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Is Type 2 Diabetes a Surgical Disease?

  • Kai Tai Derek Yeung
  • Ahmed R. Ahmed
Chapter

Abstract

Type 2 diabetes mellitus (T2DM) affects and will continue to affect more and more people across the globe. It is a complex disease process leading to significant morbidity, mortality and burden on healthcare systems.

Bariatric/metabolic surgery is effective at improving outcomes in obese patients and in those with obesity-related diseases. In particular, with type 2 diabetes mellitus (T2DM), glycaemic control is achieved rapidly before weight loss and is sustained. Recently the emergence of level 1 evidence supporting the superiority of surgery over intense medical therapy for diabetes has changed and continues to change many minds that doubted the benefit of surgery in diabetic patients.

We are only beginning to understand the metabolic effects of surgery. Many still think this is due to dietary restriction and weight loss leading to improvement in diabetes; there is, however, much more to it than this. In this chapter we will examine what is known about surgery for T2DM.

Keywords

Bariatric Metabolic Diabetes Remission Gastric bypass Sleeve gastrectomy Gastric band 

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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Bariatric SurgerySt Mary’s HospitalLondonUK
  2. 2.Department of Bariatric SurgerySt Mary’s Hospital, Imperial College LondonLondonUK

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