Bariatric surgery more likely to stop taking diabetes drugs
A new study published inJAMA Surgery suggests that obese patients who undergo bariatric surgery are more likely to stop taking diabetes medication. Medical Xpress
Obesity, defined as a body mass index (BMI) of ≥ 30.0 kg/m2, is a major public health issue that contributes to significant disability, mortality, and health care costs (1,2). During the past 50 years, there has been a significant increase in the prevalence of obesity in the United States, which now affects more than one third of adults (3). P atients with obesity are at increased risk for the development of other serious medical conditions, such as type 2 diabetes mellitus (T2DM) (1,2). As such, there has been an increase in the prevalence of T2DM that mirrors that of obesity, with approximately 26 million adults in th...
Conclusions: Bariatric surgery increased miR 192 and miR 200 urinary levels, key anti-fibrotic microRNAs that could contribute to a renal-protective mechanism and may be of value as urinary biomarkers following surgery. These findings suggest that urinary microRNAs may represent potential novel biomarkers for obesity-associated renal function.
Conditions: Obesity; Type2 Diabetes; Bariatric Surgery Candidate Intervention: Procedure: Bariatric Surgery Sponsor: The Cleveland Clinic Enrolling by invitation
Eleven percent of households in the United States experience food insecurity, a lack of access to adequate, desirable food for a healthy lifestyle. Although food insecurity is associated with increased risk of obesity and non-adherence to dietary management of chronic diseases like diabetes, the correlates of food insecurity have not yet been studied in a bariatric surgery population.
ConclusionsWe were able to develop an interactive estimation application to provide a population-based guidance for potential outcomes of LRYGB. This might be useful not only for health professionals but also for patients interested in learning potential outcomes in specific circumstances.
Conclusions: Reduction of body weight after RYGB surgery is associated with significantly improved cardiorespiratory function 6 months after surgery, especially in patients who lost more than 18% of their initial body weight. In addition, substantial decreases in body weight were also associated with a reduction of cardiovascular risk factors such as diabetes, smoking, hypertriglyceridemia, and sedentary lifestyle.Obes Facts 2019;12:281 –290
The decision on whether to recommend bariatric surgery for adolescents with severe obesity or postpone it to adulthood needs to be made after careful consideration of harms vs benefits, says an expert.Medscape Medical News
This study aimed to analyze the Clinical Practice Research Datalink to identify the prognostic factors of all-cause mortality in the severely obese. Background: Patients who are severely obese [body mass index (BMI) ≥35 kg/m2] are at increased risk of all-cause mortality as a result of metabolic sequelae including hyperlipidemia, hypertension, and diabetes. Bariatric surgery has been shown to reduce the severity of the metabolic complications of obesity. Method: A case-controlled analysis was carried out of patients with a BMI of 35 kg/m2 or more from the Clinical Practice Research Datalink, a UK database of p...
AbstractIntroductionAvailable clinical data on the influence of baseline HbA1c postoperative morbidity and readmission after laparoscopic sleeve gastrectomy is scarce. This prompted us to conduct a multicenter retrospective study evaluating the influence of chronic hyperglycemia on postoperative course among patients undergoing laparoscopic sleeve gastrectomy (SG). We aimed to investigate the influence of baseline HbA1c levels on postoperative outcomes in patients after SG.Material and MethodsWe conducted a multicenter retrospective cohort study of consecutive patients who underwent SG from March 2017 to March 2018 in seve...
ConclusionThe current study provides evidence that bariatric surgery is a cost-effective alternative among some cohorts in the Colombian setting. For obese patients with sleep apnea or diabetes, bariatric surgery is a recommendable alternative (dominant and cost-effective, respectively) for the Colombian healthcare system.