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Which criteria should be used to define type 2 diabetes remission after bariatric surgery?
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 o...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2013
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616830/ https://www.ncbi.nlm.nih.gov/pubmed/23537494 http://dx.doi.org/10.1186/1471-2482-13-8 |
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author | Ramos-Levi, Ana M Cabrerizo, Lucio Matía, Pilar Sánchez-Pernaute, Andrés Torres, Antonio J Rubio, Miguel A |
author_facet | Ramos-Levi, Ana M Cabrerizo, Lucio Matía, Pilar Sánchez-Pernaute, Andrés Torres, Antonio J Rubio, Miguel A |
author_sort | Ramos-Levi, Ana M |
collection | PubMed |
description | 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. |
format | Online Article Text |
id | pubmed-3616830 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2013 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-36168302013-04-05 Which criteria should be used to define type 2 diabetes remission after bariatric surgery? Ramos-Levi, Ana M Cabrerizo, Lucio Matía, Pilar Sánchez-Pernaute, Andrés Torres, Antonio J Rubio, Miguel A BMC Surg Research Article 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. BioMed Central 2013-03-28 /pmc/articles/PMC3616830/ /pubmed/23537494 http://dx.doi.org/10.1186/1471-2482-13-8 Text en Copyright © 2013 Ramos-Levi et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Research Article Ramos-Levi, Ana M Cabrerizo, Lucio Matía, Pilar Sánchez-Pernaute, Andrés Torres, Antonio J Rubio, Miguel A Which criteria should be used to define type 2 diabetes remission after bariatric surgery? |
title | Which criteria should be used to define type 2 diabetes remission after bariatric surgery? |
title_full | Which criteria should be used to define type 2 diabetes remission after bariatric surgery? |
title_fullStr | Which criteria should be used to define type 2 diabetes remission after bariatric surgery? |
title_full_unstemmed | Which criteria should be used to define type 2 diabetes remission after bariatric surgery? |
title_short | Which criteria should be used to define type 2 diabetes remission after bariatric surgery? |
title_sort | which criteria should be used to define type 2 diabetes remission after bariatric surgery? |
topic | Research Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3616830/ https://www.ncbi.nlm.nih.gov/pubmed/23537494 http://dx.doi.org/10.1186/1471-2482-13-8 |
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