scholarly journals Predictive Factors for Remission of Diabetes Mellitus Type 2 after Sleeve Gastrectomy

QJM ◽  
2020 ◽  
Vol 113 (Supplement_1) ◽  
Author(s):  
A H A Youssef ◽  
H M Elmaleh ◽  
M M H Khalil ◽  
E A A Qamry

Abstract Background obesity and its associated type II diabetes mellitus (Type II DM) are an ongoing health-care problem worldwide. Both diseases are closely related and difficult to control by current medical treatment, including diet, drug therapy and behavioral modification. There is strong evidence that bariatric surgery can cure type II diabetes mellitus in patients with obesity. Aim of the Work to determine different predictive factors affecting the outcome of type II diabetes mellitus after laparoscopic sleeve gastrectomy. Patients and Methods this prospective study included 40 obese diabetic patients with type II DM who underwent laparoscopic sleeve gastrectomy. DM type II was diagnosed according to ADA criteria: FPG > 126 mg/dl, HbA1c ≥ 6.5%, random blood glucose ≥200 mg/dl, or use of insulin or oral diabetes medication. Glycemic marker in the form of HbA1c and fasting blood sugar were measured just prior to surgery and at 3 months and 6 months postoperatively. Results a total of 40 patients (70% women) with T2DM were included in the study. Mean age at the time of surgery was 42.48 ± 10.95 years. Median Inter Quartile Ratio (IQR) of diabetes age (diabetes age was calculated from the diagnose date to the operation date) was 4 years (from 3 years to 6 years) with range of 1-20 years. Remission of T2DM was achieved in 42.5% of patients underwent SG. Conclusion This study showed that younger patients, with shorter diabetic age, not using insulin and optimum pre-operative glycemic control(normal fasting blood sugar and HbA1c) were the best candidates to achieve remission (HbA1c <6.5% and no need for antidiabetics) after SG.

2019 ◽  
Vol 4 (1) ◽  

A study was carried out, in order to assess the risk factors associated with type-II diabetes mellitus in males (Age≥40 years) in district Mardan. Four hundred cases and controls (Each 200) were selected from 10 union councils (7 rural and 3 urban) by a systematic sampling method. In order to select cases and controls, all were interviewed for medical history, on fulfillment of which, cases and controls were separately included for study. In anthropometry, weight, and height were taken for Body Mass Index while waist and hip circumference were taken for waist-to-hip ratio. Fasting blood sugar of cases and controls was determined with the glucometer. Cases and controls were interviewed with Food frequency questionnaire and other questionnaires in order to assess the demographic and socioeconomic characters of the families. The results disclosed that most of the cases had family history of diabetes. In addition to that, cases were also found to have higher (p<0.05) average weight, height and body mass index, and fasting blood sugar level to those of controls. These results also revealed that there was a distinguished (p<0.05) association between dairy and fruit with the health status and about 1/3rd of both cases and controls had satisfactory consumption of dairy and fruit only. A significant link was found among family size, exercise, type of exercise, duration of exercise, watching television, duration of watching television and the status of disease. The study revealed that a combination of anthropometric, dietary and demographic variables were associated with type-II diabetes mellitus in male adult population of district Mardan.


2021 ◽  
pp. 42-43
Author(s):  
Neena Damle

During the last few years India have maximum increase of Type II diabetes mellitus . The prevalence of type 2 diabetes mellitus is 2.4% in rural population and 11.6% in urban population[1] . In this study total 10 Subjects of newly diagnosed type II Diabetes Mellitus, who fullled below criteria were selected from D.Y. Patil Ayurvedic Hospital Nerul Navi Mumbai OPD No.1. a) HbA1c level more than 6.5% b) Fasting blood Sugar level (FBS) more than 126 mg/dL (7 mmol/L) c) 2-hour Post Prandial Blood Sugar level (PPBS) more than 200 mg/dL (11.1 mmol/L). All 10 subjects treated with Nisha Amalaki Churna 3gms BD one hour before breakfast and before dinner with warm water for three months. Data of subjective parameters and physical examination of subjects was recorded in CRF during three visits 30 days apart. For Statistical Analysis Wilcoxon matched-pairs signed-ranks test was used to assess Subjective parameters and Paired t-Test was used to compare Fasting Blood Sugar level, two hour post prandial blood sugar levels and HbA1C levels BT and AT. The study showed signicant results in most of the subjective parameters at the level of signicance (P<0.05). Nisha Amalaki Churna reduced Fasting blood sugar levels and post Prandial blood sugar levels signicantly at level of signicance p<0.01. Nisha Amalaki Churna also reduced HbA1C levels signicantly at level of signicance p<0.01.The Ayurvedic mixture Nisha Amalaki Churna was signicantly effective in newly diagnosed Type II Diabetes Mellitus subjects.


