Bariatric surgery is recommended as a treatment option in individuals with T2DM and BMI > 35 kg/m2. However, remission of diabetes following bariatric surgery has varied from 24–73% in various studies. A number of scoring systems have been proposed to predict remission of type 2 diabetes mellitus following bariatric surgery. Out of these ABCD score has shown the most promise. The aims of this study were to analyze the effects of bariatric surgery on T2DM patients and to evaluate the possibility of using ABCD score to help with the patient selection.
Material and methods
Between 1 January 2016 and 1 December 2017, patients undergoing bariatric surgery for obesity with T2DM were recruited from DMCH Ludhiana and followed up at 3 months and 6 months after surgery for control/remission of diabetes.
At 6 months, the mean % EWL was 62.74. Significant improvements were noted in FBS (193.05 to 107.97), in HbA1C (8.22 to 6.17), dose of OHAs (1.97 to none), and insulin (32.86 to 5.66). Patients who attained remission were younger, with shorter duration of diabetes and higher C-peptide levels. The preoperative BMI or the % EWL were not predictive of diabetes remission. Higher ABCD scores were significantly associated with higher rates of diabetes remission.
Bariatric surgery leads to substantial weight loss and amelioration of type 2 diabetes. An ABCD score of > 6 predicts diabetes remission following bariatric surgery, and is recommended as an aid for patient selection and counseling.
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Conflict of interest
The authors declare that they have no conflict of interest.
Ethics approval and consent to participate
The study was approved by the institutional ethics committee.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee (Research & Ethical Committee, DMCH, Ludhiana – ECR/101/Inst/PB/2013/RR-16) and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
This article does not contain any studies with animals performed by any of the authors.
Informed consent was obtained from all individual participants included in the study.
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Sohal, D.S., Nain, P.S., Singh, P. et al. ABCD score of > 6 predicts diabetes remission following bariatric surgery. Int J Diabetes Dev Ctries 40, 416–421 (2020). https://doi.org/10.1007/s13410-020-00801-y
- Bariatric surgery
- ABCD score