This protocol applies to adults with type 1 diabetes who have obesity, defined as a BMI of 30.0 kg/m² or higher — or 27.5 kg/m² or higher in Asian American individuals. Evidence-based obesity management strategies used in the general adult population are applied to this specific comorbid population.
In this setting, a surgical intervention for obesity management is one highly individualized option. Selection requires a multidisciplinary approach, careful clinical evaluation, and extensive counseling to identify which patients are most likely to benefit. The complete protocol — including which procedures qualify, the selection pathway, and individualised goal-setting — is in the full regimen below.
Apply obesity management strategies used in the general adult population, including GLP-1 RA–based therapy B and metabolic surgery, C to adults with type 1 diabetes who have obesity (BMI ≥30.0 kg/m², or ≥27.5 kg/m² in Asian American individuals).
Metabolic surgery represents a highly individualized option for management of obesity in people with type 1 diabetes. In conclusion, using a multidisciplinary approach a careful evaluation and extensive counseling is required to select people with type 1 diabetes who would benefit the most from metabolic surgery while individualizing goals and setting realistic expectations.
DOI: 10.2337/dc26-S008
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