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.
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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).
