Bariatric Surgery Outcomes in Patients with Latent Autoimmune Diabetes of the Adult

• Type: Article in International Scientific Journal
• Date: 2021

Authors

Guimaraes, M (Author) Other; Pereira, SS (Author) Other; Nora, M (Author) Other; Monteiro, M (Author) ICBAS

Journal

Title: Obesity Facts

Vol. 14

Pages: 425-430

ISSN: 1662-4025

Publisher: Karger

Indexing

ISI Web of Knowledge - 0 Citations

Other information

Authenticus ID: P-00V-76W

DOI: 10.1159/000517588

Abstract (EN): Bariatric surgery is a very effective treatment for obesity-associated type 2 diabetes. However, the benefits of bariatric surgery in patients with obesity and autoimmune diabetes, such as type 1 diabetes and latent autoimmune diabetes in adults (LADA), are controversial. We report 3 female patients with obesity and LADA who underwent laparoscopic Roux-en-Y gastric bypass >10 years ago. The patients were diagnosed with LADA both 1 and 9 years before (n = 2) or 11 years after the surgery (n = 1). Patients preoperative body mass index ranged from 36 to 47 kg/m(2) and improved to 23-37 kg/m(2) in the last follow-up visit, 10-15 years after surgery. Daily insulin dose also decreased from an average of 0.68 to 0.45 IU/kg in those patients treated with insulin before bariatric surgery. Only one patient developed diabetes-related target organ damage. This study shows that patients with LADA depict remarkable reduction of body weight and insulin requirements over long-term after bariatric surgery. So, LADA should not be considered a contraindication for bariatric surgery yet should only be recommended for patients with concomitant obesity with the primary aim of achieving sustained weight loss.

Language: English

Type (Professor's evaluation): Scientific

No. of pages: 6