Obesity and Diabetes are considered nowadays as a worldwide twin epidemic. The term “Diabesity” explains the important correlation between Obesity and Type II Diabetes, making everyday life difficult for a wide range of overweighed patients.
Several serious chronic “Diabesity” related diseases will cause multiple metabolic dysfunctions, complicating and increasing the risk of early and sudden death. (Cardiac disease, Hypertension, kidney problems, dyslipidemia…).
Uncontrolled Diabetes Type II despite a supervised medical treatment and modification of lifestyle, is an excellent indication for Bariatric surgery that should be called at this moment a Metabolic surgery. It is accepted for patients with BMI ≤ 35 kg/m² and type II diabetes.
Recent studies advocate surgery even for patients with a BMI between 30 and 35 kg/m², who have insulin resistance and medically uncontrolled diabetes, in the presence of major cardiac and vascular risk factors.
This latter indication should be taken with a good multidisciplinary approach after interviewing the patient and his family.
Surgery for Diabetes