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

• Tipo: Artigo em Revista Científica Internacional
• Data: 2021

Autores

Guimaraes, M (Autor) Outra; Pereira, SS (Autor) Outra; Nora, M (Autor) Outra; Monteiro, M (Autor) ICBAS

Revista

Título: Obesity Facts

Vol. 14

Páginas: 425-430

ISSN: 1662-4025

Editora: Karger

Indexação

ISI Web of Knowledge - 0 Citações

Outras Informações

ID Authenticus: 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.

Idioma: Inglês

Tipo (Avaliação Docente): Científica

Nº de páginas: 6