Which criteria should be used to define type 2 diabetes remission after bariatric surgery?
Which criteria should be used to define type 2 diabetes remission after bariatric surgery?
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DOI：
10.1186/1471-2482-13-8
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发表时间：
2013-03-28
期刊：
影响因子：
1.9
通讯作者：
Rubio, Miguel A.
中科院分区：
文献类型：
--
作者：
Ramos-Levi, Ana M.;Cabrerizo, Lucio;Rubio, Miguel A.
背景资料：采用两种不同模型的criteris.Methods：回顾性分析110例2型糖尿病和病态肥胖患者接受减肥手术，术前和18个月随访的数据。两种缓解模型的比较：1）2009年共识声明标准; 2）使用ADA的HbA 1c糖尿病诊断临界值的简单标准。结果：患者的平均+/- SD术前特征为：年龄53.3 ± 9.5岁，BMI 43.6 ± 5.5 kg/m2，HbA 1c 7.9 ± 1.8%，糖尿病病程7.6 ± 7.5年。44.5%的患者既往接受过胰岛素治疗。与2009年共识声明标准：完全，部分和无缓解分别为50%，12.7%和37.3%，与HbA 1c标准：50%，15%和34.5%的类似类别（p = 0.673）。结论：我们建议一个更简单的方法来评估减肥手术后糖尿病缓解，以下的糖尿病本身的定义的基本原理。
Background: Comparison of diabetes remission rates after bariatric surgery using two different models of criteria.Methods: Retrospective analysis of data from 110 patients with type 2 diabetes and morbid obesity who underwent bariatric surgery, preoperatively and at 18-month follow-up. Comparison of two models of remission: 1) 2009 consensus statement criteria; 2) simple criteria using ADA's HbA1c diabetes diagnostic cut-off values.Results: Patients' mean +/- SD preoperative characteristics were: age 53.3 +/- 9.5 years, BMI 43.6 +/- 5.5 kg/m(2), HbA1c 7.9 +/- 1.8%, duration of diabetes 7.6 +/- 7.5 years. 44.5% of patients with previous insulin therapy. With 2009 consensus statement criteria: complete, partial and no remission in 50%, 12.7% and 37.3%, respectively; with HbA1c criteria: 50%, 15% and 34.5% in the analogous categories (p = 0.673).Conclusions: We suggest a simpler approach to evaluate diabetes remission after bariatric surgery, following the rationale of the definition of diabetes itself.