Type 2 diabetes mellitus Nutritional, Metabolic, Endocrine Non-insulin-dependent diabetes mellitus
Conditions
Interventions
Surgery: Loop Duodeno-jejunal bypass with sleeve gastrectomy.
There is only one study arm which is surgery: Loop duodeno-jejunal bypass with sleeve gastrectomy which will be done for consenting patien
Sponsors
E-Da Hospital (Taiwan)
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Age 18-65 years 2. BMI 7.0%
Exclusion criteria
Exclusion criteria: 1. Patients younger than 18 or older than 65 years 2. Those planning pregnancy in the next 2 years 3. Type 1 diabetes mellitus (T1DM) patients 4. Latent autoimmune diabetes in adults 5. Malignancy 6. Debilitating disease 7. Unresolved psychiatric illness 8. Substance abuse 9. American Society of Anesthesiologists (ASA) classification > III
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Patients will be divided into four groups on the basis of their postsurgical status: 1. Those in remission of T2DM, defined by HbA1c < 6.5% without oral hypoglycemic drugs or insulin 2. Those with glycemic control, defined as HbA1C of < 7 % despite no use of anti-diabetic medications 3. Those with improvement of their T2DM, defined as a reduction of at least 25% in the fasting plasma glucose level and/ or at least 1% in the pre-operative HbA1c level with hypoglycemic drug treatment 4. Those with failure of surgical procedure, defined as no significant improvement or worsened if a patient required an additional anti-diabetic medication | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Resolution of co-morbidities 2. Complications related to procedure | — |
Countries
Taiwan
Outcome results
None listed