de Oliveira Lucas Freitas, Tisott Caroline Gewehr, Silvano Diego Machado, Campos Camila Mafalda Mouta, do Nascimento Ricardo Reis
Santa Catarina South University, Brazil.
Nossa Senhora da Conceição Hospital, Tubarão, SC, Brazil.
Arq Bras Cir Dig. 2015;28 Suppl 1(Suppl 1):26-30. doi: 10.1590/S0102-6720201500S100009.
Although there is no indication for surgery taking only into account the glycemic condition, results have shown that benefits can be obtained in glycemic control with bariatric surgery.
To compare the glycemic behavior among type 2 diabetic and non-diabetic patients within 48 h after bariatric surgery, and clarify whether there is a reduction in blood glucose level in obese patients with diabetes before the loss of weight excess.
Descriptive epidemiological study with prospective cohort design with 31 obese patients undergoing Roux-en-Y gastric bypass and sleeve gastrectomy. The patients were controlled with hemoglucotests in different periods of time: preoperative, postoperative and each 6 h after surgery for 48 h.
Average ambulatory blood glucose in diabetics was 120.7±2.9 mg/dl vs 91.8±13.9 mg/dl in the nondiabetic. After 48 h there was decrease in diabetics to 100.0±17.0 mg/dl (p=0.003), while the non-diabetic group did not change significantly (102.7±25.4 mg/dl; p=0.097). There were no differences between the surgical techniques. There were no death.
Diabetic patients significantly reduced blood glucose after surgery regardless of the use of exogenous insulin or oral hypoglycemic agents.
尽管仅考虑血糖状况时并无手术指征，但结果显示减重手术在血糖控制方面可带来益处。
比较减重手术后48小时内2型糖尿病患者和非糖尿病患者的血糖变化情况，并明确肥胖糖尿病患者在体重尚未过度减轻之前血糖水平是否降低。
采用前瞻性队列设计的描述性流行病学研究，纳入31例行Roux-en-Y胃旁路术和袖状胃切除术的肥胖患者。在不同时间段对患者进行血糖检测：术前、术后以及术后48小时内每6小时一次。
糖尿病患者的平均动态血糖为120.7±2.9mg/dl，非糖尿病患者为91.8±13.9mg/dl。48小时后，糖尿病患者血糖降至100.0±17.0mg/dl（p=0.003），而非糖尿病组无显著变化（102.7±25.4mg/dl；p=0.097）。手术技术之间无差异。无死亡病例。
糖尿病患者术后血糖显著降低，无论是否使用外源性胰岛素或口服降糖药。
