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[13] [14] The British Obesity and Metabolic Surgery Society (BOMSS) and Diabetes UK recommend at least annual HbA1c monitoring for all post-bariatric surgery patients with a history of type 2 diabetes, even during remission, along with continued screening for complications

It says metformin remains first-line for type 2 diabetes and prediabetes, supported by decades of safety data and cardiovascular benefit evidence, while GLP-1 agonists have emerged as adjuncts for glycemic control, weight management and cardiovascular risk reduction