Perioperative Glycemic Management of Patients Undergoing Bariatric Surgery

Current Diabetes Reports
David Rometo, Mary Korytkowski

Abstract

Bariatric surgery in patients with type 2 diabetes has been shown to improve glycemic control and reduce need for glucose-lowering medications. Some of these improvements occur in the early postoperative period prior to any weight loss. These early reductions in circulating glucose can be attributed to primarily perioperative caloric restriction and prolonged fasting. Inpatient glycemic targets for patients undergoing bariatric surgery are similar to those recommended for other surgical procedures as a way of minimizing risk for complications. There is evidence that achieving perioperative and postoperative glycemic targets can improve the ability to achieve remission of type 2 diabetes following gastric bypass surgery. This review provides recommendations regarding glycemic goals, strategies for achieving these goals with minimal risk for hypoglycemia, and an examination of the data suggesting an association between perioperative glycemic management and diabetes remission following bariatric surgery.

References

Mar 10, 1997·Archives of Internal Medicine·W S QuealeF L Brancati
Apr 18, 2006·The American Journal of the Medical Sciences·Emmy Parkes
Jun 30, 2007·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Swati DattaDavid Baldwin
Apr 24, 2008·The Journal of Clinical Endocrinology and Metabolism·Blandine LaferrèreBlanca Olivan
Jul 1, 2008·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·David B SarwerNoel N Williams
May 21, 2009·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Etie S MoghissiUNKNOWN American Diabetes Association
Jan 19, 2010·Anesthesia and Analgesia·Shamsuddin AkhtarSilvio E Inzucchi
Apr 20, 2010·Obesity Surgery·Violeta L MoizéJosep Vidal
Jan 21, 2011·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Monica DiNardoMary Korytkowski
Jun 28, 2011·Diabetes Care·Daniel J RubinMarie E McDonnell
Oct 11, 2011·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Mark PernaMegan Baker
Jan 10, 2012·The Journal of Clinical Endocrinology and Metabolism·Guillermo E UmpierrezUNKNOWN Endocrine Society
Mar 1, 2012·Diabetes Technology & Therapeutics·Jolene Brown LoweryMary T Korytkowski
Mar 28, 2012·The New England Journal of Medicine·Geltrude MingroneFrancesco Rubino
Mar 28, 2012·The New England Journal of Medicine·Philip R SchauerDeepak L Bhatt
Jun 8, 2012·International Journal of Endocrinology·M SnelI M Jazet
Sep 4, 2012·Journal of Cardiothoracic and Vascular Anesthesia·Justin LetourneauRoupen Hatzakorzian
Mar 27, 2013·Diabetes Care·Ildiko LingvayEdward Livingston
Apr 1, 2014·The New England Journal of Medicine·Philip R SchauerUNKNOWN STAMPEDE Investigators
Feb 24, 2015·Current Diabetes Reports·George Argyropoulos
Apr 13, 2015·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Ling L ChuahCarel W le Roux
Aug 19, 2015·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Sandra I SobelMary Korytkowski

❮ Previous
Next ❯

Citations

Oct 12, 2017·Endocrine Practice : Official Journal of the American College of Endocrinology and the American Association of Clinical Endocrinologists·Danielle M DiemerM Cecilia Lansang
Jun 22, 2021·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Tammy L KindelUNKNOWN ASMBS Quality Improvement and Patient Safety Committee

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.