by Colin Kenny, GP, Dromore
This new guideline defines obesity by BMI and outlines ethic differences in criteria. In addition, it notes that in the UK obesity rates nearly doubled between 1993 and 2011, and that obesity has an important link with type 2 diabetes and other conditions. Associated costs are rising.
The guidance assesses and updates advice on the management of obesity in adults and children. It suggests that people who have recent-onset type 2 diabetes and a BMI of 35 kg/m2 or over are offered an expedited assessment for bariatric surgery.
The guidance goes on to propose an assessment for bariatric surgery for people with a BMI of 30–34.9 kg/m2 who have recent-onset type 2 diabetes, as long as they are also receiving, or will receive, assessment by a specialist or multidisciplinary (Tier 3) team. It is noted that an assessment for bariatric surgery for people of Asian family origin who have recent-onset type 2 diabetes should be considered at a lower BMI. The guidance also recommends that people have a 2-year follow up after such surgery.
To access the full publication, click here.