Experts in diabetes have called for surgery to be considered a standard treatment in people with high BMIs – http://care.diabetesjournals.org/content/current
Roger Ackroyd, president of BOMSS, said: “ We welcome the call for surgery to be recognised as a standard treatment option for Type 2 diabetes, based on a wide body of evidence, including 11 randomised trials. Economic studies also show that the treatment can be cost-effective. This supports the day-today experience of bariatric surgeons and nurses across the UK in recent years that surgery is cost-effective and gives people back their health.
“Type 2 diabetes is a serious health condition so it is essential that all effective treatment options are available – and this includes surgery. Poorly controlled diabetes can lead to serious complications such as blindness, amputations and stroke, complications which rob people of their health and are very expensive to treat.
“The National Institute for Health and Care Excellence (NICE) must now make it explicit in its Type 2 diabetes guidelines that those with Type 2 diabetes who meet the recommended criteria for obesity surgery should be referred for early assessment for surgery. These recommendations are currently stated in the NICE obesity guidelines (2014) but are not fully incorporated in current NICE Type 2 diabetes guidelines (2015).”
The new guidelines state that surgery should be recommended to treat people with Type 2 diabetes who have a BMI of 40 or more, regardless of their blood glucose control, as well as people with a BMI of 30 and over whose blood glucose levels are inadequately controlled by lifestyle changes and blood glucose lowering medication. It is also recommended that the BMI thresholds in Asian people with Type 2 diabetes should be lower as they develop Type 2 diabetes at a lower BMI compared to other populations.
The full articles, joint statement and commentary can be seen here: http://care.diabetesjournals.org/content/current