Mixed
For patients with Type 2 Diabetes and BMI ≥ 35 kg/m2, multidisciplinary weight management services or bariatric surgery result in superior glycaemic control and medication reduction compared to standard specialist diabetes clinic care.
If you have Type 2 Diabetes and a BMI over 35, standard diabetes care often fails to control your blood sugar or weight. You should ask for a referral to a specialized multidisciplinary weight management clinic or discuss bariatric surgery. These interventions are proven to lower HbA1c and reduce the need for diabetes medications more effectively than standard care alone.
people with T2DM and a BMI ≥ 40 kg/m2 benefitted from improved glycaemic control and reduced diabetic medication load after 6 months of attending the clinic [31]... people attending the weight management clinic achieved a greater HbA1c reduction than those attending the diabetes clinic [13].
Why this rating
Based on retrospective cohort data and referenced trials (DiRECT, DIADEM-1), but the primary study is observational.
Source
Severe obesity in a specialist type 2 diabetes outpatient clinic: an Australian retrospective cohort study
Arunav Thakur et al. · BMC Endocrine Disorders · 2021
DOI 10.1186/s12902-021-00722-9
Related findings · Mixed
- Bariatric surgery (VSG and RYGB) is the most effective and sustainable treatment for obesity, producing marked and sustained weight loss that non-surgical interventions cannot match.Strong
- Severely protein-deficient diets (2–3% energy) induce lean body mass loss and metabolic imbalance, whereas adequate protein intake (0.66 g/kg/d minimum) is a prerequisite for maintaining muscle, bone, and physiological function.Strong
- For patients with Class III obesity (BMI >39.9 kg/m2), metabolic bariatric surgery (MBS) is significantly more effective than any currently approved medication, with BilioPancreatic Diversion (BPD) showing the highest estimated weight loss.Strong
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