Imperial College London
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Dr Alex Miras

Faculty of Medicine, Department of Metabolism, Digestion and Reproduction

Visiting Professor
 
 
 
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Contact

 

+44 (0)7958 377 674a.miras

 
 
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Location

 

Commonwealth BuildingHammersmith Campus

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Summary

 

Publications

Citation

BibTex format

@inbook{Ansari:2023:10.1007/978-3-030-60596-4_102,
author = {Ansari, S and Miras, AD},
booktitle = {Obesity, Bariatric and Metabolic Surgery: A Comprehensive Guide: Second Edition},
doi = {10.1007/978-3-030-60596-4_102},
pages = {1013--1027},
title = {Multimodal Care for Diabetes Combining Pharmacotherapy and Metabolic Surgery},
url = {http://dx.doi.org/10.1007/978-3-030-60596-4_102},
year = {2023}
}
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RIS format (EndNote, RefMan)

TY  - CHAP
AB  - The tools available for the life-long management of type 2 diabetes mellitus (T2DM) include lifestyle modification, pharmacotherapy, and surgery which all share a common goal of optimizing glycemia, blood pressure, and lipids levels to prevent microvascular and cardiovascular disease. Metabolic surgery is the most effective treatment for achieving metabolic disease control; however, the improvements in glycemia attenuate after two or more years. Instead of waiting for T2DM to relapse after metabolic surgery, adjunctive pharmacotherapy can be used to sustain glycemic control and improve cardiovascular risk, and this is particularly true for the newer classes of medications used for the management of T2DM. The traditional stepwise management approach where surgery is the final treatment for T2DM should be reconsidered. Instead, metabolic surgery and pharmacotherapy, and, in particular, the newer classes of medications should complement each other as part of multimodal diabetes care. The recent advances in pharmacotherapy offer a new incentive to investigate clinically important outcomes that can be achieved with a multimodal approach to diabetes care that addresses glycemia, blood pressure, and lipids.
AU  - Ansari,S
AU  - Miras,AD
DO  - 10.1007/978-3-030-60596-4_102
EP  - 1027
PY  - 2023///
SN  - 9783030605957
SP  - 1013
TI  - Multimodal Care for Diabetes Combining Pharmacotherapy and Metabolic Surgery
T1  - Obesity, Bariatric and Metabolic Surgery: A Comprehensive Guide: Second Edition
UR  - http://dx.doi.org/10.1007/978-3-030-60596-4_102
ER  -
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