Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient

The effects of bariatric/metabolic surgery on glycemic control in obese type 1 diabetic patients are controversial. We herein report a case of a morbidly obese 35-year-old woman who completely recovered from slowly progressive type 1 diabetes (SPIDDM) following laparoscopic sleeve gastrectomy. Preop...

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Autores principales: Hironaka, Jun-ya, Kitahama, Seiichi, Sato, Hiroyuki, Inoue, Maki, Takahashi, Tetsuya, Tamori, Yoshikazu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2018
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443562/
https://www.ncbi.nlm.nih.gov/pubmed/30333397
http://dx.doi.org/10.2169/internalmedicine.1217-18
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author Hironaka, Jun-ya
Kitahama, Seiichi
Sato, Hiroyuki
Inoue, Maki
Takahashi, Tetsuya
Tamori, Yoshikazu
author_facet Hironaka, Jun-ya
Kitahama, Seiichi
Sato, Hiroyuki
Inoue, Maki
Takahashi, Tetsuya
Tamori, Yoshikazu
author_sort Hironaka, Jun-ya
collection PubMed
description The effects of bariatric/metabolic surgery on glycemic control in obese type 1 diabetic patients are controversial. We herein report a case of a morbidly obese 35-year-old woman who completely recovered from slowly progressive type 1 diabetes (SPIDDM) following laparoscopic sleeve gastrectomy. Preoperatively, her body mass index (BMI) was 49.8 kg/m(2) and hemoglobin A1c was 5.7% with intensive insulin therapy. Six months after bariatric/metabolic surgery, her BMI decreased to 33.2 kg/m(2) and her glycemic control was normal despite the discontinuation of all diabetic medicine. This case demonstrates the usefulness of bariatric/metabolic surgery for achieving glycemic control in morbidly obese patients with SPIDDM in Japan.
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spelling pubmed-64435622019-04-02 Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient Hironaka, Jun-ya Kitahama, Seiichi Sato, Hiroyuki Inoue, Maki Takahashi, Tetsuya Tamori, Yoshikazu Intern Med Case Report The effects of bariatric/metabolic surgery on glycemic control in obese type 1 diabetic patients are controversial. We herein report a case of a morbidly obese 35-year-old woman who completely recovered from slowly progressive type 1 diabetes (SPIDDM) following laparoscopic sleeve gastrectomy. Preoperatively, her body mass index (BMI) was 49.8 kg/m(2) and hemoglobin A1c was 5.7% with intensive insulin therapy. Six months after bariatric/metabolic surgery, her BMI decreased to 33.2 kg/m(2) and her glycemic control was normal despite the discontinuation of all diabetic medicine. This case demonstrates the usefulness of bariatric/metabolic surgery for achieving glycemic control in morbidly obese patients with SPIDDM in Japan. The Japanese Society of Internal Medicine 2018-10-17 2019-03-01 /pmc/articles/PMC6443562/ /pubmed/30333397 http://dx.doi.org/10.2169/internalmedicine.1217-18 Text en Copyright © 2019 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hironaka, Jun-ya
Kitahama, Seiichi
Sato, Hiroyuki
Inoue, Maki
Takahashi, Tetsuya
Tamori, Yoshikazu
Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient
title Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient
title_full Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient
title_fullStr Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient
title_full_unstemmed Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient
title_short Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient
title_sort sleeve gastrectomy induced remission of slowly progressive type 1 diabetes in a morbidly obese japanese patient
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6443562/
https://www.ncbi.nlm.nih.gov/pubmed/30333397
http://dx.doi.org/10.2169/internalmedicine.1217-18
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