Affiliation

Department of Internal Medicine, William Beaumont Army Medical Center, Fort Bliss, TX, USA

Corresponding Author

Christina Dunn, William Beaumont Army Medical Center, Department of Internal Medicine 5055 N. Piedras, Fort Bliss, Texas 79920, USA, Tel: 915 742 2180; E-mail:Tina3Dunn@gmail.com/dunnjohnc@gmail.com

Citation

 Christina, M.D., et al. Effect of Bariatric Surgery on Glycemic Control in a Military Training Facility. (2015) J Diabetes Obes 2(2): 43- 47.

Copy rights

© 2015 Christina M.D. This is an Open access article distributed under the terms of Creative Commons Attribution 4.0 International License.

Keywords

Abstract

Background: The objective of the study was to evaluate the effects of gastric bypass surgery on diabetic and pre-diabetic patients. Outcome variables were diabetic status, BMI, and if patients were able to discontinue pre-operative medications.
Methods: At our institution 193 consecutive patients were retrospectively evaluated who underwent gastric bypass surgery between 2007-11. Demographic data was obtained. In addition, diabetic status, BMI, and current medications were recorded pre-operatively and followed for 2 years.
Results: The average weight loss was 12 BMI with the majority of the weight loss occurred in the first 6 months (9.1 BMI). At follow up, 73.9% of diabetic patients were cured, and 83.5% of pre-diabetic patients were cured within 24 months post-operatively (p < 0.01). Reduction of BMI post-operatively was statistically significant (p < 0.01) While only 38% of patients who lost 0-5 BMI were able to discontinue their pre-operative medications, 71% of those who lost 11-15 BMI were medication free at 2 years.
Conclusions: Patients in all age groups were equally as likely to lose weight. Patients who lost more weight were more likely to discontinue pre-operative antiglycemic medications. This study is the first which demonstrates that surgical intervention is an effective modality in the treatment pre-diabetes.