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Severe obesity — SCE Endocrinology MCQ

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EasyObesity/LipidSevere obesitySCE Endocrinology

A 42-year-old woman has BMI 43 kg/m2, type 2 diabetes and obstructive sleep apnoea. She has completed intensive lifestyle support and pharmacotherapy without durable benefit. What is the most appropriate management to discuss?

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Correct answer: D — Bariatric surgery assessment

Severe obesity with type 2 diabetes and sleep apnoea warrants discussion of bariatric surgery assessment after unsuccessful non-surgical treatment. Thyroid hormone should not be used for weight loss in euthyroid patients. Surgery requires multidisciplinary assessment and long-term nutritional follow-up.

Reference: NICE NG246 Obesity; NICE NG28