INTERVENTIONAL THERAPIES FOR TYPE II DIABETES. SUMMARY OF THE LONDON 2015 INTERNATIONAL DIABETES SURGERY SUMMIT AND CONSENSUS CONFERENCE

Metabolic or bariatric surgery may be more effective than standard medical treatments for the long-term control of type 2 diabetes in obese patients, according to recently published studies. Various studies have shown that bariatric surgery can result in dramatic improvement of type-2 diabetes in obese patients, usually on short-term follow-up. Recent studies, from which one randomized controlled trial, have shown same promising results on long-term control of type 2 diabetes. New research suggests that obese patients with type 2 diabetes, especially those with recent disease onset, should be prioritized for obesity surgery over those without type 2 diabetes, including considering overall costs of healthcare. Even if some patients see a reversal of diabetes after surgery, they need fewer expensive diabetes medications or treatment for complications in the future. Diabetes organizations recently developed guidelines that integrate medical and surgical therapies in a rational treatment algorithm for T2DM. Specific goals include providing guidance for the selection of surgical candidates and for the use of diabetes-specific measures in the preoperative work-up and follow-up of patients. An extensive review of the recent literature is analysed and presented.