Take the Diabetes Health Pump Survey
See What's Inside
Read this FREE issue now
For healthcare professionals only
  • 12 Tips for Traveling With Diabetes
See the entire table of contents here!

You can view the current or previous issues of Diabetes Health online, in their entirety, anytime you want.
Click Here To View

See if you qualify for our free healthcare professional magazines. Click here to start your application for Pre-Diabetes Health, Diabetes Health Pharmacist and Diabetes Health Professional.

Learn More About the Professional Subscription

Free Diabetes Health e-Newsletter
Latest
Popular
Top Rated
Type 2 Issues Archives
Print | Email | Share | Comments (1)

Type 2: Diabetes Recurrence After Bariatric Surgery May Depend on Diabetes Duration


Jul 9, 2012

Bariatric surgery, which alters or blocks portions of the digestive system, has produced long-term remission of diabetes symptoms in many type 2 patients. However, a small study of obese type 2 patients who underwent bariatric surgery shows that the longer they had diabetes, the greater the chances that their disease recurred after surgery. The retrospective study, conducted by Yessica Ramos, MD, at the Mayo Clinic Arizona, found that patients who had had diabetes for five years or longer were nearly four times as likely to experience a recurrence of the disease after the remission brought on by the surgery.

For her study, Ramos and fellow researchers looked at the records of 72 type 2 patients who underwent Roux-en-Y gastric bypass from January 2000 through December 2007. In this form of surgery, the most common bariatric procedure, surgeons divide the stomach into two parts, creating a small upper pouch and a larger lower "remnant" pouch. They then alter the small intestine to connect to both. The surgery results in much reduced appetite and food intake and often leads to remission of diabetes symptoms.

The patients had a mean age of almost 50 years and a mean preoperative BMI of 45.6, which is morbidly obese. Their mean A1C was 7.2%. Statistically, the group matched the demographic of most bariatric patients, with women making up 75 percent of the group. More than three-quarters of the patients had been on oral diabetes medications before surgery, while almost 17 percent had been using insulin.

Ramos's team defined remission as an A1C of under 6.5% without the assistance of drugs or other therapy. They defined recurrence as an A1C of 6.5% or higher or the need for medical assistance in maintaining an A1C under 6.5%.

Almost 92 percent of the 72 patients (66 people) experienced remission after the surgery. Fourteen of those 66 patients later experienced a recurrence of their diabetes: five within two years of the surgery, and three each at three, four, and five years. Ramos found that the patients who had had diabetes for five or more years had a much higher likelihood of recurrence. One explanatory theory is that longer-term type 2 patients have suffered greater beta cell depletion, a common outcome of the disease.

Ramos said that her findings might encourage obese type 2s to undergo bariatric surgery sooner rather than later.

Source: MedPage Today


Categories: A1C, Bariatric Surgery, Diabetes, Diabetes Health, Obese, Surgery, Type 2 Issues



You May Also Be Interested In...


Click Here To View Or Post Comments

Comments 1 comment - Jul 9, 2012

©1991-2014 Diabetes Health | Home | Privacy | Press | Advertising | Help | Contact Us | Donate | Sitemap

Diabetes Health Medical Disclaimer

The information on this site is not intended or implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained on or available through this website is for general information purposes only. Opinions expressed here are the opinions of writers, contributors, and commentators, and are not necessarily those of Diabetes Health. Never disregard professional medical advice or delay seeking medical treatment because of something you have read on or accessed through this website.