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World J Diabetes. Dec 15, 2022; 13(12): 1096-1105
Published online Dec 15, 2022. doi: 10.4239/wjd.v13.i12.1096
Table 1 Proposed recommendations for the perioperative care of all bariatric surgery patients, especially those with associated dysglycemia
Prehabilitation- treatment modality
Potential advantages and clinical rationale
Exercise
Resistance and endurance trainingShort- and long-term improvements in weight and functional capacity, comorbidities, quality of life, improvements in tissue insulin sensitivity
Aerobic trainingShort-term decrease in calorie intake, improvement in quality of life, improved whole-body insulin sensitivity, decrease in glucose levels, shorter hospital stay
Nutritional interventions
Low and very low calorie and ketogenic diet Better weight reduction, visceral fat reduction, improvement in glycemic and lipid profiles, mean 30% reduction in liver volume
Pharmacotherapy
GLP 1 receptor agonistsHigher T2DM remission rates, better body weight reduction, improvement in glycemic and lipid profiles
Psychological support
Preoperative counseling and educationReduced anxiety, depression, and fear, positive influence on eating disorders