Journal of Diabetes and ObesityJournal of Diabetes and ObesityJournal of Diabetes and ObesityJournal of Diabetes and Obesity2376-0494Ommega Online PublishersNew Jersey, USA20710.15436/2376-0494.15.021Research ArticleEffect of Bariatric Surgery on Glycemic Control in a Military Training Facilitytary Training FacilityEffect of Bariatric Surgery on Glycemic Control in a Military Training Facilitytary Training FacilityChristinadunnDepartment of Internal Medicine William Beaumont Army Medical Center Fort Bliss TX USAEditor* E-mail: tina3dunn@gmail.com
The authors have declared that no competing interests exist.
20151707201522JDO-15-RA-207/02131032015130720152015Creative Commons Attribution LicenseThis is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. nbsp 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 lt 0 01 Reduction of BMI post-operatively was statistically significant p lt 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 10