Remission of Type 2 Diabetes in an Adolescent Undergoing Bariatric Surgery

Abstract

The prevalence of overweight and obesity in Mexican children and adults has increased in the last three decades and this has caused that, currently, Mexico is one of the two countries with the highest prevalence of obesity in the world. The national health and nutrition survey establishes that in 2016 the prevalence of overweight in the group of schoolchildren was 17.9% and that of obesity 15.3% [1]. In the adolescent population, the combined prevalence of overweight and obesity was 36.3%, which causes a risk of presenting associated comorbidities [2].Morbid obesity is defined as patients with a BMI> 40kg/m2, patients with this type of obesity will have a higher risk of diabetes, hypertension, dyslipidemia and cardiovascular disease, studies have shown that a decrease in weight of 5-10%, cause improvement in metabolic profile with possible resolution of diabetes. Bariatric surgery has been shown to achieve 56% loss of body weight, 62% resolution of hypertension, improvement of dyslipidemia in 70%, and resolution of type 2 diabetes in 57% of patients with morbid obesity and associated comorbidities [3][4][5].Next, we present the case of an adolescent with morbid obesity, treated at the morbid obesity clinic of the Hospital Infantil de México Federico Gómez, who after undergoing gastric bypass presents a reduction of 22% in his initial weight and resolution of the diagnosis of diabetes type 2 mellitus by biochemical and clinical parameters.