GLYCEMIA LEVELS IN PATIENTS WITH POST-BARIATRIC POST-SURGERY
Abstract
Type II diabetes mellitus is associated with obesity, obese patients are considered diabetic if fasting glycemia is greater than 126 mg/dL, they present insulin resistance, which is primarily compensatory hyperinsulinemia. Due to the complications that can occur when diabetes is poorly controlled, such as myocardial infarction, among others, it is important to maintain normal blood glucose levels. The objective was to determine the glycemia levels in patients with post-bariatric surgery. The investigation was cross-sectional, 105 obese patients who had undergone bariatric surgery were used and the Chi-Square test was used. Pre-surgical glucose was analyzed where 46.71% of the patients presented values higher than 126 mg/dl of glycemia, and glycosylated hemoglobin (HbA1) 60% was higher than 6.5%. One year after surgery, glucose determination higher than 126mg/dl occurred only in 4.80% and glycosylated hemoglobin higher than 6.5%. (p<0.001) in 7.69%. It is concluded that 95.24% of the patients had glucose lower than 126mg/dl after a year of surgery, demonstrating that with bariatric surgery there was remission of type II diabetes.
Downloads
References
Serra EE. Bypass gástrico vs manga gástrica:
comparación de resultados sobre diabetes tipo 2,
descenso de peso y complicaciones. Revisión de
ensayos clínicos controlados aleatorizados. Acta
Gastroenterológica Latinoamericana. 2015;45(2).
Berezo, M. (2016). La cirugía bariátrica en el tratamiento
de la diabetes méllitus tipo 2. Valladolid:
Universidad de Valladolid. Repositorio documental
URL: https://uvadoc.uva.es/handle/10324/24878
Boix DB, Arno AG, Pedro-Botet J. La cirugía bariátrica
como tratamiento de la diabetes tipo II Medicina
Clínica. 2012 Apr 14;138(9):391-6.
Esper RC, Delgadillo CR, Toríz DL, Prado AB, Córdova
JR. Tratamiento quirúrgico de la diabetes
mellitus tipo 2. Medicina Interna de México. 2012
Jan 1;28(1):38.
García SD, Sanz SD, Sanz AD. Diabetes mellitus
tipo 2 y obesidad: ¿tratar la obesidad o la diabetes?
Medicina Clínica. 2013 sep. 1; 141:14-9.
Geltrude Mingrone 1, Simona Panunzi . Bariatric-
metabolic surgery versus conventional medical
treatment in obese patients with type 2 diabetes:
5-year follow-up of a single-center, open-label,
randomized controlled trial. Obes Surg Mayo de
2017; 27 (5): 1345-1357. DOI: 10.1016 / S0140-
6736 (15) 00075-6.
Hafiz Sarwar 1, William H Chapman tercero ET AL.
Hipoglucemia después del bypass gástrico en Y
de Roux: la experiencia BOLD Obes Surg. 2014
Julio; 24 (7): 1120-4. DOI: 10.1007 / s11695-014-
1260-8
Hernández Rodríguez J, Licea Puig ME, Castelo
Elías-Calles L. Respuestas para algunas preguntas
sobre obesidad y cirugía bariátrica. Revista
Cubana de Endocrinología. 2013 Apr; 24(1):70-
93.
Jean-Baptiste Cavin, André Bado , Maude Le Gall
. Adaptaciones intestinales después de la cirugía
bariátrica: consecuencias sobre la homeostasis
de la glucosa. Tendencias Endocrinol Metab
Mayo de 2017; 28 (5): 354-364.
Lahsen MR. Síndrome metabólico y diabetes.
Revista Médica Clínica Las Condes. 2014 Jan
1;25(1):47-52.
Lanzaren E. Diabetes tipo 2 y obesidad leve: tratamiento
quirúrgico. Revista chilena de cirugía.
2013 feb;65(1):41-9.
Lanzarini E, Molina JC, Lara I, Csendes A. Resultados
del bypass gástrico en diabéticos tipo 2 con
índice de masa corporal menor a 35 Kg/m2. Rev
Hosp Clín Chile [Internet]. 2012;23: 251-6.
Maluenda GF. cirugía bariátrica. Revista Médica
Clínica Las Condes. 2012 Mar 1;23(2):180-8.
Solís-Ayala E, Carrillo-Ocampo L, Canché-Arenas
A, Cortázar-Benítez L, Cabrera-Jardines R,
Rodríguez-Weber F, Díaz-Greene EJ. Cirugía
bariátrica: resultados metabólicos y complicaciones.
Med Int Mex. 2013 sep. 1;29(5):487-94.
Thomas, EL., Parkinson, JR., Frost, GS., Goldstone,
AP., Doré, CJ., McCarthy, JP., Collins, AL., Fitzpatrick,
JA., Durighel, G., Taylor-Robinson, SD.,
y Bell, JD. (2012). The missing risk: MRI and MRS
phenotyping of abdominal adiposity and ectopic
fat. Obesity (Silver Spring), 20(1), 76-87.
Zerrwcek López C, Pereyra Talamantes A. Remisión
a mediano plazo de la diabetes mellitus
tipo 2 posterior a cirugía bariátrica en mexicanos:
bypass gástrico laparoscópico versus gastroplastia
vertical en manga. 2015 Dic; 16: 13-18
Copyright (c) 2022 Ana María Viteri Rojas, Karina Johana Cevallos Cárdenas, Katherine Angélica Sánchez Alcántara
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Copyright
Authors who publish in this journal agree to the following terms:
Authors retain copyright and grant the journal the right to be the first publication where the article is submitted, which is published under a Creative Commons Attribution License, which allows others to share the work upon acknowledgment of authorship of the work and initial publication in this journal.
Authors may separately enter into additional agreements for non-exclusive distribution of the version of the work published in the journal (e.g., placing it in an institutional repository or publishing it in a book), with an acknowledgement of its initial publication in this journal.
This work is licensed under the license:
Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0).
_.jpg)
_(1).jpg)
1.jpg)
