All About Diabetes: Bariatric Surgery and Physical Activity

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Originally aired May 28, 2014: A Randomized Trial of Bariatric Surgery vs. Medical Management; Physical Activity and the Risk of Type II Diabetes in patients with Gestational Diabetes

Nathan and Amol want you to:

1. Recognize that bariatric surgery led to superior diabetes control compared to intensive medical management in a single centre randomized controlled trial over a 3 year follow up period.

2. Recognize that physical activity is associated with a large reduction in the risk of developing Type 2 Diabetes in patients with Gestational Diabetes, suggesting that this is an important opportunity for risk factor modification.

Continuing Medical Education

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The papers

P R Schauer et al. Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 3-Year Outcomes. N Engl J Med 2014; 370:2002-2013. (PubMed).

W Bao et al. Physical Activity and Sedentary Behaviors Associated With Risk of Progression From Gestational Diabetes Mellitus to Type 2 Diabetes Mellitus: A Prospective Cohort Study. JAMA Intern Med, published online May 19, 2014. (PubMed).

Good stuff

Nathan – E-cigarettes may promote tobacco use among young smokers, not proven as safe cessation aid, U.S. studies argue, The National Post, May 27, 2014.

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