Long-Term Remission Rate of Type 2 Diabetes After Bariatric Surgery
Author Information
Author(s): Muacevic Alexander, Adler John R, Altulaihi Bader, Sawlan Ali M, Alwahbi Nemer A, Alshahrani Bandar, Alrayani Yazeed H, Alrayani Yazan H
Primary Institution: King Abdullah International Medical Research Center, Ministry of National Guard - Health Affairs, Riyadh, SAU
Hypothesis
What are the long-term remission rates of Type 2 Diabetes Mellitus following bariatric surgery in adult patients in Riyadh, Saudi Arabia?
Conclusion
Bariatric surgery leads to significant improvements in glycemic control and weight reduction, but the remission rate for diabetes is lower than expected.
Supporting Evidence
- Only 27% of participants achieved diabetes remission post-surgery.
- The mean HbA1c level decreased significantly from 8.70 before surgery to 6.76 at one year post-surgery.
- 35% of those who achieved remission experienced a relapse.
- Weight regain increased significantly over the years following surgery.
Takeaway
This study shows that while bariatric surgery helps many people lose weight and control their diabetes, not everyone stays diabetes-free for long.
Methodology
Retrospective cohort study analyzing medical records of patients aged 18-65 who underwent bariatric surgery from 2016-2020, assessing HbA1c levels pre and post-surgery.
Potential Biases
Potential bias due to the exclusion of patients who did not follow up, which may skew results.
Limitations
High loss to follow-up among participants limited the sample size and may affect the accuracy of long-term outcomes.
Participant Demographics
Majority were female (71.62%), mean age not specified, mean BMI was 44.91 kg/m2.
Statistical Information
P-Value
0.000
Confidence Interval
95%
Statistical Significance
p<0.001
Digital Object Identifier (DOI)
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