Monthly Archives: November 2018

Diabetes Care: Intensive Medical Management vs. Surgery with 5 year Follow Up

Intensive medical management of Type 2 diabetes at the Cleveland Clinic consists of intensive tight control medical management with oral and injectable medication including GLP-1 agonists, together with dietary counseling and modification, an exercise program and support groups. This strategy was compared to metabolic surgery in a randomized, prospective controlled trial called the Stampede Trial published…
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Metabolic Surgery: A Crucial Aspect of Diabetes Care

In its 2018 guidelines, the ADA elevated metabolic surgery to its Top Tier of recommendations for the treatment of type 2 diabetes. According to both the National Institutes of Health and the American Diabetes Association, bariatric surgery is recommended for all individuals with a BMI of 35 or more who have type 2 diabetes -without…
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