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
来源：
INTERNAL MEDICINE | 2019年 / 58卷 / 05期
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.
引用
收藏
页码：675 / 678
页数：4
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