Which criteria should be used to define type 2 diabetes remission after bariatric surgery?

BMC Surg. 2013 Mar 28;13:8. doi: 10.1186/1471-2482-13-8.

Abstract

Background: Comparison of diabetes remission rates after bariatric surgery using two different models of criteria.

Methods: Retrospective analysis of data from 110 patients with type 2 diabetes and morbid obesity who underwent bariatric surgery, preoperatively and at 18-month follow-up. Comparison of two models of remission: 1) 2009 consensus statement criteria; 2) simple criteria using ADA's HbA1c diabetes diagnostic cut-off values.

Results: Patients' mean ± SD preoperative characteristics were: age 53.3 ± 9.5 years, BMI 43.6 ± 5.5 kg/m(2), HbA1c 7.9 ± 1.8%, duration of diabetes 7.6 ± 7.5 years. 44.5% of patients with previous insulin therapy. With 2009 consensus statement criteria: complete, partial and no remission in 50%, 12.7% and 37.3%, respectively; with HbA1c criteria: 50%, 15% and 34.5% in the analogous categories (p=0.673).

Conclusions: We suggest a simpler approach to evaluate diabetes remission after bariatric surgery, following the rationale of the definition of diabetes itself.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bariatric Surgery / rehabilitation*
  • Bariatric Surgery / standards*
  • Diabetes Mellitus, Type 2 / blood
  • Diabetes Mellitus, Type 2 / physiopathology
  • Diabetes Mellitus, Type 2 / surgery*
  • Follow-Up Studies
  • Humans
  • Middle Aged
  • Obesity, Morbid / surgery*
  • Remission Induction
  • Retrospective Studies
  • Treatment Outcome