BMI Guidelines for Bariatric Surgery in

The benefit of weight loss on glycemiccontrol in type 2 diabetes is wellknown;weightmanagement is founda-tional to good diabetes care. Intensive life-style intervention, which produces modest (5–10%) weight loss can produce durable (demonstrated up to 4 years) improvement in HbA1c and some cardiovascular risk fac-tors (1,2). As for bariatric surgery, a recent systematic review and meta-analysis (3) of 621 bariatric surgery studies (.135,000 patients) reported that diabetes “improved or resolved ” in 84%. Thus, there is a grow-ing appreciation for the role of bariatric surgery as a tool in diabetes management. The appreciation that bariatric surgery might yield remission of diabetes stimu