The Recovery of Beta-Cell Function is Critical for Antidiabetic Outcomes of Gastric Bypass in Asian Subjects with Type 2 Diabetes and a Body Mass Index Below 30
Type 2 diabetes (T2D) in Asian populations is characterized by a lower body mass index (BMI) than in Caucasian cases. This pilot study investigated antidiabetic outcomes after a Roux-en-Y gastric bypass (RYGB) in Asian subjects with T2D and BMI < 30. Fifteen Koreans with poorly controlled T2D and...
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| Published in | Obesity surgery Vol. 27; no. 2; pp. 541 - 544 |
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| Main Authors | , , , , |
| Format | Journal Article |
| Language | English |
| Published |
New York
Springer US
01.02.2017
Springer Nature B.V |
| Subjects | |
| Online Access | Get full text |
| ISSN | 0960-8923 1708-0428 1708-0428 |
| DOI | 10.1007/s11695-016-2455-y |
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| Abstract | Type 2 diabetes (T2D) in Asian populations is characterized by a lower body mass index (BMI) than in Caucasian cases. This pilot study investigated antidiabetic outcomes after a Roux-en-Y gastric bypass (RYGB) in Asian subjects with T2D and BMI < 30. Fifteen Koreans with poorly controlled T2D and BMI 23–30 underwent RYGB. Two years after RYGB, seven patients achieved HbA
1c
< 6.5% without medication (target-achieved). The other cases also showed improved glycemic control. The insulin secretory response during an oral glucose tolerance test was significantly restored in the target-achieved group. Postoperative changes in insulin sensitivity and body weight did not differ between these groups. Beta-cell function improvement is an important determinant of the long-term antidiabetic outcomes of RYGB in Asian subjects with BMI < 30. |
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| AbstractList | Type 2 diabetes (T2D) in Asian populations is characterized by a lower body mass index (BMI) than in Caucasian cases. This pilot study investigated antidiabetic outcomes after a Roux-en-Y gastric bypass (RYGB) in Asian subjects with T2D and BMI < 30. Fifteen Koreans with poorly controlled T2D and BMI 23-30 underwent RYGB. Two years after RYGB, seven patients achieved HbA
< 6.5% without medication (target-achieved). The other cases also showed improved glycemic control. The insulin secretory response during an oral glucose tolerance test was significantly restored in the target-achieved group. Postoperative changes in insulin sensitivity and body weight did not differ between these groups. Beta-cell function improvement is an important determinant of the long-term antidiabetic outcomes of RYGB in Asian subjects with BMI < 30. Type 2 diabetes (T2D) in Asian populations is characterized by a lower body mass index (BMI) than in Caucasian cases. This pilot study investigated antidiabetic outcomes after a Roux-en-Y gastric bypass (RYGB) in Asian subjects with T2D and BMI < 30. Fifteen Koreans with poorly controlled T2D and BMI 23–30 underwent RYGB. Two years after RYGB, seven patients achieved HbA 1c < 6.5% without medication (target-achieved). The other cases also showed improved glycemic control. The insulin secretory response during an oral glucose tolerance test was significantly restored in the target-achieved group. Postoperative changes in insulin sensitivity and body weight did not differ between these groups. Beta-cell function improvement is an important determinant of the long-term antidiabetic outcomes of RYGB in Asian subjects with BMI < 30. Type 2 diabetes (T2D) in Asian populations is characterized by a lower body mass index (BMI) than in Caucasian cases. This pilot study investigated antidiabetic outcomes after a Roux-en-Y gastric bypass (RYGB) in Asian subjects with T2D and BMI < 30. Fifteen Koreans with poorly controlled T2D and BMI 23-30 underwent RYGB. Two years after RYGB, seven patients achieved HbA1c < 6.5% without medication (target-achieved). The other cases also showed improved glycemic control. The insulin secretory response during an oral glucose tolerance test was significantly restored in the target-achieved group. Postoperative changes in insulin sensitivity and body weight did not differ between these groups. Beta-cell function improvement is an important determinant of the long-term antidiabetic outcomes of RYGB in Asian subjects with BMI < 30. Type 2 diabetes (T2D) in Asian populations is characterized by a lower body mass index (BMI) than in Caucasian cases. This pilot study investigated antidiabetic outcomes after a Roux-en-Y gastric bypass (RYGB) in Asian subjects with T2D and BMI < 30. Fifteen Koreans with poorly controlled T2D and BMI 23-30 underwent RYGB. Two years after RYGB, seven patients achieved HbA1c < 6.5% without medication (target-achieved). The other cases also showed improved glycemic control. The insulin secretory response during an oral glucose tolerance test was significantly restored in the target-achieved group. Postoperative changes in insulin sensitivity and body weight did not differ between these groups. Beta-cell function improvement is an important determinant of the long-term antidiabetic outcomes of RYGB in Asian subjects with BMI < 30.Type 2 diabetes (T2D) in Asian populations is characterized by a lower body mass index (BMI) than in Caucasian cases. This pilot study investigated antidiabetic outcomes after a Roux-en-Y gastric bypass (RYGB) in Asian subjects with T2D and BMI < 30. Fifteen Koreans with poorly controlled T2D and BMI 23-30 underwent RYGB. Two years after RYGB, seven patients achieved HbA1c < 6.5% without medication (target-achieved). The other cases also showed improved glycemic control. The insulin secretory response during an oral glucose tolerance test was significantly restored in the target-achieved group. Postoperative changes in insulin sensitivity and body weight did not differ between these groups. Beta-cell function improvement is an important determinant of the long-term antidiabetic outcomes of RYGB in Asian subjects with BMI < 30. |
