The Role of Sleeve Gastrectomy on Preventing Type 2 Diabetes Mellitus

• Published in: Open access Macedonian journal of medical sciences Vol. 5; no. 3; pp. 316 - 318
• Main Authors: Olt, Serdar, ÖzdaÅŸ, Sabri, Åžirik, Mehmet
• Format: Journal Article
• Language: English
• Published: Macedonia ID Design 2012/DOOEL Skopje 15.06.2017
• Subjects: Clinical Science; Bariatric Surgery; Sleeve Gastrectomy; Type 2 Diabetes Mellitus; HbA1c; Blood Sugar Regulation
• ISSN: 1857-9655; 1857-9655
• DOI: 10.3889/oamjms.2017.074

AIM: To investigate the effect of bariatric surgery on HbA1c and serum cortisol levels in morbidly obese patients without type 2 diabetes mellitus.MATERIALS AND METHODS: Twenty-nine patients who underwent sleeve gastrectomy and whose body mass index was> 40 were included in the present study. Patients' files were reviewed retrospectively. Those with diabetes mellitus and those with age <18 were excluded from the study. Pre-operative and 1-year post operative data were documented. The obtained data were analysed by SPSS statistical program.RESULTS: The mean age of the patients was 27.4 ± 8.4. 5 of the patients were male, and 24 were female. The mean body mass index of the patients was 44 ± 2.3. 1 patient [3.4%] had hypertension. Four patients [13.7%] had gastroesophageal reflux disease. The number of smokers was 7 [24.1%], and the number of alcohol users was 3 [10.3%]. There was a statistically significant decrease in HbA1c, body mass index values after operation [p value <0.01], but cortisol was not different [p value = 0.72].CONCLUSION: In this present study we found that bariatric surgery caused a significant decrease in HbA1c levels in non-diabetic patients, suggesting that bariatric surgery may prevent Type 2 Diabetes Mellitus in obese patients.