%0 Journal Article
%A Mateo-Gavira, Isabel
%A Sánchez-Toscano, Esteban
%A Mayo-Ossorio, Mª Ángeles
%A Pacheco-García, José Manuel
%A Prada-Oliveira, Jose Arturo
%A Vílchez-López, Francisco Javier
%T Evaluation of Clinical Factors Predictive of Diabetes Remission Following Bariatric Surgery
%D 2021
%U http://hdl.handle.net/10668/4040
%X Bariatric surgery is an effective treatment for achieving significant weight loss and improving metabolic comorbidities such as type 2 diabetes mellitus (T2DM). The aim of our study was to investigate clinical factors related to T2DM remission in obese patients who had undergone bariatric surgery. Methods: A cohort of patients with T2DM and a minimum of class II obesity undergoing bariatric surgery had their clinical and anthropometric variables assessed. The statistical evaluation included multivariate analyses of clinical factors predicting a T2DM remission two years post-surgery. Results: 83 patients were included (mean age 44.13 ± 10.38 years). Two years post-surgery, the percentage of excess weight lost was 63.43 ± 18.59%, and T2DM was resolved in 79.5% of the patients. T2DM remission was directly related to a high body mass index (BMI) (OR: 1.886; p = 0.022) and the absence of macro-vascular complications (OR: 34.667; p = 0.002), while it was inversely associated with T2DM with a duration longer than 5 years (OR: 0.022; p = 0.040) and baseline insulin treatment (OR: 0.001; p = 0.009). 15.6% of the patients presented early complications and 20.5% developed late complications. Conclusion: In our study sample, bariatric surgery proved to be an effective and safe technique for sustained medium-term weight loss and the resolution of T2DM. A higher baseline BMI, a shorter T2DM duration, non-insulin treatment, and the absence of macro-vascular complications are factors predictive of T2DM remission.
%K Type 2 diabetes mellitus
%K Diabetes remission
%K Metabolic surgery
%K Bariatric surgery
%K Body mass index
%K Weight loss
%K Diabetes mellitus tipo 2
%K Cirugía bariátrica
%K Índice de masa corporal
%K Pérdida de peso
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