Endocrine Abstracts

Dietary and physical activity lifestyle change remain key components in the management of type 2 diabetes. With dietary factors being of paramount importance. Despite this there remains controversy and confusion on which dietary method or pattern is the most effective in the management of a person’s glycaemia and weight, meaning that patients and clinicians struggle on which way to turn. This session will briefly examine the current dietary guidelines for type 2 diabetes....

Excess adiposity, especially in visceral depots, is a major driver of insulin resistance, fatty liver and hyperglycaemia in type 2 diabetes mellitus (T2DM). Treatment guidelines for T2DM emphasise lifestyle measures (principally diet and exercise) with pharmacotherapy as additionally required to achieve glycaemic control. Therapeutic strategies ideally assist weight control, avoid hypoglycaemia and address cardiovascular, renal and other risks. Metformin (weight neutral), whic...

The evidence base for obesity surgery in the context of diabetes will be briefly presented introducing the concept of surgery for the metabolic syndrome. The shift from treating morbid obesity to treating obesity associated morbidity will be discussed. Data on long-term outcomes after weight loss surgery will be presented demonstrating that recurrence of type 2 diabetes following initial remission is an issue. The need for intensive treatment of type 2 diabetes postoperatively...