Laparoscopic Sleeve Gastrectomy for the Management of Type 1 Diabetes Mellitus

Laparoscopic Sleeve Gastrectomy for the Management of Type 1 Diabetes Mellitus Background The prevalence of obesity is on a continuous rise 31.4 ± 8.4 kg/m . Mean %EWL after the follow-up period worldwide, with major studies clearly correlating obesity with was 74.4 ± 25.3%. A1C levels failed to show a significant the development of chronic metabolic disorders including difference 12 months post-op (p = 0.189). Cholesterol type 2 diabetes. Bariatric surgery has proven to be beneficial levels did not display a significant decrease either in the management of this condition; however, a limited num- (p = 0.447). When it came to insulin requirements, a sig- ber of studies exist on its effect on type 1 diabetes. nificant difference was perceived, with the mean number of Objective The objective of this study is to evaluate the out- units of insulin required dropping from 76.6 to 18.2 come of laparoscopic sleeve gastrectomy for the management (p = 0.026). FBS readings also showed a drop from of patients with type 1 diabetes (DM1). 15.1±3.8to7.8±2.9mmol/L (p = 0.001). Setting This is a retrospective cohort study conducted in a Conclusions Laparoscopic sleeve gastrectomy resulted in sig- university hospital and private practice in Kuwait. nificant weight loss, comorbidity resolution as well as reduc- Research Design and http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Obesity Surgery Springer Journals

Laparoscopic Sleeve Gastrectomy for the Management of Type 1 Diabetes Mellitus

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Publisher
Springer US
Copyright
Copyright © 2017 by Springer Science+Business Media, LLC
Subject
Medicine & Public Health; Surgery
ISSN
0960-8923
eISSN
1708-0428
D.O.I.
10.1007/s11695-017-2777-4
Publisher site
See Article on Publisher Site

Abstract

Background The prevalence of obesity is on a continuous rise 31.4 ± 8.4 kg/m . Mean %EWL after the follow-up period worldwide, with major studies clearly correlating obesity with was 74.4 ± 25.3%. A1C levels failed to show a significant the development of chronic metabolic disorders including difference 12 months post-op (p = 0.189). Cholesterol type 2 diabetes. Bariatric surgery has proven to be beneficial levels did not display a significant decrease either in the management of this condition; however, a limited num- (p = 0.447). When it came to insulin requirements, a sig- ber of studies exist on its effect on type 1 diabetes. nificant difference was perceived, with the mean number of Objective The objective of this study is to evaluate the out- units of insulin required dropping from 76.6 to 18.2 come of laparoscopic sleeve gastrectomy for the management (p = 0.026). FBS readings also showed a drop from of patients with type 1 diabetes (DM1). 15.1±3.8to7.8±2.9mmol/L (p = 0.001). Setting This is a retrospective cohort study conducted in a Conclusions Laparoscopic sleeve gastrectomy resulted in sig- university hospital and private practice in Kuwait. nificant weight loss, comorbidity resolution as well as reduc- Research Design and

Journal

Obesity SurgerySpringer Journals

Published: Jun 26, 2017

References

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