- Bariatric surgery may be considered in adults with type 2 diabetes whose body mass index (BMI) is ≥35 kg/m2, especially if diabetes or associated comorbidities are difficult to control with lifestyle and pharmacologic therapy.
- Patients with diabetes who have had bariatric surgery require lifelong lifestyle support and medical monitoring.
- Although small trials have shown glycemic benefit in patients with diabetes whose BMI is 30–35 kg/m2, the American Diabetes Association guidelines do not recommend bariatric surgery outside of research protocol in those with BMI <35 kg/m2.
American Diabetes Association. Standards of medical care in diabetes—2013. Diabetes Care. 2013;36(suppl 1):S11-S66.
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