All About Diabetes: Bariatric Surgery and Physical Activity

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This week: 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

Internists can receive 0.5 hours of Continuing Medical Education credit for each podcast they listen to through the Canadian Society of Internal Medicine (MOC Category 1) and the American Medical Association (PRA Category 1). To receive CME credit for listening to this podcast, please click here to fill out our Evaluation and Impact Assessment Form.

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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1 Comment
  • george smith says:

    “As Mentioned above Diabetes is one of the fastest growing health problem and it should be controlled, one of the major problems faced among st diabetic patients is the Diabetic Foot Problems.

    Diabetic Foot Problems and Treatment Diabetes can be dangerous to your feet— even a small cut could have serious consequences. Diabetes may cause nerve damage that takes away the feeling in your feet. Diabetes may also reduce blood flow to the feet, making it harder to heal an injury or resist infection. Because of these problems, you might not notice a pebble in your shoe—so you could develop a blister, then a sore, then a stubborn infection that might cause amputation of your foot or leg. To avoid serious foot problems that could result in losing a toe, foot, or leg To Know more about the Guidelines for Diabetes Treatment
    Click here ….http://www.medfoot.com/diabetic-foot-problems-and-treatment/

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