HN-00530094_Management of Obesity: Metabolic Surgical Indication for with Type 2 Diabetes

سال انتشار: 1398
نوع سند: مقاله کنفرانسی
زبان: انگلیسی
مشاهده: 428

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شناسه ملی سند علمی:

ICNC03_060

تاریخ نمایه سازی: 12 اسفند 1398

چکیده مقاله:

Introduction: In obese patients with type 2 diabetes, the primary weight loss goals and intervention strategies include diet, physical activity, behavioral therapy, and pharmacological therapy. The main goals of metabolic surgery, in addition to weight loss, are metabolic control, with consequent cardiovascular risk reduction. It comes as the final treatment to achieve lasting control of metabolic risk factors and promote weight loss provided that proper control is carried out. The present study aimed to investigate the indication of metabolic surgery among patients with type 2 diabetes.Methods: A total of 3380 volunteered employees who voluntarily attended the Center for cohort study of Employee Health, Shiraz University of Medical Sciences, were included in the study. Patients with FBS values of ≥126 and BMI≥30 were regarded as diabetic and obese. American Diabetes Association (ADA) Standards of Medical Care in Diabetes (2017) was used as the criteria for suggesting the proper treatment.Results: Laboratory data revealed that about 4% suffered from Type 2 diabetes while 30% were unaware of their disorder. According to our results, 28% of diabetic patients were obese (BMI≥30) and were potential candidates for metabolic surgery.Conclusions: As Type 2 diabetes is a chronic and progressive illness and in some situations is difficult to control with the best medical treatment and behavioral changes metabolic surgery is recommended especially for individuals with BMI≥30 to avoid future complications.

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نویسندگان

Seyed Jalil Masoumi

Department of Clinical Nutrition, School of Nutrition and Food Sciences, Shiraz University of Medical Sciences, Shiraz, Iran- Nutrition Research Center, Shiraz University of Medical Sciences, Shiraz, Iran- Center for Cohort Study of SUMS Employees’ Health

Fariba Moradi Ardakani

Center for Cohort Study of SUMS Employees’ Health, Shiraz University of Medical Sciences, Shiraz, Iran

Atefeh Torabi Ardakani

Center for Cohort Study of SUMS Employees’ Health, Shiraz University of Medical Sciences, Shiraz, Iran

Seyedeh Leili Masoumi

Shiraz University of Medical Sciences, Shiraz, Iran