Fat: bariatric surgery and procedures

Who would have thought? Surgery as a ‘cure for type 2 diabetes (T2DM)’. I would like to introduce one of my patients, Sarah, a 46year-old woman. She presented 10 years ago, living with obesity (BMI 44) and poorly controlled T2DM. She had been taking insulin for eight years, plus additional GLP-1 agonists and metformin. She underwent several lifestyle interventions for weight loss with little success. She subsequently underwent a Roux-en-Y gastric bypass (RYGB) and was able to come off all insulin and oral antiglycaemic medications. She only takes the recommended multivitamin replacement post-bariatric surgery now. Her HbA1c has been well controlled for several years.