BIOMAT Database Logo BIOMAT Database Logo

Sleeve Gastrectomy Induced Remission of Slowly Progressive Type 1 Diabetes in a Morbidly Obese Japanese Patient. 2019

Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
Division of Diabetes and Endocrinology, Department of Internal Medicine, Chibune General Hospital, Japan.

The effects of bariatric/metabolic surgery on glycemic control in obese type 1 diabetic patients are controversial. We herein report a case of a morbidly obese 35-year-old woman who completely recovered from slowly progressive type 1 diabetes (SPIDDM) following laparoscopic sleeve gastrectomy. Preoperatively, her body mass index (BMI) was 49.8 kg/m2 and hemoglobin A1c was 5.7% with intensive insulin therapy. Six months after bariatric/metabolic surgery, her BMI decreased to 33.2 kg/m2 and her glycemic control was normal despite the discontinuation of all diabetic medicine. This case demonstrates the usefulness of bariatric/metabolic surgery for achieving glycemic control in morbidly obese patients with SPIDDM in Japan.

UI MeSH Term Description Entries
D009767 Obesity, Morbid The condition of weighing two, three, or more times the ideal weight, so called because it is associated with many serious and life-threatening disorders. In the BODY MASS INDEX, morbid obesity is defined as having a BMI greater than 40.0 kg/m2. Morbid Obesity,Obesity, Severe,Morbid Obesities,Obesities, Morbid,Obesities, Severe,Severe Obesities,Severe Obesity
D010535 Laparoscopy A procedure in which a laparoscope (LAPAROSCOPES) is inserted through a small incision near the navel to examine the abdominal and pelvic organs in the PERITONEAL CAVITY. If appropriate, biopsy or surgery can be performed during laparoscopy. Celioscopy,Laparoscopic Surgical Procedures,Peritoneoscopy,Surgical Procedures, Laparoscopic,Laparoscopic Assisted Surgery,Laparoscopic Surgery,Laparoscopic Surgical Procedure,Procedure, Laparoscopic Surgical,Procedures, Laparoscopic Surgical,Surgery, Laparoscopic,Surgical Procedure, Laparoscopic,Celioscopies,Laparoscopic Assisted Surgeries,Laparoscopic Surgeries,Laparoscopies,Peritoneoscopies,Surgeries, Laparoscopic,Surgeries, Laparoscopic Assisted,Surgery, Laparoscopic Assisted
D012074 Remission Induction Therapeutic act or process that initiates a response to a complete or partial remission level. Induction of Remission,Induction, Remission,Inductions, Remission,Remission Inductions
D001786 Blood Glucose Glucose in blood. Blood Sugar,Glucose, Blood,Sugar, Blood
D003922 Diabetes Mellitus, Type 1 A subtype of DIABETES MELLITUS that is characterized by INSULIN deficiency. It is manifested by the sudden onset of severe HYPERGLYCEMIA, rapid progression to DIABETIC KETOACIDOSIS, and DEATH unless treated with insulin. The disease may occur at any age, but is most common in childhood or adolescence. Diabetes Mellitus, Brittle,Diabetes Mellitus, Insulin-Dependent,Diabetes Mellitus, Juvenile-Onset,Diabetes Mellitus, Ketosis-Prone,Diabetes Mellitus, Sudden-Onset,Diabetes, Autoimmune,IDDM,Autoimmune Diabetes,Diabetes Mellitus, Insulin-Dependent, 1,Diabetes Mellitus, Type I,Insulin-Dependent Diabetes Mellitus 1,Juvenile-Onset Diabetes,Type 1 Diabetes,Type 1 Diabetes Mellitus,Brittle Diabetes Mellitus,Diabetes Mellitus, Insulin Dependent,Diabetes Mellitus, Juvenile Onset,Diabetes Mellitus, Ketosis Prone,Diabetes Mellitus, Sudden Onset,Diabetes, Juvenile-Onset,Diabetes, Type 1,Insulin Dependent Diabetes Mellitus 1,Insulin-Dependent Diabetes Mellitus,Juvenile Onset Diabetes,Juvenile-Onset Diabetes Mellitus,Ketosis-Prone Diabetes Mellitus,Sudden-Onset Diabetes Mellitus
D005260 Female Females
D005743 Gastrectomy Excision of the whole (total gastrectomy) or part (subtotal gastrectomy, partial gastrectomy, gastric resection) of the stomach. (Dorland, 28th ed) Gastrectomies
D006442 Glycated Hemoglobin Products of non-enzymatic reactions between GLUCOSE and HEMOGLOBIN (occurring as a minor fraction of the hemoglobin of ERYTHROCYTES.) It generally refers to glycated HEMOGLOBIN A. Hemoglobin A1c (Hb A1c) is hemoglobin A with GLYCATION on a terminal VALINE of the beta chain. Glycated hemoglobin A is used as an index of the average blood sugar level over a lifetime of erythrocytes. Fructated Hemoglobins,Glycohemoglobin,Glycohemoglobin A,Glycohemoglobins,Glycosylated Hemoglobin A,Hb A1c,HbA1,Hemoglobin A(1),Hemoglobin A, Glycosylated,Glycated Hemoglobin A,Glycated Hemoglobin A1c,Glycated Hemoglobins,Glycosylated Hemoglobin A1c,Hb A1,Hb A1a+b,Hb A1a-1,Hb A1a-2,Hb A1b,Hemoglobin, Glycated A1a-2,Hemoglobin, Glycated A1b,Hemoglobin, Glycosylated,Hemoglobin, Glycosylated A1a-1,Hemoglobin, Glycosylated A1b,A1a-1 Hemoglobin, Glycosylated,A1a-2 Hemoglobin, Glycated,A1b Hemoglobin, Glycated,A1b Hemoglobin, Glycosylated,Glycated A1a-2 Hemoglobin,Glycated A1b Hemoglobin,Glycosylated A1a-1 Hemoglobin,Glycosylated A1b Hemoglobin,Glycosylated Hemoglobin,Hemoglobin A, Glycated,Hemoglobin A1c, Glycated,Hemoglobin A1c, Glycosylated,Hemoglobin, Glycated,Hemoglobin, Glycated A1a 2,Hemoglobin, Glycosylated A1a 1,Hemoglobins, Fructated,Hemoglobins, Glycated
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults

