Bariatric surgery and diabetes: Implications of type 1 versus insulin‐requiring type 2

Objective To report the impact of bariatric surgery on metabolic outcomes in patients with type 1 diabetes (DM1) versus insulin‐requiring type 2 diabetes mellitus (IRDM2). Methods Ten subjects with DM1 were compared with 118 subjects with IRDM2 at baseline and at 1 and 2 years post‐bariatric surgery...

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Published in:Obesity (Silver Spring, Md.) Md.), 2015-03, Vol.23 (3), p.552-557
Main Authors: Maraka, Spyridoula, Kudva, Yogish C., Kellogg, Todd A., Collazo‐Clavell, Maria L., Mundi, Manpreet S.
Format: Article
Language:English
Subjects:
Anthropometry
Bariatric Surgery
Blood Glucose - metabolism
Body Weight
Cholesterol
Diabetes Mellitus, Type 1 - metabolism
Diabetes Mellitus, Type 2 - metabolism
Female
Humans
Insulin - therapeutic use
Male
Medical records
Middle Aged
Obesity
Physicians
Postoperative Period
Retrospective Studies
Treatment Outcome
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Summary:Objective To report the impact of bariatric surgery on metabolic outcomes in patients with type 1 diabetes (DM1) versus insulin‐requiring type 2 diabetes mellitus (IRDM2). Methods Ten subjects with DM1 were compared with 118 subjects with IRDM2 at baseline and at 1 and 2 years post‐bariatric surgery for: anthropometric measures, HbA1c, and number of medications (anti‐hyperglycemic, anti‐hypertensive, lipid‐lowering). Results DM1 and IRDM2 groups lost similar amounts of weight 2 years post‐bariatric surgery (39.5 ± 14.7 kg vs. 40.3 ± 24.4 kg). IRDM2 subjects had significant improvements in HbA1c (7.8% ± 1.4% vs. 6.8% ± 1.4%, P value
ISSN:1930-7381
1930-739X
DOI:10.1002/oby.20992