| Author | Lee, Yeon Ji Heo, Yoonseok Kim, Min-Seon Kwon, Obin Yu, Ji Hee |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/27878422$$D View this record in MEDLINE/PubMed |
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| Cites_doi | 10.1001/jama.2009.726 10.1001/archsurg.2010.326 10.2337/dc11-2289 10.1007/s11695-014-1391-y 10.2337/db13-1918 10.1007/s11695-012-0610-7 10.2337/db13-1307 10.1097/00000658-199509000-00011 |
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| DOI | 10.1007/s11695-016-2455-y |
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| References_xml | – volume: 301 start-page: 2129 year: 2009 end-page: 2140 ident: CR2 article-title: Diabetes in Asia: epidemiology, risk factors, and pathophysiology publication-title: JAMA doi: 10.1001/jama.2009.726 – volume: 146 start-page: 143 year: 2011 end-page: 148 ident: CR4 article-title: Gastric bypass vs sleeve gastrectomy for type 2 diabetes mellitus: a randomized controlled trial publication-title: Arch Surg doi: 10.1001/archsurg.2010.326 – volume: 35 start-page: 1420 year: 2012 end-page: 1428 ident: CR5 article-title: Effects of gastric bypass surgery in patients with type 2 diabetes and only mild obesity publication-title: Diabetes Care doi: 10.2337/dc11-2289 – volume: 25 start-page: 199 year: 2015 end-page: 208 ident: CR6 article-title: Predictive factors of type 2 diabetes mellitus remission following bariatric surgery: a meta-analysis publication-title: Obes Surg doi: 10.1007/s11695-014-1391-y – volume: 63 start-page: 1454 year: 2014 end-page: 1456 ident: CR8 article-title: Diabetes improvement following Roux-en-Y gastric bypass: understanding dynamic changes in insulin secretion and action publication-title: Diabetes doi: 10.2337/db13-1918 – volume: 22 start-page: 677 year: 2012 end-page: 684 ident: CR9 article-title: IFSO-APC consensus statements 2011 publication-title: Obes Surg doi: 10.1007/s11695-012-0610-7 – volume: 63 start-page: 1725 year: 2014 end-page: 1737 ident: CR7 article-title: Early enhancements of hepatic and later of peripheral insulin sensitivity combined with increased postprandial insulin secretion contribute to improved glycemic control after Roux-en-Y gastric bypass publication-title: Diabetes doi: 10.2337/db13-1307 – ident: CR3 – volume: 222 start-page: 339 year: 1995 end-page: 350 ident: CR1 article-title: Who would have thought it? An operation proves to be the most effective therapy for adult-onset diabetes mellitus publication-title: Ann Surg doi: 10.1097/00000658-199509000-00011 – ident: CR10 – volume: 25 start-page: 199 year: 2015 ident: 2455_CR6 publication-title: Obes Surg doi: 10.1007/s11695-014-1391-y – volume: 222 start-page: 339 year: 1995 ident: 2455_CR1 publication-title: Ann Surg doi: 10.1097/00000658-199509000-00011 – volume: 301 start-page: 2129 year: 2009 ident: 2455_CR2 publication-title: JAMA doi: 10.1001/jama.2009.726 – volume: 63 start-page: 1454 year: 2014 ident: 2455_CR8 publication-title: Diabetes doi: 10.2337/db13-1918 – volume: 22 start-page: 677 year: 2012 ident: 2455_CR9 publication-title: Obes Surg doi: 10.1007/s11695-012-0610-7 – ident: 2455_CR10 – volume: 35 start-page: 1420 year: 2012 ident: 2455_CR5 publication-title: Diabetes Care doi: 10.2337/dc11-2289 – volume: 63 start-page: 1725 year: 2014 ident: 2455_CR7 publication-title: Diabetes doi: 10.2337/db13-1307 – volume: 146 start-page: 143 year: 2011 ident: 2455_CR4 publication-title: Arch Surg doi: 10.1001/archsurg.2010.326 – ident: 2455_CR3 – reference: 21339423 - Arch Surg. 2011 Feb;146(2):143-8 – reference: 22367008 - Obes Surg. 2012 May;22(5):677-84 – reference: 24241533 - Diabetes. 2014 May;63(5):1725-37 – reference: 19470990 - JAMA. 2009 May 27;301(20):2129-40 – reference: 25103403 - Obes Surg. 2015 Feb;25(2):199-208 – reference: 24757197 - Diabetes. 2014 May;63(5):1454-6 – reference: 7677463 - Ann Surg. 1995 Sep;222(3):339-50; discussion 350-2 – reference: 22723580 - Diabetes Care. 2012 Jul;35(7):1420-8 |
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| SubjectTerms | Asian Continental Ancestry Group Asian people Body Mass Index Brief Communication Diabetes Diabetes Mellitus, Type 2 - metabolism Diabetes Mellitus, Type 2 - physiopathology Diabetes Mellitus, Type 2 - surgery Gastric Bypass - statistics & numerical data Gastrointestinal surgery Humans Insulin Insulin-Secreting Cells - physiology Medicine Medicine & Public Health Pilot Projects Surgery Surgical outcomes |
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| Title | The Recovery of Beta-Cell Function is Critical for Antidiabetic Outcomes of Gastric Bypass in Asian Subjects with Type 2 Diabetes and a Body Mass Index Below 30 |
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