Service de Médecine Interne, Endocrinologie, Nutrition, Hôpital de Hautepierre, Avenue Molière, BP 83049, 67098 Strasbourg Cedex, France.
Diabetes Metab. 2009 Dec;35(6 Pt 2):558-61. doi: 10.1016/S1262-3636(09)73465-2.
Several studies indicate that bariatric surgery frequently leads to resolution or improvement of type 2 diabetes in overweight patients. However, the medical postoperative management requires lifelong counselling, monitoring and nutrient supplements in patients in remission as well as in patients who continue to be diabetic. The aim of such management is to avoid nutritional deficiencies, and to delay diabetes relapse by optimizing the control of risk factors. To this end, diet and pharmacological prescriptions, including vitamin and mineral supplements, are indispensable, despite the fact that specific recommendations, until now, have been lacking for these particular patients.
几项研究表明，减重手术常常可使超重患者的 2 型糖尿病得到缓解或改善。然而，术后的医学管理需要对缓解期患者和持续糖尿病患者进行终身咨询、监测和营养补充。这种管理的目的是避免营养缺乏，并通过优化控制风险因素来延缓糖尿病复发。为此，尽管迄今为止针对这些特殊患者还缺乏具体建议，但饮食和药物处方（包括维生素和矿物质补充剂）是不可或缺的。
