Under the bariatric surgery criteria, which BMI with a comorbidity qualifies?

• A. BMI >=35 with HTN
• B. BMI >=28 with T2DM
• C. BMI >=40 with no comorbidity
• D. BMI >=35 with T2DM qualifies

Answer: (D)

Bariatric surgery eligibility hinges on a BMI threshold combined with an obesity-related comorbidity. The standard rule is that a BMI of 35 or higher with a comorbidity qualifies, and a BMI of 40 or higher qualifies regardless of comorbidity. Type 2 diabetes is a clearly recognized obesity-related comorbidity, so having a BMI of 35 or more with T2DM meets the criteria. This makes the option with BMI 35+ and T2DM the best match, since it combines the lower BMI threshold with a well-established comorbidity. The other scenarios don’t fit this specific pairing: a BMI of 28 with T2DM is below the threshold, a BMI of 40 with no comorbidity lacks the required comorbidity, and while BMI 35 with hypertension could also be eligible under the general rule, the diabetes example is the clearest demonstration used here.