Posts Tagged ‘metabolic surgery’

The DiRECT Obsession with Behavior Change for Diabetes

July 7, 2024 — Letting go is hard. But there is a bright line between persistence and stubbornness. Persistence is absolutely necessary to advance a cause. But persistence gives way to stubbornness when facts line up to define serious limitations and people press on with a futile effort. Such is the case with the DiRECT obsession for “curing” type […]

A Silly New Horse Race: Surgery Versus Drugs for Obesity

June 17, 2024 — The annual meeting of the ASMBS wrapped up last week in San Diego after producing a steady flow of new insights and headlines. Robotic surgery, long-term outcomes, and diabetes prevention figured prominently in the news. But one of the less enlightening threads of news from the meeting was a horse-race narrative about metabolic surgery versus […]

Marginalizing People with the Greatest Need for Obesity Care

June 3, 2024 — The STOP Obesity Alliance released new data Friday from an exhaustive analysis of access to obesity medicines in Medicaid programs across the United States. It’s not a pretty picture. It gives us more data to show how we are marginalizing people with the greatest need for obesity care. No state fully covered all forms of […]

Messing with Your Mind – in Your Gut

May 4, 2024 — Every day is a day to learn something new. So yesterday we learned that our gut has a mind of its own – the enteric nervous system. Randy Seeley presented his work on this at the Columbia Cornell Obesity Medicine course. It seems that much of the progress in obesity treatment over the last few […]

Looking for Endoscopy to Save Money on GLP-1s

April 16, 2024 — Right now GLP-1 medicines for obesity carry high list prices that engender great debates about how many billions (hyperbolists will say trillions) of dollars treating obesity will cost healthcare systems. For the uninitiated, it’s quite natural to think of metabolic procedures and obesity medicine in terms of either/or questions. No matter that this is a […]

How Often Does Metabolic Surgery Cure Sleep Apnea?

April 6, 2024 — Sleep apnea is a complication of obesity and at the same time, obesity can be a complication of sleep apnea. This two-way relationship sets up a problem that is serious and can be hard to resolve. But it deserves close attention because it can lead to an early death. So, given the tangled relationship between […]

Want to Control Hypertension? Treating Obesity Helps

February 8, 2024 — This is not exactly startling news. But two new studies this week do offer a very clear confirmation of one of the important benefits that comes from treating obesity – unmistakably better control of hypertension. One reason this is important is the substantial amount of disinformation that circulates to suggest obesity is not a real […]

Incentives for Metabolic Surgery in Response to GLP-1 Medicines

January 17, 2024 — Over the past year, as the world has embraced GLP-1 medicines like semaglutide for obesity, we have heard much speculation about dire prospects for the future of metabolic surgery. Stock prices dropped earlier this year for medical device companies with big investments in bariatric surgery when Intuitive Surgical announced they were seeing a slowdown in […]

A Fierce Debate at EASD 2023 About Diabetes Remission

October 5, 2023 — Two professors yesterday at the EASD meeting engaged in a fierce and collegial debate about the feasibility of lasting remission in type 2 diabetes with very low calorie diets. Professor Kamlesh Khunti brought a polished presentation of objective data. He was unequivocal. Is lasting remission feasible in a real world setting? “It’s a definite no […]

Rationalizing Denial of Care for Obesity

September 4, 2023 — Health systems seem adept at denial of care for the most prevalent chronic disease in America, obesity. To understand this, just look at the hurdles a patient must clear to receive that most effective treatment with the longest track record: metabolic surgery. The goal is to pick the people for surgery who will have the […]