Clinical Management of Type 2 Diabetes Mellitus after Bariatric Surgery

被引：5

作者：

Khanna, Vishesh ^{[1
,2
]}

Kashyap, Sangeeta R. ^{[1
,2
,3
]}

机构：

[1] Cleveland Clin, Dept Endocrinol Diabet & Metab, Cleveland, OH 44195 USA

[2] Cleveland Clin, Cleveland Clin Lerner Coll Med, Cleveland, OH 44106 USA

[3] Cleveland Clin, Metab Translat Res Ctr, Endocrine & Metab Inst, Cleveland, OH 44106 USA

来源：

CURRENT ATHEROSCLEROSIS REPORTS | 2015年 / 17卷 / 10期

关键词：

Bariatric surgery; Residual diabetes; Clinical management; Diabetes non-remission; Diabetes therapies; Y GASTRIC BYPASS; LAPAROSCOPIC-SLEEVE-GASTRECTOMY; GLUCAGON-LIKE PEPTIDE-1; BETA-CELL FUNCTION; INTENSIVE MEDICAL THERAPY; LONG-TERM REMISSION; GLYCEMIC CONTROL; WEIGHT-LOSS; COMBINATION THERAPY; INSULIN SENSITIVITY;

D O I：

10.1007/s11883-015-0537-2

中图分类号：

R6 [外科学];

学科分类号：

1002 ; 100210 ;

摘要：

Bariatric surgery has emerged as an effective treatment for type 2 diabetes in the setting of obesity, with recent clinical trials demonstrating biochemical remission (i.e., euglycemia) in up to 40 % of subjects at 3 years post-surgery. Conversely, these trials also highlight that a significant proportion of individuals undergoing bariatric surgery experience residual diabetes (i.e., they do not achieve remission or experience diabetes recurrence). The management of residual diabetes following surgery requires personalized attention, yet limited evidence exists on which to base clinical decisions. Hence, we aim to review the evidence that does exist and propose clinical management strategies in patients with persistent hyperglycemia following bariatric surgery.

引用

页数：8

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