共 50 条
Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient
被引:5
|作者:
Hironaka, Un-ya
[1
]
Kitahama, Seiichi
[2
]
Sato, Hiroyuki
[1
]
Inoue, Maki
[1
]
Takahashi, Tetsuya
[1
]
Tamori, Yoshikazu
[1
,3
]
机构:
[1] Chibune Gen Hosp, Dept Internal Med, Div Diabet & Endocrinol, Osaka, Japan
[2] Chibune Gen Hosp, Dept Bariatr & Metab Surg, Osaka, Japan
[3] Kobe Univ, Grad Sch Med, Div Diabet & Endocrinol, Dept Internal Med, Kobe, Hyogo, Japan
关键词:
type;
1;
diabetes;
morbid obesity;
bariatric surgery;
TUMOR-NECROSIS-FACTOR;
BARIATRIC SURGERY;
INTERFERON-GAMMA;
DESTRUCTION;
CYTOKINES;
D O I:
10.2169/internalmedicine.1217-18
中图分类号:
R5 [内科学];
学科分类号:
1002 ;
100201 ;
摘要:
The effects of bariatric/metabolic surgery on glycemic control in obese type 1 diabetic patients are controversial. We herein report a case of a morbidly obese 35-year-old woman who completely recovered from slowly progressive type 1 diabetes (SPIDDM) following laparoscopic sleeve gastrectomy. Preoperatively, her body mass index (BMI) was 49.8 kg/m(2) and hemoglobin Ale was 5.7% with intensive insulin therapy. Six months after bariatric/metabolic surgery, her BMI decreased to 33.2 kg/m(2) and her glycemic control was normal despite the discontinuation of all diabetic medicine. This case demonstrates the usefulness of bariatric/metabolic surgery for achieving glycemic control in morbidly obese patients with SPIDDM in Japan.
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页码:675 / 678
页数:4
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