2019 ◽  
Vol 10 (2) ◽  
pp. 911-915
Author(s):  
Yurida Yurida ◽  
Zaqyyah Huzaifah

Latar Belakang: Diabetes merupakan penyakit yang jumlah penderitanya semakin bertambah dan merupakan ancaman serius bagi pembangunan kesehatan nasional. Salah satu jenis latihan fisik yang direkomendasikan untuk penderita diabetes melitus tipe II adalah jalan kaki.Tujuan: Penelitian ini untuk menganalisis pengaruh jalan kaki terhadap kadar gula darah pada pasien diabetes mellitus tipe II.Metode: Jenis penelitian ini adalah pra eksprimen dengan pendekatan one group pre and posttest design menggunakan teknik pengambilan sampel purposive sampling. Analisa data melalui uji T Dependen kepada 15 orang responden.Hasil: Rata-rata kadar gula darah sebelum jalan kaki adalah sebesar 238,2 mg/dl sedangkan sesudah jalan kaki rata-rata kadar gula darah sebesar 203,4 mg/dl. Ada pengaruh jalan kaki terhadap kadar gula darah pada pasien diabetes mellitus tipe II (p value = 0,000).Kesimpulan: Perawat diharapkan dapat memberikan pendidikan kesehatan mengenai pengaruh jalan kaki terhadap penurunan kadar gula darah pasien DM tipe II. Background: Diabetes is a disease that the number of sufferers is increasing and is a serious threat to national health development. One type of physical exercise recommended for client with type II diabetes mellitus is walking. Objective: This research is to analyze the effect of walking on blood sugar levels in client with diabetes mellitus type II.Method: The research design is pre-experiment with one group pre and posttest design approach and purposive sampling technique. Data analysis through Dependent T test to 15 people.Result: Clients with type II diabetes mellitus before walking had an average blood sugar level of 238.2 mg/dl while after walking on average blood sugar levels of 203.4 mg/dl. There is influence of walking to blood sugar level of type II diabetes mellitus clients (p value = 0,000).Conclusion: The nurse is expected to give health education about the effect of walking to decrease blood sugar level of DM type II.  Keywords: Walking , Blood sugar level, Diabetes mellitus type II


2020 ◽  
Vol 3 (6) ◽  
pp. 687-694
Author(s):  
Dian Apri Nelyanti ◽  
Ta’adi Ta’adi ◽  
M. Choiroel Anwar

Diabetes mellitus (DM) is a glucose metabolism disease characterized by an increase in blood sugar levels and impaired metabolism of fats, protein, and carbohydrates due to a lack of the hormone insulin, both absolutely and relatively. Alternative treatment of diabetes mellitus with complementary therapies, namely acupressure and smart gymnastic, can improve the fasting blood sugar level. This study aims to determine the effectiveness of acupressure and smart gymnastic on fasting blood sugar levels among patients with type II diabetes mellitus. True experimental study pretest and post-test with non-equivalent control group design were applied in this study. Repeated Measure, ANOVA test, showed a significant difference with the mean fasting blood sugar level p-value 0.000 (<0.05). The intervention group is better at lowering fasting blood sugar levels than control group 1 and control group 2 seen from the higher value difference. Conclusion of acupressure therapy with smart gymnastics three times a week for four weeks effectively reduces fasting blood sugar level in a patient with type II diabetes mellitus. This study can be used as a reference for further research, with a larger sample size, controlling the patient's diet, and a longer duration of intervention, so that the results obtained are more valid.


Sign in / Sign up

Export Citation Format

Share Document