In part 6 of this Exclusive Interview, Dr. W. Timothy Garvey talks with Diabetes in Control Publisher Steve Freed during the AACE 2018 convention in Boston, MA about the need for and timing of bariatric surgery.
W. Timothy Garvey, MD, FACE is a professor and Director of the University of Alabama Diabetes Research Center in Birmingham.
Transcript of this video segment:
Freed: At what point would you prescribe bariatric surgery for obesity for an adult?
Garvey: Well, there is definitely a place for bariatric surgery. I think if you just follow the guidelines which are being updated right now by AACE and the American Society of Metabolic and Bariatric Surgery, if you have a BMI greater than 40, regardless of the complication burden, that satisfies criteria, or if its 35-40 BMI, with complications, that satisfies the criteria. I find most useful in patients with a BMI greater than 40 who have diabetes and a lot of associated hypertension and dyslipidemia who are on a lot of medicines, the bariatric surgery particularity roux-en Y gastric bypass or a sleeve gastrectomy can be very helpful to those patients. We’re getting hints that, that even promotes longevity in cohort studies. So, I think that, that’s the most valuable use of bariatric surgery in the patients that I deal with.