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01-05-2021 | Obesity | Letter to the Editor

Gastric Bypass in an Adolescent with Obesity, Insulin Resistance, and Type 1 Diabetes

Authors: Margaret A. Stefater, Brynn E. Marks

Published in: Obesity Surgery | Issue 5/2021

Excerpt

Whereas type 2 diabetes (T2D) is characterized by insulin resistance, type 1 diabetes (T1D) is defined by autoimmune-mediated β cell destruction resulting in insulin deficiency. Acknowledgement that asymptomatic β cell autoimmunity precedes clinical presentation has led to recognition of stages of T1D. Stage 1 is defined by islet cell autoimmunity with normoglycemia. In Stage 2, patients progress to asymptomatic dysglycemia, followed by symptomatic hyperglycemia in Stage 3 [1]. In addition to β cell autoimmunity, patients with T1D and obesity have insulin resistance [2]. Bariatric surgery (BS) is increasingly accepted as the most effective treatment for T2D and can reduce insulin requirements in patients with T1D [3]. …

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Hironaka JY, Kitahama S, Sato H, et al. Sleeve gastrectomy induced remission of slowly progressive type 1 diabetes in a morbidly obese Japanese patient. Intern Med. 2019;58:675–8. https://doi.org/10.2169/internalmedicine.1217-18.CrossRefPubMed

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Title: Gastric Bypass in an Adolescent with Obesity, Insulin Resistance, and Type 1 Diabetes
Authors: Margaret A. Stefater
Brynn E. Marks
Publication date: 01-05-2021
Publisher: Springer US
Keywords: Obesity
Obesity
Bariatric Surgery
Bariatric Surgery
Insulins
Metformin
Exenatide
Insulins
Type 1 Diabetes
Type 2 Diabetes
Published in: Obesity Surgery / Issue 5/2021
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-020-05190-z

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Gastric Bypass in an Adolescent with Obesity, Insulin Resistance, and Type 1 Diabetes

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