Rizo Ivania M, Apovian Caroline M
Section of Endocrinology, Diabetes, Nutrition, and Weight Management, Boston University School of Medicine and Boston Medical Center, Boston, MA, United States.
Front Endocrinol (Lausanne). 2019 Jan 15;9:812. doi: 10.3389/fendo.2018.00812. eCollection 2018.
In patients with type 2 diabetes, bariatric surgery can lead to significant improvements in glycemic control and diabetes remission. We present a case of a Hispanic female with type 2 diabetes phenotype who underwent bariatric surgery and post-operatively stopped her insulin therapy due to multiple reasons, including decreased oral intake and concern for hypoglycemia. Ultimately, she developed diabetic ketoacidosis. She does not fit into the classical type 2 diabetes or type 1 diabetes definition but into the heterogeneous subgroup of diabetes called ketosis-prone diabetes.
在2型糖尿病患者中，减肥手术可显著改善血糖控制并实现糖尿病缓解。我们报告一例具有2型糖尿病表型的西班牙裔女性病例，该患者接受了减肥手术，术后因多种原因（包括口服摄入量减少和对低血糖的担忧）停止了胰岛素治疗。最终，她发展为糖尿病酮症酸中毒。她不符合经典的2型糖尿病或1型糖尿病定义，而是属于糖尿病的异质性亚组，即易发生酮症的糖尿病。
