A case of successful surgical treatment of type 2 diabetes mellitus in an obese patient in bariatric practice

Abstract

The relevance of the problem of obesity is due to the progressive increase in morbidity worldwide and the high risk of developing pathological conditions associated with overweight. The development of cardiovascular diseases, lipid metabolism disorders, and type 2 diabetes mellitus is of the greatest importance. Among the various types of treatment for morbid obesity, bariatric surgery occupies a leading position and acquires a special role in the correction of type 2 diabetes mellitus associated with excess body weight due to its greatest metabolic efficiency. A clinical case of surgical treatment of type 2 diabetes mellitus associated with obesity in a middle-aged woman with unsatisfactory glycemic control on insulin therapy is presented. Gastric bypass was performed. The early postoperative period is smooth. Four years later, the body mass index was 24.9 kg/m2, the target levels of glycemia and glycated hemoglobin were achieved in the complete absence of insulin therapy.

Keywords

• obesity
• obesity treatment
• bariatric surgery
• diabetes mellitus
• gastric bypass