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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
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jmas.jmas_361_21

How to cite this URL:
Sookaromdee P, Wiwanitkit V. Bariatric surgery on type 2 diabetes: Correspondence. J Min Access Surg [Epub ahead of print] [cited 2022 May 16]. Available from:

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.

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  References Top

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
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
Published by Wolters Kluwer - Medknow
Online since 15th August '04