From: Which criteria should be used to define type 2 diabetes remission after bariatric surgery?
Variable | 2009 Consensus group criteria (Model 1) | ADA’s HbA1c criteria (Model 2) | ||||||||
---|---|---|---|---|---|---|---|---|---|---|
TOTAL | Complete | Partial | No remission | p | <5.7% | 5.7-6.5% | >6.5% and/or treatment | p | ||
No of patients | 110 | 55 (50.0) | 14 (12.7) | 41 (37.3) | 55 (50.0) | 17 (15.5) | 38 (34.5) | |||
Age (years) | 53.3 ± 9.5 | 51.5 ± 9.8 | 55.6 ± 8.0 | 54.9 ± 9.4 | 0.230 | 52.1 ± 9.7 | 52.8 ± 8.4 | 55.2 ± 9.7 | 0.299 | |
Preop - BMI (kg/m2) | 43.6 ± 5.5 | 44.3 ± 5.2 | 43.7 ± 4.8 | 42.8 ± 6.0 | 0.514 | 44.1 ± 4.9 | 43.6 ± 6.2 | 43.0 ± 6.0 | 0.595 | |
18 m - BMI (kg/m2) | 29.0 ± 5.0 | 28.1 ± 4.5 | 31.8 ± 4.9 | 29.2 ± 5.4 | 0.049 | 28.3 ± 4.3 | 30.9 ± 6.0 | 29.3 ± 5.4 | 0.193 | |
Preop – FG (mg/dl) | 165.2 ± 58.5 | 156.0 ± 55.3 | 137.8 ± 26.6 | 186.9 ± 64.3 | 0.004 | 153.9 ± 55.1 | 142.0 ± 29.5 | 191.8 ± 64.4 | 0.001 | |
18 m – FG (mg/dl) | 100.2 ± 23.9 | 86.7 ± 7.5 | 104.6 ± 6.9 | 118.6 ± 30.4 | 0.000 | 87.7 ± 8.9 | 101.5 ± 12.4 | 119.8 ± 30.8 | 0.000 | |
Preop - HbA1c (%) | 7.9 ± 1.8 | 7.5 ± 1.5 | 7.0 ± 0.8 | 8.6 ± 1.9 | 0.002 | 7.3 ± 1.3 | 7.7 ± 1.8 | 8.7 ± 1.9 | 0.000 | |
18 m - HbA1c (%) | 5.4 ± 0.7 | 5.0 ± 0.6 | 5.5 ± 0.5 | 6.1 ± 0.6 | 0.000 | 4.9 ± 0.5 | 5.8 ± 0.1 | 6.1 ± 0.7 | 0.000 | |
%WL | 33.1 ± 9.4 | 36.1 ± 7.9 | 27.1 ± 7.2 | 31.0 ± 10.4 | 0.001 | 35.6 ± 8.1 | 29.4 ± 8.3 | 31.0 ± 10.5 | 0.014 | |
%EWL | 70.7 ± 21.0 | 75.9 ± 17.7 | 57.0 ± 15.3 | 68.6 ± 24.4 | 0.007 | 74.9 ± 17.7 | 63.3 ± 22.5 | 68.0 ± 23.7 | 0.070 | |
Duration of diabetes (years) | 7.6 ± 7.5 | 5.1 ± 4.0 | 4.4 ± 4.8 | 11.9 ± 9.9 | 0.001 | 5.3 ± 4.3 | 4.6 ± 3.5 | 12.6 ± 10.0 | 0.000 | |
Previous treatment with insulin | No | 61 (55.5) | 39 (70.9) | 10 (71.4) | 12 (29..3) | 0.000 | 37 (67.3) | 14 (82.4) | 10 (26.3) | 0.000 |
Yes | 49 (44.5) | 16 (29.1) | 4 (28.6) | 29 (70.7) | 18 (32.7) | 3 (17.6) | 28/73.7) |