Medical management of diabetes after bariatric surgery

• Published in: Diabetes & metabolism Vol. 35; no. 6; pp. 558 - 561
• Main Authors: Schlienger, J.-L, Pradignac, A, Luca, F, Meyer, L, Rohr, S
• Format: Journal Article
• Language: English
• Published: France Elsevier Masson SAS 01.12.2009
• Subjects: Bariatric Surgery; Chirurgie bariatrique; Diabetes; Diabetes Mellitus, Type 2 - diet therapy; Diabetes Mellitus, Type 2 - drug therapy; Diabetes Mellitus, Type 2 - etiology; Diabetes Mellitus, Type 2 - prevention & control; Diabète de type 2; Déficit nutritionnel; Endocrinology & Metabolism; Humans; Internal Medicine; Malnutrition - etiology; Malnutrition - prevention & control; Medical management; Nutritional deficiency; Obesity, Morbid - complications; Obesity, Morbid - surgery; Patient Education as Topic; Recurrence; Review; Revue générale; Traitement diététique; Traitement diététique; Chirurgie bariatrique; Diabète de type 2; Medical management; Bariatric surgery; Diabetes; Review; Revue générale; Déficit nutritionnel; Nutritional deficiency
• ISSN: 1262-3636; 1878-1780
• DOI: 10.1016/S1262-3636(09)73465-2

Abstract Several studies indicate that bariatric surgery frequently leads to resolution or improvement of type 2 diabetes in overweight patients. However, the medical postoperative management requires lifelong counselling, monitoring and nutrient supplements in patients in remission as well as in patients who continue to be diabetic. The aim of such management is to avoid nutritional deficiencies, and to delay diabetes relapse by optimizing the control of risk factors. To this end, diet and pharmacological prescriptions, including vitamin and mineral supplements, are indispensable, despite the fact that specific recommendations, until now, have been lacking for these particular patients.