Abstract | BACKGROUND: METHODS: Through retrospective analysis of prospectively collected data, ten patients with T1D (7 BPD, 3 SG) were matched with 20 patients with T2D (14 BPD, 6 SG) according to age, gender, type of surgery, initial Body Mass Index and insulin requirements (1:2 matching). Weight loss, diabetes control, and remission of co-morbidities were compared. RESULTS: Mean follow-up was 55.1 months. Mean Excess BMI Loss% tended to be greater in T1D patients compared to T2D (77.1% versus 68.3%, P = .14). The remission and improvement rates of T2D were 55% and 45% versus 0% and 90% for T1D. The remission rate of T2D was significantly greater after BPD (71.43%) compared to SG (16.67%, P = .04). Insulin requirements were significantly reduced in both groups after surgery (T1D: .44 ±.24 versus 1.09 ±.7 units/kg/d, P = 0.03, T2D: .03 ±.12 versus .89 ±.77 units/kg/d, P = .0001). Remission rates of hypertension and dyslipidemia were similar for T1D and T2D (66.7% versus 62.5%, P = .63 and 88.9% versus 75%, P = .23). CONCLUSIONS:
|
Authors | Maud Robert, Pascale Belanger, Frédéric Simon Hould, Simon Marceau, André Tchernof, Laurent Biertho |
Journal | Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery
(Surg Obes Relat Dis)
2015 Jul-Aug
Vol. 11
Issue 4
Pg. 798-805
ISSN: 1878-7533 [Electronic] United States |
PMID | 25868828
(Publication Type: Journal Article)
|
Copyright | Copyright © 2015 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved. |
Chemical References |
|
Topics |
- Adult
- Bariatric Surgery
(methods)
- Blood Glucose
(metabolism)
- Body Mass Index
- Diabetes Mellitus, Type 1
(blood, complications, surgery)
- Female
- Follow-Up Studies
- Humans
- Laparoscopy
(methods)
- Male
- Obesity, Morbid
(complications, surgery)
- Retrospective Studies
- Treatment Outcome
- Weight Loss
|