title: [The effect of gastric sleeve and bypass surgery on the use and costs of medications for type 2 diabetes].
abstract: The study group consisted of 96 patients who had used a medication for type 2 diabetes; of them, 33 had undergone gastric sleeve surgery and 63 bypass surgery. Both surgical methods resulted in a similar weight loss among the patients. In follow-up 39 out of 88 patients were able to manage without antidiabetic drugs two years after surgery. The costs of antidiabetic drugs two years after surgery were 79% lower than before the operation. Weight reduction surgery decreases the need for antidiabetic drugs. The greatest cost-efficiency is achieved by targeting weight-loss operations to patients using insulin therapy.
authors.affiliation: HYKS, endokrinologian klinikka.
authors.forename: Timo
authors.initials: T
authors.lastname: Sane
authors.forename: Tuula
authors.initials: T
authors.lastname: Pekkarinen
authors.forename: Nabil
authors.initials: N
authors.lastname: Jaser
authors.forename: Anne
authors.initials: A
authors.lastname: Juuti
authors.forename: Leena
authors.initials: L
authors.lastname: Virtanen
authors.forename: Marja
authors.initials: M
authors.lastname: Leivonen
mesh_terms: D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy / Q000601:surgery*; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D015390:Gastric Bypass / Q000379:methods*; D006801:Humans; D007004:Hypoglycemic Agents / Q000191:economics* / Q000627:therapeutic use*; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications / Q000601:surgery; D012307:Risk Factors; D016896:Treatment Outcome; D015431:Weight Loss
chemical_list: D007004:Hypoglycemic Agents