title: Role of bariatric surgery in diabetes.
abstract: Obesity and diabetes are chronic diseases frequently linked together. Durable weight loss is uncommon with medical/behavioral approaches. For severe obesity, bariatric surgery is the only treatment resulting in sustained weight loss. Bariatric surgery may be considered for adults with BMI ≥ 35 kg/m(2) and type 2 diabetes, especially if the diabetes or associated comorbidities are difficult to control with lifestyle and pharmacological therapy. Bariatric surgery reduces the incidence of diabetes in overweight insulin-resistant subjects and is associated with remission of diabetes in a large proportion of patients. In considering the usefulness of bariatric surgery, it is also important to recognize that long-term follow-up is required before assigning a beneficial therapeutic effect in patients with diabetes because of the potential for weight regain that has been observed. As diabetes is a lifelong disease, it is important to emphasize that a certain percentage of patients will suffer from relapse of their diabetes.
authors.affiliation: Laval University, Institut universitaire de cardiologie et de pneumologie de Québec, 2725 Chemin Sainte-Foy, Québec, Québec, G1V 4G5, Canada, Paul.Poirier@criucpq.ulaval.ca.
authors.forename: Paul
authors.initials: P
authors.lastname: Poirier
authors.forename: Audrey
authors.initials: A
authors.lastname: Auclair
mesh_terms: D050110:Bariatric Surgery / Q000379:methods*; D015992:Body Mass Index; D003924:Diabetes Mellitus, Type 2 / Q000209:etiology* / Q000601:surgery*; D006801:Humans; D009765:Obesity / Q000150:complications* / Q000601:surgery*; D012008:Recurrence; D012074:Remission Induction; D016896:Treatment Outcome