Honorable Mention

The space above is intentionally blank.  I wanted to at least give a depiction or a screen shot of the new guidelines that were recently released by the American Association of Clinical Endocrinologists (AACE), but I didn't want to violate the "DO NOT REPRODUCE IN ANY FORM" rules on the spiffy algorithmic graphics.  A trip to Blog jail may be my fate.

The bottom line is,  yet another organization, with the backing of the ASMBS, describing the need to strongly consider Bariatric surgery for overweight patients with diabetes, or prediabetes in the Comprehensive Diabetes Management Algorithm for Treatment of Diabetes and Prediabetes Patients.

While that is nothing new, it is yet another updated consensus statement from a respected clinical group that decisively puts Bariatric surgery squarely in the mix of efficacious and necessary treatment regimens for the overweight Diabetes type 2 patient.  And it's the rare patient that doesn't have both.

Add this to a couple of the previous blog posts on the consensus suggestion to lower the BMI requirement for those benefitting most from surgery in the BMI 30-34.99 group ( Tell it like it T-I-S), and the International Diabetes Foundation's recommendation of March 2011, from a position statement on Diabetes and bariatric surgery as to recommend surgery for those with BMI >35 with DM2.

Overall, these statements are nothing all that new, except as the evidence mounts, so does the imperative to keep Bariatric surgery in the forefront of your Diabesity options.  And, as said here in this blog numerous times before...Earlier is definitely better for both short and longer term results.  Perhaps more than we probably truly have a studied grasp on yet, in terms of micro and macrovascular disease that can be substantially improved with surgery, and with an associated reduction in future morbidity and mortality.

So, take some time to look at the algorithm link as above.  For those of you on the front lines of Diabetes treatment in general, it gives a number of pages of comprehensive treatment guidelines throughout the disease spectrum of Diabetes.  The surgery comment is an important one in the treatment options, but honestly, it's a small part of the overall algorithmic publication.  Check it out!