Journal of Diabetes and Obesity
Effect of Bariatric Surgery on Glycemic Control in a Military Training Facilitytary Training Facility
- 1Department of Internal Medicine, William Beaumont Army Medical Center, Fort Bliss, TX, USA
Christina, M.D., et al. Effect of Bariatric Surgery on Glycemic Control in a Military Training Facility. (2015) J Diabetes Obes 2(2): 43- 47.
© 2015 Christina M.D. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.
KeywordsDiabetes mellitus; Pre-diabetes; Bariatric surgery; Obesity
Background: The objective of the study was to evaluate the effects of gastric bypass surgery on diabetic and pre-diabetic patients. Outcome variables were diabetic status, BMI, and if patients were able to discontinue pre-operative medications.
Methods: At our institution 193 consecutive patients were retrospectively evaluated who underwent gastric bypass surgery between 2007-11. Demographic data was obtained. In addition, diabetic status, BMI, and current medications were recorded pre-operatively and followed for 2 years.
Results: The average weight loss was 12 BMI with the majority of the weight loss occurred in the first 6 months (9.1 BMI). At follow up, 73.9% of diabetic patients were cured, and 83.5% of pre-diabetic patients were cured within 24 months post-operatively (p < 0.01). Reduction of BMI post-operatively was statistically significant (p < 0.01) While only 38% of patients who lost 0-5 BMI were able to discontinue their pre-operative medications, 71% of those who lost 11-15 BMI were medication free at 2 years.
Conclusions: Patients in all age groups were equally as likely to lose weight. Patients who lost more weight were more likely to discontinue pre-operative antiglycemic medications. This study is the first which demonstrates that surgical intervention is an effective modality in the treatment pre-diabetes.