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Application of the International Diabetes Federation and American Diabetes Association criteria in the assessment of metabolic control after bariatric surgery
Author(s) -
Miras A. D.,
Risstad H.,
Baqai N.,
Law S.,
Søvik T. T.,
Mala T.,
Olbers T.,
Kristinsson J. A.,
le Roux C. W.
Publication year - 2014
Publication title -
diabetes, obesity and metabolism
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.445
H-Index - 128
eISSN - 1463-1326
pISSN - 1462-8902
DOI - 10.1111/dom.12177
Subject(s) - medicine , diabetes mellitus , body mass index , surgery , obesity , type 2 diabetes mellitus , type 2 diabetes , endocrinology
The International Diabetes Federation ( IDF ) and the American Diabetes Association ( ADA ) have introduced specific criteria to define the ‘optimization’ of the metabolic state and glycaemic ‘remission’ of type 2 diabetes mellitus ( T2DM ) after bariatric surgery, respectively. Our objective was to assess the percentage of patients achieving these criteria. Data were collected for body mass index, glycaemic markers, lipids, blood pressure, hypoglycaemia and medication usage from 396 morbidly obese T2DM patients who underwent bariatric surgery in two centres and followed up for 2 years. At year 1, 14% of patients achieved the IDF criteria and 38% the ADA criteria, whereas at 2 years 8 and 9% satisfied these criteria, respectively. A relatively low proportion of patients achieved optimization of the metabolic state and T2DM remission. These patients may potentially benefit from the combination of bariatric surgery and adjuvant medical therapy to achieve optimal metabolic outcomes.