Alves A

Ayoub JAS

Blaire A

Bunchwald H

Carlsson LMS

Cohen R

Colguit J

Dirksen C

Evans S

Flancbaum L

Guedes AA

Holdstock C

Le Roux CW

Lipshutz AKM

Maggard MA

Pedrosa IV

Plum L

Pories WJ

Schauer PR

Scopinaro N

Shaw JE

Teixeira TGAB

Zeve JLM

ABCD : Arquivos Brasileiros de Cirurgia Digestiva

Although there is no indication for surgery taking only into account the glycemic condition, results have shown that benefits can be obtained in glycemic control with bariatric surgery. Aim : To compare the glycemic behavior among type 2 diabetic and non-diabetic patients within 48 h after bariatric surgery, and clarify whether there is a reduction in blood glucose level in obese patients with diabetes before the loss of weight excess. Methods : Descriptive epidemiological study with prospective cohort design with 31 obese patients undergoing Roux-en-Y gastric bypass and sleeve gastrectomy. The patients were controlled with hemoglucotests in different periods of time: preoperative, postoperative and each 6 h after surgery for 48 h. Results : Average ambulatory blood glucose in diabetics was 120.7±2.9 mg/dl vs 91.8±13.9 mg/dl in the nondiabetic. After 48 h there was decrease in diabetics to 100.0±17.0 mg/dl (p=0.003), while the non-diabetic group did not change significantly (102.7±25.4 mg/dl; p=0.097). There were no differences between the surgical techniques. There were no death. Conclusions : Diabetic patients significantly reduced blood glucose after surgery regardless of the use of exogenous insulin or oral hypoglycemic agents.</jats:p

Lucas Freitas de OLIVEIRA

Caroline Gewehr TISOTT

Diego Machado SILVANO

Camila Mafalda Mouta CAMPOS

Ricardo Reis do NASCIMENTO

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ABCD Arquivos Brasileiros de Cirurgia Digestiva (São Paulo)

GLYCEMIC BEHAVIOR IN 48 HOURS POSTOPERATIVE PERIOD OF PATIENTS WITH TYPE 2 DIABETES MELLITUS AND NON DIABETIC SUBMITTED TO BARIATRIC SURGERY

GLYCEMIC BEHAVIOR IN 48 HOURS POSTOPERATIVE PERIOD OF PATIENTS WITH TYPE 2 DIABETES MELLITUS AND NON DIABETIC SUBMITTED TO BARIATRIC SURGERY

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