RT Journal Article
T1 Evaluation of Clinical Factors Predictive of Diabetes Remission Following Bariatric Surgery
A1 Mateo-Gavira, Isabel
A1 Sánchez-Toscano, Esteban
A1 Mayo-Ossorio, Mª Ángeles
A1 Pacheco-García, José Manuel
A1 Prada-Oliveira, Jose Arturo
A1 Vílchez-López, Francisco Javier
K1 Type 2 diabetes mellitus
K1 Diabetes remission
K1 Metabolic surgery
K1 Bariatric surgery
K1 Body mass index
K1 Weight loss
K1 Diabetes mellitus tipo 2
K1 Cirugía bariátrica
K1 Índice de masa corporal
K1 Pérdida de peso
AB 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.
PB MDPI
YR 2021
FD 2021-05-01
LK http://hdl.handle.net/10668/4040
UL http://hdl.handle.net/10668/4040
LA en
NO Mateo-Gavira I, Sánchez-Toscano E, Mayo-Ossorio MÁ, Pacheco-García JM, Prada-Oliveira JA, Vílchez-López FJ. Evaluation of Clinical Factors Predictive of Diabetes Remission Following Bariatric Surgery. J Clin Med. 2021 May 1;10(9):1945.
DS RISalud
RD Apr 17, 2025