Volume : IX, Issue : VI, June - 2019

EFFECT OF LAPAROSCOPIC SLEEVE GASTRECTOMY ON GLYCEMIC CONTROL OF OBESE PATIENTS WITH TYPE 2 DIABETES MELLITUS

Dr. Shubham Goel, Prof. Dr. A. S. N. Rao, Prof. Dr. Bindu Kulshreshtha

Abstract :

INTRODUCTION: Obesity has risen to epidemic level worldwide in the 21st century. It is associated with a number of disease such as diabetes, cardiovascular diseases, osteoarthritis, some cancers (endometrial, ovarian, colon, etc.). Currently, bariatric surgery is the best known treatment for obesity and its related co morbidities. Here we studied the effect of laparoscopic sleeve gastrectomy on the glycaemic control of obese patients with type 2 diabetes mellitus undergoing surgery. MATERIALS AND METHOD: We conducted a prospective observational study and report on the weight loss and glycaemic control results of our first consecutive 30 patients with a complete follow up of 3 months. RESULTS: In our study, the mean weight of the patients was 109.7 ± 15.56 Kg in the pre op period. The mean weight after 2weeks, 1 month and 3 months reduced to 107.6 ± 15.44 kg, 105.03 ± 15.27 kg and 97.63 ± 14.59 kg respectively, all of which are statistically significant (p value <0.05). The percent mean excess weight loss (%EWL) at the end of 3 months after surgery was 25.41 ± 5.11. The HbA1c levels reduced from a pre op level of 8.11 ± 1.10 to 7.01 ± 1.10 three months after surgery. In our study out of 30 patients, 11 patients were taking only oral hypoglycaemics to maintain their blood sugar levels, while 19 were taking insulin with or without oral hypoglycaemics. At the end of three months after surgery, 10 patients achieved diabetes remission. Out of the 19 patients taking insulin, 9 patients (47.36%) were able to stop their insulin therapy at the end of three months after surgery and maintain blood sugar levels only with oral hypoglycaemics. There was 53.21% reduction in the insulin dose of the other 10 patients in the same period. CONCLUSION: We would recommend that laparoscopic sleeve gastrectomy should be promoted in the morbidly obese patients with diabetes mellitus

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Article: Download PDF   DOI : 10.36106/ijar  

Cite This Article:

EFFECT OF LAPAROSCOPIC SLEEVE GASTRECTOMY ON GLYCEMIC CONTROL OF OBESE PATIENTS WITH TYPE 2 DIABETES MELLITUS, Dr. Shubham Goel, Prof. (Dr.) A. S. N. Rao, Prof. (Dr.) Bindu Kulshreshtha INDIAN JOURNAL OF APPLIED RESEARCH : Volume-9 | Issue-6 | June-2019

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