Diabetes remission and glycemic response to pre-bariatric surgery diet

Biro, Steven M.; Olson, Diane L.; Garren, Michael; Gould, Jon C.

doi:10.1016/j.jss.2013.06.014

Cited by 15 publications

(11 citation statements)

References 30 publications

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“…A total of 1,113 T2DM patients in 13 studies were included in the meta-analysis of the relationship between gender and T2DM remission [ 8 , 10 , 11 , 13 – 17 , 19 – 22 ]. Of these, seven studies were conducted in the USA, three in Asia, one in Oceania, and two in Europe.…”

Section: Resultsmentioning

confidence: 99%

Predictive Factors of Type 2 Diabetes Mellitus Remission Following Bariatric Surgery: a Meta-analysis

et al. 2014

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BackgroundAlthough a few studies have been reported on predictive factors of postoperative diabetes remission, the conclusions remain inconsistent. This meta-analysis aimed to assess the preoperative clinical factors for type 2 diabetes mellitus (T2DM) remission after bariatric surgery.MethodsThe Cochrane Library, PubMed, MEDLINE, Embase, and CINAHL databases were searched. All human studies published in English between 1 January 1992 and 1 September 2013 reporting on the parameters of interest were included.ResultsIn total, 15 studies involving 1,753 bariatric surgery patients were selected. Analyses were performed separately for the parameters of interest. T2DM remission was observed to be negatively correlated with age, diabetes duration, insulin use, and HbA1c levels. Baseline body mass index (BMI) and C-peptide levels were positively associated with the remission rate in Asian patients. However, there was no significant association between gender and remission rate.ConclusionsPatients with younger age, short diabetes duration, better glucose control, and better β cell function were more likely to achieve T2DM remission after bariatric surgery. However, further randomized controlled trials with uniform remission criteria should be conducted to provide more reliable evidence.

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Section: Resultsmentioning

confidence: 99%

Predictive Factors of Type 2 Diabetes Mellitus Remission Following Bariatric Surgery: a Meta-analysis

et al. 2014

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“…As previously described [29,35], both treatments promoted significant weight losses and improved serum glucose levels and lipid profile. It is important to highlight that the low baseline glucose levels found in the BS group may be attributed to an early improvement caused by the dietary treatment precribed before the surgery protocol [36]. DNA methylation is a process associated with the regulation of gene expression [37] that may control the development of obesity and associated diseases [19,38].…”

Section: Discussionmentioning

confidence: 99%

DNA Methylation and Hydroxymethylation Levels in Relation to Two Weight Loss Strategies: Energy-Restricted Diet or Bariatric Surgery

et al. 2015

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“…Investigating whether outcomes differ between men and women is import in developing gender‐specific treatment programmes, if required 6, 7, 8, 9, 10, 11, 12. Differences in outcome after weight loss have been reported previously, with men commonly losing more body weight and fat than women 13.…”

Section: Introductionmentioning

confidence: 94%

“…5,6 Investigating whether outcomes differ between men and women is import in developing gender-specific treatment programmes, if required. [6][7][8][9][10][11][12] Differences in outcome after weight loss have been reported previously, with men commonly losing more body weight and fat than women. 13 This difference is mainly explained by the concept of the LED, in which a fixed daily energy intake is provided to both genders, despite men and women having significantly different energy requirements because men characteristically have a greater body mass.…”

Section: Introductionmentioning

confidence: 99%

Men and women respond differently to rapid weight loss: Metabolic outcomes of a multi‐centre intervention study after a low‐energy diet in 2500 overweight, individuals with pre‐diabetes (PREVIEW)

Christensen

Larsen

Westerterp-Plantenga

et al. 2018

Diabetes Obesity Metabolism

134

106

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AimsThe PREVIEW lifestyle intervention study (http://clinicaltrials.gov Identifier: NCT01777893) is, to date, the largest, multinational study concerning prevention of type‐2 diabetes. We hypothesized that the initial, fixed low‐energy diet (LED) would induce different metabolic outcomes in men vs women.Materials and methodsAll participants followed a LED (3.4 MJ/810 kcal/daily) for 8 weeks (Cambridge Weight Plan). Participants were recruited from 8 sites in Europe, Australia and New Zealand. Those eligible for inclusion were overweight (BMI ≥ 25 kg/m2) individuals with pre‐diabetes according to ADA‐criteria. Outcomes of interest included changes in insulin resistance, fat mass (FM), fat‐free mass (FFM) and metabolic syndrome Z‐score.ResultsIn total, 2224 individuals (1504 women, 720 men) attended the baseline visit and 2020 (90.8%) completed the follow‐up visit. Following the LED, weight loss was 16% greater in men than in women (11.8% vs 10.3%, respectively) but improvements in insulin resistance were similar. HOMA‐IR decreased by 1.50 ± 0.15 in men and by 1.35 ± 0.15 in women (ns). After adjusting for differences in weight loss, men had larger reductions in metabolic syndrome Z‐score, C‐peptide, FM and heart rate, while women had larger reductions in HDL cholesterol, FFM, hip circumference and pulse pressure. Following the LED, 35% of participants of both genders had reverted to normo‐glycaemia.ConclusionsAn 8‐week LED induced different effects in women than in men. These findings are clinically important and suggest gender‐specific changes after weight loss. It is important to investigate whether the greater decreases in FFM, hip circumference and HDL cholesterol in women after rapid weight loss compromise weight loss maintenance and future cardiovascular health.

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Diabetes remission and glycemic response to pre-bariatric surgery diet

Abstract: Insulin-dependent T2DM bariatric surgery patients who display a rapid glycemic response to the preoperative LCD are more likely to experience early remission of T2DM postoperatively and greater weight loss.

Cited by 15 publications

References 30 publications

Predictive Factors of Type 2 Diabetes Mellitus Remission Following Bariatric Surgery: a Meta-analysis

Predictive Factors of Type 2 Diabetes Mellitus Remission Following Bariatric Surgery: a Meta-analysis

DNA Methylation and Hydroxymethylation Levels in Relation to Two Weight Loss Strategies: Energy-Restricted Diet or Bariatric Surgery

Men and women respond differently to rapid weight loss: Metabolic outcomes of a multi‐centre intervention study after a low‐energy diet in 2500 overweight, individuals with pre‐diabetes (PREVIEW)

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