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LETTER TO THE EDITOR
Year : 2022  |  Volume : 18  |  Issue : 3  |  Page : 488
 

Bariatric surgery on type 2 diabetes: Correspondence


1 Private Academic Consultant, Bangkok, Thailand
2 Department of Community Medicine, Dr. DY Patil University, Pune, Maharashtra, India

Date of Submission25-Nov-2021
Date of Acceptance30-Nov-2021
Date of Web Publication21-Jan-2022

Correspondence Address:
Pathum Sookaromdee
Private Academic Consultant, Bangkok
Thailand
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jmas.jmas_361_21

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How to cite this article:
Sookaromdee P, Wiwanitkit V. Bariatric surgery on type 2 diabetes: Correspondence. J Min Access Surg 2022;18:488

How to cite this URL:
Sookaromdee P, Wiwanitkit V. Bariatric surgery on type 2 diabetes: Correspondence. J Min Access Surg [serial online] 2022 [cited 2022 Jul 5];18:488. Available from: https://www.journalofmas.com/text.asp?2022/18/3/488/336266




Dear Sir,

We would like to share ideas on 'Impact of bariatric surgery on type 2 diabetes in morbidly obese patients and its correlation with pre-operative prediction scores.[1]' Gupta et al. concluded that 'Besides leading to excess body mass index loss of 61.2%, bariatric surgery also resulted in diabetes remission in … predictive accuracy for T2DM remission.[1]' We agree that there might be a remission of diabetes. However, an exact cause of remission is still unclear and might or might not relate to surgery. In the present report, both blood sugar and HbA1C are used for diagnose diabetes but only HbA1C was used for diagnose of remission. In a case with diabetes, there might be diabetic management before surgery and during hospitalisation. Patients might receive drugs and have nutritional modification. In a recent report, post-operative glycaemic control was associated with relapse of diabetes after remission.[2] In addition, duration of diabetes illness was also associated with relapse.[2] These factors might result in an improved HbA1C. We should recognise the mentioned confounding factors that might play additional roles to remission of diabetes.

Financial support and sponsorship

Nil.

Conflicts of interest

Authors ask for waiving for any charge for this correspondence.



 
  References Top

1.
Gupta M, Aggarwal S, Bhambri A, Singla V, Chaudhary R. Impact of bariatric surgery on type 2 diabetes in morbidly obese patients and its correlation with pre-operative prediction scores. J Minim Access Surg 2021;17:462-9.  Back to cited text no. 1
    
2.
Moriconi D, Manca ML, Anselmino M, Rebelos E, Bellini R, Taddei S, et al. Predictors of type 2 diabetes relapse after Roux-en-Y gastric bypass: A ten-year follow-up study. Diabetes Metab 2021;48:101282. [doi: 10.1016/j.diabet.2021.101282].  Back to cited text no. 2
    




 

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2004 Journal of Minimal Access Surgery
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Online since 15th August '04