Bariatric surgery can result in substantial weight loss and significant metabolic improvements. therefore, clinicians should be prepared to taper treatments for weight-related chronic metabolic diseases. for patients with type 2 diabetes, early and dramatic improvements in glucose homeostasis require anticipatory management. this includes insulin dose reductions, discontinuation of certain.

Surgery may be helpful to relieve pain and restore function when other medical treatments are ineffective or have been exhausted, especially with advanced oa. the goals of treatment are to: decrease joint pain and stiffness and delay further progression. improve mobility and function. increase patients’ quality of life..

1. introduction. diabetes mellitus, namely type 2 diabetes (t2d), constitutes a significant challenge for health systems worldwide. according to the 2019 diabetes atlas of the international diabetes federation [], 463 million adults are currently living with diabetes (1 on 11 individuals worldwide, but 1 in 5 are aged over 65).the total number is expected to increase further by 700 million in.