Internal Code : MAS6152 Nursing Assignment Scenario : You are an obesity service nurse working in a large metropolitan hospitals outpatient service. One of your patients has diabetes and is eligible for bariatric surgery. She is very motivated to lose weight in the hope of curing her diabetes. But all bariatric surgery comes with risks and your patient is wondering how much more effective is bariatric surgery than dieting. On reflection you wonder if the addition of bariatric surgery provides any diabetic/glycemic control benefits beyond a more conservative/usual care approach which combines diet with exercise. Diets used may include very low calorie/carbohydrate/energy diets. There was a good quality systematic review on this topic published in 2013 but it’s a bit out of date now as its search stopped in June 2013. It only found 4 trials but did find that surgery was more likely to cause diabetic remission . Your job is to update this systematic review, synthesize your findings and make a clear clinical recommendation for your patient. Question : In adult obese patients with type II diabetes does bariatric surgery or dietary approaches alone cause greater likelihood of diabetic remission?