GLYCEMIC BEHAVIOR IN 48 HOURS POSTOPERATIVE PERIOD OF PATIENTS WITH TYPE 2 DIABETES MELLITUS AND NON DIABETIC SUBMITTED TO BARIATRIC SURGERY

ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

Lucas Freitas De Oliveira¹  Caroline Gewehr Tisott¹  Diego Machado Silvano¹  Camila Mafalda Mouta Campos¹  Ricardo Reis Do Nascimento¹ 

关键词: Bariatric surgery;    Metabolic surgery;    Type 2 diabetes mellitus;    Cirurgia bariátrica;    Cirurgia metabólica;    Diabete melito tipo 2;   

DOI  :  10.1590/S0102-6720201500S100009

来源: SciELO

【 摘 要 】

Although there is no indication for surgery taking only into account the glycemic condition, results have shown that benefits can be obtained in glycemic control with bariatric surgery.Aim: To compare the glycemic behavior among type 2 diabetic and non-diabetic patients within 48 h after bariatric surgery, and clarify whether there is a reduction in blood glucose level in obese patients with diabetes before the loss of weight excess.Methods: Descriptive epidemiological study with prospective cohort design with 31 obese patients undergoing Roux-en-Y gastric bypass and sleeve gastrectomy. The patients were controlled with hemoglucotests in different periods of time: preoperative, postoperative and each 6 h after surgery for 48 h.Results: Average ambulatory blood glucose in diabetics was 120.7±2.9 mg/dl vs 91.8±13.9 mg/dl in the nondiabetic. After 48 h there was decrease in diabetics to 100.0±17.0 mg/dl (p=0.003), while the non-diabetic group did not change significantly (102.7±25.4 mg/dl; p=0.097). There were no differences between the surgical techniques. There were no death.Conclusions: Diabetic patients significantly reduced blood glucose after surgery regardless of the use of exogenous insulin or oral hypoglycemic agents.

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