EVALUATION OF GLYCEMIC AND PONDERAL CONTROL IN BIG OBESES WITH DIABETICS: A COMPARATIVE STUDY OF CLINICAL AND SURGICAL INTERVENTION

• Autor(a) principal: da Silva, Joana Cunha
• Data de Publicação: 2017
• Outros Autores: Martins, Karina Severiano, de Oliveira, Suellen Ribeiro, Gava, Roberta Peixoto
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Revista Científica da Faculdade de Medicina de Campos
• Texto Completo: https://www.fmc.br/ojs/index.php/RCFMC/article/view/143
• topic: obesidade; diabetes mellitus tipo 2; tratamento

Type 2 Diabetes Mellitus is a metabolic disorder characterized by chronic hyperglycemia of high morbidity and mortality. The objective of the study was to compare the glycemic control of Type 2 Diabetes Mellitus through the intervention of clinical treatment and after bariatric surgery in 20 patients of both sexes and age in the range between 20 and 65 years, with BMI ≥ 35 kg / m2, in Campos dos Goytacazes, RJ, in 2016. For this, the response to glycemic control was analyzed, with a minimum follow-up of 3 months. Results: Of the total (n = 20) of both groups, it was observed that the majority were women (65%) and most of the patients were between 24 and 65 years old. In relation to fasting glucose levels, 100% of the patients in the surgical group were able to reduce the glycemic level to below 126 mg / dl in the post-intervention, in contrast to 60% in the clinical group. It was observed that 88.9% of the patients in the surgical group had an improvement in HbA1c levels (<7%); in contrast, 50% of the patients in the clinical group maintained values ​​above the ideal (≥7%) after the 3-month return. A BMI reduction of the surgical group (mean BMI = 35.2 kg / m2 ± 1.1) was observed, following a mean BMI of 37.7 kg / m2 ± 3.8 of the clinical group after return. Weight and blood glucose control were better in the surgical group than the clinical group after the intervention when fasting glucose levels, HbA1C and BMI were analyzed.