Why some remain unconvinced by metabolic surgery for diabetes

There is new advice to broaden the use of metabolic surgery in patients with type 2 diabetes, but many doctors remain cautious, writes Emily Dunn

YOU KNOW the scenario. Your patient is obese and has been for as long as you can remember. It’s a futile treadmill of diet and exercise, stacking on weight and the associated morbidities.

Almost inevitably there’s a diagnosis of type 2 diabetes mellitus (T2DM). Year by year, the weight climbs and the diabetes becomes increasingly complex and expensive to manage