Chirurgia del Diabete

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Chirurgia del Diabete

Diabetes mellitus: what is it?

Diabetes mellitus(DM), commonly referred to as diabetes, is a group of metabolic diseases in which there are high blood sugar levels (glycemia) over a prolonged period.

Diabetes mellitus: signs and symptoms

The most common symptoms are:

 

  • Increased thirst (polydipsia)
  • Increased urination (polyuria)
  • Weight loss
  • Fatigue

Diagnostic Criteria of Diabetes

  • Symptoms of high blood sugar and casual plasma glucose ≥ 200 mg/dl)
  • Fasting plasma glucose level ≥126 mg/dl
  • Plasma glucose≥200 mg/dl) two hours after a 75 g oral glucose load as in a glucose tolerance test

Diabetes mellitus: complications

  • Neuropathy
  • Retinopathy
  • Nephropathy
  • Diabetes-related foot problems
  • Erectile dysfunction

 

Other complications are: skin disease, recurrent cystitis, infections, arteriosclerosis, cardiovascular disease[24] , coronary artery disease, stroke, and peripheral vascular disease.

Diabetes treatment:

  • Diet
  • Physical activity
  • Weight loss
  • Oral anti-diabetic therapy
  • Injective anti-diabetic therapy
  • Insulin
  • Bariatric and metabolic surgery

Bariatric surgery and remission of type 2 Diabetes

  • Diabetic obese patients undergoing surgery
  • Interruption of anti-diabetic therapy: 84%
  • Sleeve gastrectomy 83%
  • Gastric bypass 93%
  • Gastric banding 67%

Diabetic patients BEFORE surgery

Evaluation of diabetes and pancreatic function, optimization of glycemic control, screening of diabetes complications

Diabetic patients AFTER surgery

Re-evaluation of anti-diabetic treatment, optimization of glycemic control, evaluation of micro and macrovascular complications