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Bariatric surgery for type 2 diabetes: to whom and when?


Achieving clinical and biochemical targets in type 2 diabetes mellitus (diabetes) is fundamental to preventing diabetic microvascular and macrovascular complications. These clinical imperatives are made more challenging in the setting of obesity. This review examines the evidence for bariatric surgery as a means of optimizing diabetes care, addressing diabetes resolution, glucose and lipid metabolism and cardiac effects. Mechanistic evidence of diabetes amelioration is summarized. The question of when bariatric surgery should be offered in the course of obesity-associated diabetes is discussed. Current guidelines and specialist society recommendations for bariatric surgery in diabetes are summarized.

Type Journal
ISBN 0391-1977 (Print) 0391-1977 (Linking)
Authors Samaras, K.;
Responsible Garvan Author Prof Katherine Samaras
Publisher Name Minerva Endocrinologica
Published Date 2013-03-01
Published Volume 38
Published Issue 1
Published Pages 47-58
Status Published in-print
URL link to publisher's version
OpenAccess link to author's accepted manuscript version