Abstract:
BACKGROUND:Long-term effects of bariatric surgery in morbidly obese type 1 patients are unknown. Five to eight-year experience in the case series of type 1 diabetes subjects is presented. METHODS:Three poorly controlled type 1 diabetes patients, aged 19, 23, and 28 underwent Roux-en-Y gastric bypass surgery. RESULTS:Their maximum body weight reduction noted during the follow-up was between 27% and 31% of baseline body weight, insulin requirement decreased from 0.6-0.95 to 0.3-0.83 IU/kg, and absolute reduction in HbA(1c) was 3-4%. Significant improvement in blood pressure, plasma lipid profile, and microalbuminuria was noted. CONCLUSIONS:RYGB surgery in morbidly obese type 1 diabetes patients leads to a significant and maintained weight loss and results in remarkable improvement in blood glucose control and concomitant disorders. Bariatric surgery should be recommended to significantly obese type 1 diabetes patients as a means of reduction of vascular complications risk.
journal_name
Obes Surgjournal_title
Obesity surgeryauthors
Czupryniak L,Wiszniewski M,Szymański D,Pawłowski M,Loba J,Strzelczyk Jdoi
10.1007/s11695-010-0074-6subject
Has Abstractpub_date
2010-04-01 00:00:00pages
506-8issue
4eissn
0960-8923issn
1708-0428journal_volume
20pub_type
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