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Editor's e-Note
A recent study has indicated that metabolic or bariatric surgery may be more effective than standard medical treatments for the long-term control of type 2 diabetes in obese patients. And surgery appears to dramatically reduce risk factors of cardiovascular disease.

In addition to reading our e-newsletter, be sure to visit Today’s Geriatric Medicine’s website at, where you’ll find news and information that’s relevant and reliable. We welcome your feedback at Follow Today’s Geriatric Medicine on Facebook and Twitter, too.

— Barbara Worthington, editor
e-News Exclusive
Surgery Achieves Better Long-Term Control
of Type 2 Diabetes Than Standard Therapy

Metabolic or bariatric surgery may be more effective than standard medical treatments for the long-term control of type 2 diabetes in obese patients, according to a new study by King’s College London and the Universita Cattolica in Rome, Italy. The study, published in the Lancet, is the first to provide data on five-year outcomes of surgery from a randomized clinical trial specifically designed to compare this new approach against standard medical therapy for the treatment of type 2 diabetes.

A number of studies have shown that bariatric or weight-loss surgery can result in dramatic improvement of type 2 diabetes in obese patients, supporting the idea that surgery could be used to treat the disease. Randomized controlled trials have shown that metabolic surgery is more effective than conventional treatment for the short-term control of type 2 diabetes. However, no trials have yet provided information on longer-term outcomes.

The new study followed a group of diabetic patients from Italy aged 30 to 60 with a body mass index (BMI) of 35 kg/m² or more who were randomly assigned to receive either conventional medical treatment for type 2 diabetes (20 patients); surgery by gastric bypass (20 patients); or biliopancreatic diversion (20 patients). Gastric bypass involves shrinking the size of the stomach and rerouting the upper part of the small intestine, while biliopancreatic diversion involves a more extensive bypass of the intestine.

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Tech & Tools
Eldermark has released its next-generation nurse call system, Notify, to replace paper, cell phones, pagers, and walkie-talkies. The system works offline or online and is compatible with Apple, Microsoft, and Android devices. The product features real-time service confirmation that links to billing. It can capture unscheduled services electronically and has private text messaging and voice. It works with many existing pull cord systems and sends audible pages even when a device is in the off position. Learn more »

Pressalit Care has created a digitally based visualization tool that allows architects and interior designers to enhance bathroom layouts for people with disabilities. Besides presenting specific suggestions for suitable bathroom solutions, Pressalit SPACES provides detailed information on the ergonomic qualities, adjustment options, designs, and test methods for bathroom solutions, providing valuable insight into the design possibilities the Pressalit Care products present for optimal bathroom layouts for users. Design recommendations can extend to hospital use as well as to private homes. SPACES allows users to work directly with clients in real time to develop specific solutions incorporating flexibility and functionality of bathroom equipment. Learn more »
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Geriatrics Consult With Rosemary Laird, MD
Help Patients Become
Savvy Health Care Consumers

You’ve had patients ask during office visits about various therapies, medications, and nontraditional treatments, “Doc, what do you think of this? Will this work? I found it on the Web.”

For me, it’s likely to prompt a heavy sigh. Sure, one part of me is glad patients or caregivers are interested enough in their health to spend time on it, but the other part of me wants to personally remove all traces of those predatory commercial websites from cyberspace. The fine print on these products actually says, “These statements have not been evaluated by the FDA. These products are not intended to diagnose, treat, cure, or prevent any disease.”

When I have patients and caregivers who want to become knowledgeable about their health and stay current on new breakthroughs, I want to support that. Here is a list of my favorite websites and resources to recommend.

Aging-Specific Information


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