scholarly journals Bariatric Surgery and Type 1 Diabetes: Unanswered Questions

2020 ◽  
Vol 11 ◽  
Author(s):  
Emmanouil Korakas ◽  
Aikaterini Kountouri ◽  
Athanasios Raptis ◽  
Alexander Kokkinos ◽  
Vaia Lambadiari
Author(s):  
Nagi Mohammed ◽  
Adam Buckley ◽  
Mohgah Elsheikh ◽  
Matthew Allum ◽  
Sara Suliman ◽  
...  

2019 ◽  
Vol 10 ◽  
pp. 204201881882220 ◽  
Author(s):  
Zohar Landau ◽  
Galit Kowen-Sandbank ◽  
Daniela Jakubowicz ◽  
Asnat Raziel ◽  
Nasser Sakran ◽  
...  

Objective: We examined short and long-term outcomes of bariatric surgery in patients with obesity and type 1 diabetes mellitus (T1DM). Methods: We reviewed the records of all adults insured by Maccabi Healthcare Services during 2010 -2015, with body mass index (BMI) ⩾30 kg/m2 and T1DM; and compared weight reduction and glucose control according to the performance of bariatric surgery. BMI and glycated hemoglobin (HbA1c) levels were extracted for baseline and every 6 months, for a mean 3.5 years. Results: Of 52 patients, 26(50%) underwent bariatric surgery. Those who underwent surgery were more often female and with a longer duration of diabetes. Immediately postoperative, 4(15%) developed diabetic ketoacidosis, while 6(23%) experienced severe hypoglycemic episodes. The mean BMI decreased among surgery patients: from 39.5±4.4 to 30.1±5.0 kg/m2 ( p < 0.0001); and increased among those who did not undergo surgery: from 33.6±3.9 to 35.1±4.4 kg/m2 ( p = 0.49). The mean HbA1c level decreased during the first 6 months postoperative: from 8.5±0.9% to 7.9±0.9%; however, at the end of follow-up, was similar to baseline, 8.6±2.0% (p = 0.87). For patients who did not undergo surgery, the mean HbA1c increased from 7.9±1.9% to 8.6±1.5% ( p = 0.09). Conclusions: Among individuals with obesity and T1DM, weight loss was successful after bariatric surgery, but glucose control did not improve. The postoperative risks of diabetic ketoacidosis and severe hypoglycemic episodes should be considering when performing bariatric surgery in this population.


2013 ◽  
Vol 60 (1) ◽  
pp. 46-47
Author(s):  
Rebeca Reyes Garcia ◽  
Manuel Romero Muñoz ◽  
Héctor Galbis Verdú

2015 ◽  
Vol 11 (6) ◽  
pp. S166-S168
Author(s):  
Ali Aminian ◽  
John Kirwan ◽  
Bartolome Burguera ◽  
Sangeeta Kashyap ◽  
Philip Schauer ◽  
...  

Diabetes Care ◽  
2014 ◽  
Vol 37 (3) ◽  
pp. e51-e52 ◽  
Author(s):  
Stacy A. Brethauer ◽  
Ali Aminian ◽  
Raul J. Rosenthal ◽  
John P. Kirwan ◽  
Sangeeta R. Kashyap ◽  
...  

PEDIATRICS ◽  
2013 ◽  
Vol 132 (4) ◽  
pp. e1031-e1034 ◽  
Author(s):  
J. Chuang ◽  
M. H. Zeller ◽  
T. Inge ◽  
N. Crimmins

2015 ◽  
Vol 26 (8) ◽  
pp. 1697-1704 ◽  
Author(s):  
Hutan Ashrafian ◽  
Leanne Harling ◽  
Tania Toma ◽  
Christina Athanasiou ◽  
Nikolaos Nikiteas ◽  
...  

2020 ◽  
Vol 15 (1) ◽  
pp. 46-50
Author(s):  
Gustavo Fernandez-Ranvier ◽  
Aryan Meknat ◽  
Daniela E. Guevara ◽  
Naif Alenazi ◽  
Hugo Ruiz ◽  
...  

Diabetes Care ◽  
2014 ◽  
Vol 37 (8) ◽  
pp. e173-e174 ◽  
Author(s):  
Matthias Lannoo ◽  
Bruno Dillemans ◽  
Yves Van Nieuwenhove ◽  
Steffen Fieuws ◽  
Chantal Mathieu ◽  
...  

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