Related Publications

Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
Long-term remission of type 2 diabetes in morbidly obese patients after sleeve gastrectomy.
January 2013, Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery,
Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
Is sleeve gastrectomy as effective as gastric bypass for remission of type 2 diabetes in morbidly obese patients?
January 2011, Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery,
Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
GLP-1 and glucose tolerance after sleeve gastrectomy in morbidly obese subjects with type 2 diabetes.
October 2014, Diabetes,
Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
An obese patient with slowly progressive type 1 diabetes diagnosed by ketoacidosis.
January 2010, Internal medicine (Tokyo, Japan),
Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
Long-Term Outcome of Laparoscopic Sleeve Gastrectomy in Morbidly Obese Japanese Patients.
January 2016, Obesity surgery,
Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
[Slowly progressive IDDM (slowly progressive type 1 diabetes)].
July 2002, Nihon rinsho. Japanese journal of clinical medicine,
Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
[Efficacy of laparoscopic sleeve gastrectomy on morbidly obese patients with type 2 diabetes mellitus].
May 2009, Zhonghua wei chang wai ke za zhi = Chinese journal of gastrointestinal surgery,
Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
Outcomes of primary sleeve gastrectomy versus conversion sleeve gastrectomy in morbidly obese patients.
May 2019, Annals of surgical treatment and research,
Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
Laparoscopic sleeve gastrectomy: Effect on long-term remission for morbidly obese patients with type 2 diabetes at 5-year follow up.
October 2017, Surgery,
Jun-Ya Hironaka, and Seiichi Kitahama, and Hiroyuki Sato, and Maki Inoue, and Tetsuya Takahashi, and Yoshikazu Tamori
Long-term effects of laparoscopic sleeve gastrectomy in morbidly obese subjects with type 2 diabetes mellitus.
March 2010, Surgery for obesity and related diseases : official journal of the American Society for Bariatric Surgery,
Copied contents to your clipboard!