A rapidly accumulating body of evidence supports the profound impact of bariatric surgery on patients with type 2 diabetes, often resulting in complete resolution of this condition.
Two of the key mechanisms by which bariatric surgery improves glucose control are related to weight loss and to changes in the secretion of gut hormones that influence metabolism. [...]
For most patients with severe obesity, the decision to undergo bariatric surgery is one of the most important decisions they will make in their lifetime.
But once they have decided to go down this route, several important issues need to be considered, not least the choice of operation.
Apart from the surgical risk (complications at the time [...]
One of the topics that I have often thought about (especially in light of our seeming inability to develop zero-risk obesity drugs) is the problem of averages. Our entire medical philosophy of “evidence-based” medicine seems built on the “Gaussian” assumption that averages can reflect the true benefit (or risk) of a drug, when in real [...]
“The doctor wrote down “morbid obesity” in my chart. I was mortified. I looked it up. It meant I was going to die from being fat. I was 12.”
This is perhaps the most moving paragraph in Obese From the Heart, a book that everyone struggling with excess weight should read – more importantly, a book [...]
Yesterday, I attended an Obesity Reduction Strategy Stakeholder Forum hosted by the Provincial Health Services Authority in Vancouver, British Columbia.
The aim was to provide feedback on the proposed recommendations for changing the obesogenic environment as well as addressing issues around food, physical activity, treatment and disease surveillance.
Although, by many measures, British Columbia may be Canada’s [...]
In The News
Big waist size nearly doubles risk of early death: Study
Aug. 11, 2010 Vancouver Sun – "What's important is overall mortality," said Dr. Arya Sharma, scientific director of the Canadian Obesity Network. "In the end, having a large waist circumference kills you." Read the article
Publications
"Effect of Sibutramine on Cardiovascular Outcomes in Overweight and Obese Subjects."
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