Bariatric Surgery Versus Lifestyle Interventions In Managing Obesity In Patients With Type II Diabetes: A Systematic Review

摘要: Bariatric Surgery Versus Lifestyle Interventions In Managing Obesity Patients With Type II Diabetes: A Systematic Review Leslie C Nakaya College of Nursing Masters Science Purpose: Obesity, with coexisting T2DM, is difficult to treat successfully for various reasons and carries enormous health risks financial burdens. The purpose this systematic review compare outcomes conventional medical treatment bariatric surgery the determine which patients may be appropriate referral. Data Sources: An electronic search literature was conducted identify studies from 2008 2014 in following databases: CINAHL, National Library Medicine PubMed®/MEDLINE®, EBSCO, SciVerse®, Springer Link®, Cochrane library. Conclusions: surgical options, even before weight loss occurs, positively affect glucose homeostasis some procedures individuals particular characteristics, produce considerable remission diabetes. Positive correlates were younger age, shorter disease duration, BMI >30 kg/m2. Secondary are also improved. same effects seldom realized through conservative methods. Results/Implications Practice: All obese should referred intensive intervention, minimum goal 10% loss. Under certain circumstances, referral considered, particularly >40 kg/m2, or ≥35 kg/m2 at least one obesity related co-morbidity. Others considered on a case-by-case basis.