title: Which criteria should be used to define type 2 diabetes remission after bariatric surgery?
abstract: BACKGROUND
  Comparison of diabetes remission rates after bariatric surgery using two different models of criteria.
  
  
  METHODS
  Retrospective analysis of data from 110 patients with type 2 diabetes and morbid obesity who underwent bariatric surgery, preoperatively and at 18-month follow-up. Comparison of two models of remission: 1) 2009 consensus statement criteria; 2) simple criteria using ADA's HbA1c diabetes diagnostic cut-off values.
  
  
  RESULTS
  Patients' mean ± SD preoperative characteristics were: age 53.3 ± 9.5 years, BMI 43.6 ± 5.5 kg/m(2), HbA1c 7.9 ± 1.8%, duration of diabetes 7.6 ± 7.5 years. 44.5% of patients with previous insulin therapy. With 2009 consensus statement criteria: complete, partial and no remission in 50%, 12.7% and 37.3%, respectively; with HbA1c criteria: 50%, 15% and 34.5% in the analogous categories (p=0.673).
  
  
  CONCLUSIONS
  We suggest a simpler approach to evaluate diabetes remission after bariatric surgery, following the rationale of the definition of diabetes itself.
authors.affiliation: Department of Endocrinology and Nutrition, Hospital Clínico San Carlos, Instituto de Investigación Sanitaria San Carlos (IdISSC), Facultad de Medicina, Complutense University, Madrid, Spain.
authors.forename: Ana M
authors.initials: AM
authors.lastname: Ramos-Levi
authors.forename: Lucio
authors.initials: L
authors.lastname: Cabrerizo
authors.forename: Pilar
authors.initials: P
authors.lastname: Matía
authors.forename: Andrés
authors.initials: A
authors.lastname: Sánchez-Pernaute
authors.forename: Antonio J
authors.initials: AJ
authors.lastname: Torres
authors.forename: Miguel A
authors.initials: MA
authors.lastname: Rubio
mesh_terms: D050110:Bariatric Surgery / Q000534:rehabilitation* / Q000592:standards*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000503:physiopathology / Q000601:surgery*; D005500:Follow-Up Studies; D006801:Humans; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D012074:Remission Induction; D012189:Retrospective Studies; D016896:Treatment Outcome
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