type 2 diabetes
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Indications for surgery: (1) The course of T2DM is less than or equal to 15 years and there is still a pancreatic islet Insulin secretion function, fasting serum C peptide = 1/2 of the lower limit of normal; (2) The patient's BMI is an important clinical criterion for judging whether it is suitable for surgery; (3) Male waist circumference = 90 cm, female waist circumference When =85 cm, the grade of surgery recommendation can be increased as appropriate; (4) The recommended age is 16 to 65 years old. BMI = 32.5, active surgery; 27.5 to <32.5, suffering from T2DM, difficult to control blood glucose by lifestyle changes and medications, and at least 2 additional metabolic syndrome components or presence of comorbidities, may consider surgery; 25.0 ~ 27.5, With T2DM, it is difficult to control blood glucose after lifestyle changes and medications are treated and at least 2 extra metabolic syndrome components or comorbidities are present. Can be operated but not recommended.
Exclusion criteria
Exclusion criteria: (1) Definite diagnosis of non-obese type 1 diabetes; (2) Loss of function of islet B cells, low serum C-peptide levels, or low C-peptide release profile under glucose load; (3) BMI <25.0 is currently not recommended Surgery; (4) Gestational Diabetes Mellitus and Certain Special Types of Diabetes; (5) Drug Addiction or Alcohol Addiction or Uncontrollable Mental Illness; (6) Intellectual Disability or Intellectual Immature, Behavior Uncontrollable; (7) Unwilling to bear the risk of potential complications of surgery; (8) Failing to meet the changes in postoperative diet and living habits, poor compliance; (9) Poor general condition, hard to tolerate the whole body Anesthesia or surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| FBG;weight;height;A1c;C-peptide; | — |
Countries
China
Contacts
Guangzhou General Hospital of Guangzhou Military Command