Evaluación nutricional en diabéticos tipo 2 obesos mórbidos para la realización de la cirugía bariátrica

the diabetes mellitus is an important health problem at world scale and also in cuba. treatment of type 2 diabetes patients and morbid obesity may be using bariatics surgery to achieve its metabolic control. using the conventional treatment of obesity generally there is not a weight loss at long term. at the "general calixto garcía" university hospital there is a multidisciplinary group in charge of the nutritional care of these patients. in present review the evaluation and nutritional treatment before and after intervention are emphasized. for many type diabetes patients the benefits of bariatics surgery as well as the weight loss there is the drop of glycemia, of lipids, blood pressure and may to occur the total remission of disease. in the primary health care the general integral medicine specialists made the nutritional evaluation and the follow-up of cases after achievement and maintenance of a suitable nutritional state with less diabetes complications.