Research
Energy balance
Bariatric surgery is beneficial for obtaining substantial and long-term weight loss and reducing cardiovascular risk in patients with severe obesity and Type 1 Diabetes.
For T1D patients with severe obesity who cannot achieve weight loss through lifestyle changes, bariatric surgery is a viable option that offers significant, long-term weight loss and cardiovascular benefits.
ModerateSupportsMEDIUM confidence
In case of severe obesity, bariatric surgery has proven to be of benefit in obtaining a substantial and long-term weight loss and reduction in cardiovascular risk.
Why this rating
Described as 'proven to be of benefit' but specific trial data in T1D is implied to be limited compared to T2D.
Source
Obesity in Patients with Type 1 Diabetes: Links, Risks and Management Challenges
Núria Vilarrasa et al. · Diabetes Metabolic Syndrome and Obesity · 2021
DOI 10.2147/dmso.s223618
narrative_reviewCited 88×
Read the paper DOI resolved against Crossref · corpus check 2026-06-10
More from this paper
- Obesity in Type 1 Diabetes is associated with increased cardiometabolic risk, higher insulin requirements, and an enhanced risk of chronic complications compared to normal-weight T1D patients.Good
- A comprehensive lifestyle intervention combining a hypocaloric Mediterranean diet, structured physical activity, and cognitive behavioral therapy is the recommended clinical practice for managing obesity in Type 1 Diabetes, despite evidence being scarce.Moderate
Related findings · Energy balance
- Achieving a total body weight loss of 10-15% (or >10-15 kg) through Total Diet Replacement (TDR) induces remission of Type 2 Diabetes in individuals with short-duration disease.Strong
- Bariatric surgery is superior to medical management alone for inducing significant long-term weight loss, remission of type 2 diabetes, and reduction in mortality for patients with BMI ≥ 40 or ≥ 35 with comorbidities.Strong
- Achieving type 2 diabetes remission requires significant weight loss (≥15 kg) via major caloric restriction, independent of macronutrient composition.Strong
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