title: GLYCEMIC BEHAVIOR IN 48 HOURS POSTOPERATIVE PERIOD OF PATIENTS WITH TYPE 2 DIABETES MELLITUS AND NON DIABETIC SUBMITTED TO BARIATRIC SURGERY.
abstract: Although there is no indication for surgery taking only into account the glycemic condition, results have shown that benefits can be obtained in glycemic control with bariatric surgery.
  
  
  OBJECTIVE
  To compare the glycemic behavior among type 2 diabetic and non-diabetic patients within 48 h after bariatric surgery, and clarify whether there is a reduction in blood glucose level in obese patients with diabetes before the loss of weight excess.
  
  
  METHODS
  Descriptive epidemiological study with prospective cohort design with 31 obese patients undergoing Roux-en-Y gastric bypass and sleeve gastrectomy. The patients were controlled with hemoglucotests in different periods of time: preoperative, postoperative and each 6 h after surgery for 48 h.
  
  
  RESULTS
  Average ambulatory blood glucose in diabetics was 120.7±2.9 mg/dl vs 91.8±13.9 mg/dl in the nondiabetic. After 48 h there was decrease in diabetics to 100.0±17.0 mg/dl (p=0.003), while the non-diabetic group did not change significantly (102.7±25.4 mg/dl; p=0.097). There were no differences between the surgical techniques. There were no death.
  
  
  CONCLUSIONS
  Diabetic patients significantly reduced blood glucose after surgery regardless of the use of exogenous insulin or oral hypoglycemic agents.
authors.affiliation: Santa Catarina South University, Brazil.
authors.forename: Lucas Freitas
authors.initials: LF
authors.lastname: de Oliveira
authors.affiliation: Santa Catarina South University, Brazil.
authors.forename: Caroline Gewehr
authors.initials: CG
authors.lastname: Tisott
authors.affiliation: Nossa Senhora da Conceição Hospital, Tubarão, SC, Brazil.
authors.forename: Diego Machado
authors.initials: DM
authors.lastname: Silvano
authors.affiliation: Santa Catarina South University, Brazil.
authors.forename: Camila Mafalda Mouta
authors.initials: CM
authors.lastname: Campos
authors.affiliation: Nossa Senhora da Conceição Hospital, Tubarão, SC, Brazil.
authors.forename: Ricardo Reis
authors.initials: RR
authors.lastname: do Nascimento
mesh_terms: D000328:Adult; D000368:Aged; D050110:Bariatric Surgery; D001786:Blood Glucose / Q000032:analysis*; D003924:Diabetes Mellitus, Type 2 / Q000097:blood* / Q000150:complications*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000097:blood* / Q000150:complications*; D011184:Postoperative Period; D011446:Prospective Studies; D013997:Time Factors; D055815:Young Adult
chemical_list: D001786:Blood Glucose