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Letters Nutrition in type 2 diabetes

Metabolic surgery may be more effective

BMJ 2010; 341 doi: (Published 19 August 2010) Cite this as: BMJ 2010;341:c4446
  1. Conor Magee, bariatric fellow1,
  2. Niru Goenka, consultant physician, diabetes and endocrinology2,
  3. David Kerrigan, consultant bariatric surgeon1
  1. 1Gravitas, Murrayfield Hospital, Wirral CH61 1AU
  2. 2Countess of Chester Hospital, Chester CH2 1UL
  1. cjmagee{at}

    The LOADD study1 did not consider a more effective form of nutritional intervention—metabolic (bariatric) surgery—which is a proved treatment for obesity and type 2 diabetes.2

    In a study of people with type 2 diabetes randomised to laparoscopic gastric banding or best medical treatment, banding was associated with greater total …

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