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Current Diabetes Reports
Erschienen in: Current Diabetes Reports 4/2016

01.04.2016 | Hospital Management of Diabetes (GE Umpierrez, Section Editor)

Perioperative Glycemic Management of Patients Undergoing Bariatric Surgery

verfasst von: David Rometo, Mary Korytkowski

Erschienen in: Current Diabetes Reports | Ausgabe 4/2016

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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.
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Metadaten
Titel
Perioperative Glycemic Management of Patients Undergoing Bariatric Surgery
verfasst von
David Rometo
Mary Korytkowski
Publikationsdatum
01.04.2016
Verlag
Springer US
Erschienen in
Current Diabetes Reports / Ausgabe 4/2016
Print ISSN: 1534-4827
Elektronische ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-016-0718-6

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