Rapid Resolution of Diabetes after Gastric Bypass

Effective surgical treatment of diabetes for the obese patient

“…Improved control of type 2 diabetes after weight loss surgery has been well described [17,19]. Those with more recent onset of diabetes, fewer treatment requirements, and less weight gain are more likely to achieve remission, making bariatric surgery an attractive treatment option to consider for severely obese patients with favorable characteristics [2].…”

“…A case report from Lima et al [19] shows the rapid resolution of diabetes after GBP. After a very low calorie diet prior to weight loss surgery, a 47-year-old woman with a BMI of 65.5 kg/m 2 (165.5 kg, 1.59 m tall) was on 46.9 ± 2.8 U/d of insulin; glycemic control remained poor (mean fasting plasma glucose 160.5 ± 30 mg/dL; pre-lunch 161.6 ± 52 mg/dL; pre-dinner 140.5 ± 24 mg/dL; bedtime 162.9 ± 44 mg/dL).…”

Obese Patients with Type 2 Diabetes Submitted to Banded Gastric Bypass: Greater Incidence of Dumping Syndrome

“…New hypotheses on the mechanism of action in the control of DM2 and the discovery of various hormones prompted us to relate possible influences not involved only with the control of glycemia [1][2][3][4][5][6][7][8]. Dumping syndrome is one of the ten most common complications in morbidly obese patients operated.…”

Behavior of Type 2 Diabetes Mellitus in Morbid Obese Patients Submitted to Gastric Bypass

“…Surgical treatment of morbid obesity has not only resulted in weight loss but also the control of comorbidities, such as systemic arterial hypertension, DM2, and dyslipidemia [1,2]. Recent studies have probed the mechanism by which morbid obese patients control DM2 after bariatric surgery [3][4][5][6][7][8][9][10][11][12][13][14][15]. The large majority of these patients are discharged 4 days after surgery without the need for antidiabetic medication.…”