Which criteria should be used to define type 2 diabetes remission after bariatric surgery?
BMC Surg
; 13: 8, 2013 Mar 28.
Article
em En
| MEDLINE
| ID: mdl-23537494
ABSTRACT
BACKGROUND:
Comparison of diabetes remission rates after bariatric surgery using two different models of criteria.METHODS:
Retrospective analysis of data from 110 patients with type 2 diabetes and morbid obesity who underwent bariatric surgery, preoperatively and at 18-month follow-up. Comparison of two models of remission 1) 2009 consensus statement criteria; 2) simple criteria using ADA's HbA1c diabetes diagnostic cut-off values.RESULTS:
Patients' mean ± SD preoperative characteristics were age 53.3 ± 9.5 years, BMI 43.6 ± 5.5 kg/m(2), HbA1c 7.9 ± 1.8%, duration of diabetes 7.6 ± 7.5 years. 44.5% of patients with previous insulin therapy. With 2009 consensus statement criteria complete, partial and no remission in 50%, 12.7% and 37.3%, respectively; with HbA1c criteria 50%, 15% and 34.5% in the analogous categories (p=0.673).CONCLUSIONS:
We suggest a simpler approach to evaluate diabetes remission after bariatric surgery, following the rationale of the definition of diabetes itself.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Obesidade Mórbida
/
Diabetes Mellitus Tipo 2
/
Cirurgia Bariátrica
Tipo de estudo:
Observational_studies
/
Prognostic_studies
Limite:
Humans
/
Middle aged
Idioma:
En
Revista:
BMC Surg
Ano de publicação:
2013
Tipo de documento:
Article
País de afiliação:
Espanha