Efecto de la manga gástrica en los niveles de HBA1C en pacientes diabéticos con IMC>35 del Hospital Teodoro Maldonado Carbo.

Abstract

Obesity and type 2 diabetes are two of the most common chronic pathologies, associated with great morbidity and mortality. Bariatric surgery has emerged as a highly effective response with long-term results for the management of obese patients with diabetes with poor response to drug treatment. To determine the effect of gastric sleeve surgery on HbA1c levels in diabetic patients with BMI> 35 Observational retrospective study in which patients with established diagnosis of DM2 with a BMI greater than 35 were included, who underwent gastric sleeve in the period of August 2012- February 2017, the same ones who attended post-surgical control by the department. of general surgery, endocrinology and nutrition of Teodoro Maldonado Carbo Hospital at 3 months, 6 months and a year after the surgery was performed. The mean age at the time of the intervention is 47.19 (± 8,746), of which 12 are men (38.71%) and 19 are women (61.29%), the average level of glycosylated hemoglobin (HbA1c) of 7.09 (± 1.80), a mean glucose of 139.32 (± 63.93) and a mean BMI of 41.08. One year after performing the gastric sleeve, it was found that there is significant evidence in the medians of the values of HbA1C (p = 0.000), glucose (p = 0.000), BMI (p = 0.000), HDL (p = 0.003), triglycerides (p = 0.002) of the patients before and after the gastric sleeve surgery.