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Current Cardiology Reports

, 16:444 | Cite as

Role of Bariatric Surgery in Diabetes

  • Paul PoirierEmail author
  • Audrey Auclair
Diabetes and Cardiovascular Disease (S Malik, Section Editor)
Part of the following topical collections:
  1. Topical Collection on Diabetes and Cardiovascular Disease

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/m2 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.

Keywords

Type 2 diabetes Obesity Weight loss Bariatric surgery Non-surgical duodenal exclusion Diabetes remission 

Notes

Acknowledgment

Paul Poirier has received grant support from the Canadian Institute Health Research (CHIR). Audrey Auclair is recipient of a studentship from the Canadian Institute of Health Research.

Compliance with Ethics Guidelines

Conflict of Interest

Paul Poirier and Audrey Auclair declares that he has no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

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Copyright information

© Springer Science+Business Media New York 2013

Authors and Affiliations

  1. 1.Laval University, Institut universitaire de cardiologie et de pneumologie de QuébecQuébecCanada

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