The guideline, which is for adults, including those with diabetes mellitus, is aimed at helping to prevent weight regain and associated co-morbidities, including type 2 diabetes, polycystic ovarian disease, metabolic bone disease, fatty liver, hypertension and obstructive sleep apnea.
Recommendations from the guideline include:
- ensuring that co-morbid conditions are adequately managed;
- an easier transition back to life through the support of a multidisciplinary team that includes an experienced primary care physician, endocrinologist or gastroenterologist;
- active nutritional patient education and clinical management to prevent and detect nutritional deficiencies;
- management of potential nutritional deficiencies for patients undergoing malabsorptive procedures and strategies to compensate for food intolerance in patients who have had a malabsorptive procedure to reduce the risk for clinically important nutritional deficiencies; and
- patient enrollment in a comprehensive program for nutrition and lifestyle management.
The guideline is published in the Nov. 2010 issue of the Journal of Clinical Endocrinology & Metabolism, a publication of The Endocrine Society.
Read news release from The Endocrine Society about the guideline for bariatric surgery patients.
