscape of diabetes care will be changed.

Dr David E. Cummings, and endocrinologist at the University of Washington, said: “We do not claim that surgery should be the first-line therapy,” emphasizing that surgery should only be a last attempt to help those that have had no successes with lifestyle changes and medication.

The new guidelines were put together based on evidence from 11 studies. The studies tracked patients who were randomly assigned to either bariatric or regular care, concluding that surgery was more effective for stabilizing blood glucose levels.

Released on Tuesday, the guidelines were published in Diabetes Care, a journal of the American Diabetes Association. They hope that the guidance will encourage countries around the world to expand on metabolic surgery and offer it to a wider range of patients.