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Choice of Bariatric Surgery in Patients with Obesity and Type 1 Diabetes Mellitus? an Up-to-Date Systematic Review by Chetan Parmar; Simone Appel; Lyndcie Lee; Rui Ribeiro; Nasser Sakran; Sjaak Pouwels is a Medicine article available to read on EtoBox.
What is Choice of Bariatric Surgery in Patients with Obesity and Type 1 Diabetes Mellitus? an Up-to-Date Systematic Review about?
## Background: The prevalence of obesity in patients with type 1 diabetes mellitus (t1dm) has been increasing. metabolic bariatric surgery (mbs) has proven to be effective in treating patients with t2dm. however, evidence for the benefit of the procedure for patients with t1dm is still limited, particularly in terms of glycemic control, demonstrating the need for a systematic review investigating this. ## Method: A systematic review was performed in accordance with the prisma guidelines. outcome measures such as weight loss, remission of comorbidities, pre- and post-intervention insulin requirements, and hba1c levels were extracted. ## Results: Thirty studies were included with a total of 706 patients (f = 524, m = 74, n/a = 60). the mean age was 40.01 years. the mean weight and body mass index (bmi) were 112.76 kg and 40.88 kg/m (24-58.9) respectively. the common procedure performed was rygb (n = 497 (70.4%)), followed by sg (n = 131 (18.6%)). the mean decrease of insulin requirements was 92.3 iu/day (36.2-174) preoperatively to a mean of 35.8 iu/day (5-75) post-operatively. no significant trend was found for changes in hba1c levels. the main side effects were episodes of hypoglyc
Who reads Choice of Bariatric Surgery in Patients with Obesity and Type 1 Diabetes Mellitus? an Up-to-Date Systematic Review?
It is typically read by researchers, students, and practitioners in Medicine.
- Author
- Chetan Parmar; Simone Appel; Lyndcie Lee; Rui Ribeiro; Nasser Sakran; Sjaak Pouwels
- Publisher
- Springer Science and Business Media LLC
- Published
- 2022
- Language
- EN
- Field
- Medicine (Health Sciences)