Which criteria should be used to define type 2 diabetes remission after bariatric surgery?

BMC Surgery

Miguel A Rubio²  Antonio J Torres¹  Andrés Sánchez-Pernaute¹  Pilar Matía²  Lucio Cabrerizo²  Ana M Ramos-Levi² 

[1] Department of Surgery, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria San Carlos (IdISSC), Facultad de Medicina, Complutense University, Madrid, Spain;Department of Endocrinology and Nutrition, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria San Carlos (IdISSC), Facultad de Medicina, Complutense University, Madrid, Spain

关键词: Morbid obesity;    Remission criteria;    Bariatric surgery;    Diabetes remission;    Diabetes;   

Others  :  1123336
DOI  :  10.1186/1471-2482-13-8

 received in 2012-08-29, accepted in 2013-03-27,  发布年份 2013

【 摘 要 】

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/m², 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.

【 授权许可】

   
2013 Ramos-Levi et al.; licensee BioMed Central Ltd.

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