Evaluation of the Short-Term Effect of Bariatric Surgery on the Level of HbA1c

Background: Obesity is one of the most common diseases in the world, and type 2 diabetes (T2DM) is one of the common complications of obesity. Bariatric surgery is one of the main treatments for the obese. It is recommended that this procedure can improve the status of T2DM, but there is limited dat...

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Main Authors: Hadi Salehnia, Abbas Ali Dehghan, Sara Rashki Ghalehnoo
Format: Article
Language:English
Published: Shahid Beheshti University of Medical Sciences 2025-01-01
Series:Novelty in Biomedicine
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Online Access:https://journals.sbmu.ac.ir/nbm/article/view/46061
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author Hadi Salehnia
Abbas Ali Dehghan
Sara Rashki Ghalehnoo
author_facet Hadi Salehnia
Abbas Ali Dehghan
Sara Rashki Ghalehnoo
author_sort Hadi Salehnia
collection DOAJ
description Background: Obesity is one of the most common diseases in the world, and type 2 diabetes (T2DM) is one of the common complications of obesity. Bariatric surgery is one of the main treatments for the obese. It is recommended that this procedure can improve the status of T2DM, but there is limited data about the short-term effects of bariatric surgery on T2DM status. In this study, we aimed to evaluate the short-term effect of bariatric surgery on the level of HbA1c as a parameter of the status of T2DM during 6 months. Materials and Methods: In this cross-sectional study that was conducted on patients who underwent bariatric surgery in Mortaz and Mojibinia Hospitals (Yazd-Iran) from 2016 to 2020 to evaluate the short-term effect of bariatric surgery on HbA1C level, patients who were candidates for performing bariatric surgery were evaluated for 6 months. Age, sex, body mass index (BMI) before surgery, and surgery types (sleeve gastrectomy or gastric bypass) were recorded. The patients were followed up for six months, and HbA1C was assessed before the operation, at 3 months, and at 6 months after the surgery. All data was recorded and analyzed by SPSSv.25, and the significance level was considered less than 0.05. Results: A total of 713 patients were assessed (27 in the sleeve gastrectomy group and 286 in gastric bypass surgery). The mean level of HbA1C was 8.59±1.85 % at the baseline, and it decreased to 8.41±1.85 % after 3 months (P-value: 0.06). After 6th month, the HbA1C level decreased to 7.79±5.04 %, significantly decreasing from the baseline (P-values<0.05). There was no association between the type of bariatric surgery (sleeve gastrectomy or gastric bypass) and the amount of HbA1C reduction (P-values> 0.05). Conclusion: Bariatric surgery reduces HbA1C level, and a significant reduction can be seen after 6 months. Sleeve gastrectomy and gastric bypass have similar effects in terms of HbA1C improvement.
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spelling doaj-art-58f8888e925c43ff9fa55f0cdccf84722025-01-20T05:01:18ZengShahid Beheshti University of Medical SciencesNovelty in Biomedicine2345-39072025-01-0113110.22037/nbm.v13i1.4606135956Evaluation of the Short-Term Effect of Bariatric Surgery on the Level of HbA1cHadi Salehnia0Abbas Ali Dehghan1Sara Rashki Ghalehnoo21Department of Surgery, Islamic Azad University-Yazd Branch, Yazd, Iran1Department of Surgery, Islamic Azad University-Yazd Branch, Yazd, Iran2Department Of Cardiology, Amir Al Momenin Hospital, Zabol University Of Medical Sciences, Zabol, IranBackground: Obesity is one of the most common diseases in the world, and type 2 diabetes (T2DM) is one of the common complications of obesity. Bariatric surgery is one of the main treatments for the obese. It is recommended that this procedure can improve the status of T2DM, but there is limited data about the short-term effects of bariatric surgery on T2DM status. In this study, we aimed to evaluate the short-term effect of bariatric surgery on the level of HbA1c as a parameter of the status of T2DM during 6 months. Materials and Methods: In this cross-sectional study that was conducted on patients who underwent bariatric surgery in Mortaz and Mojibinia Hospitals (Yazd-Iran) from 2016 to 2020 to evaluate the short-term effect of bariatric surgery on HbA1C level, patients who were candidates for performing bariatric surgery were evaluated for 6 months. Age, sex, body mass index (BMI) before surgery, and surgery types (sleeve gastrectomy or gastric bypass) were recorded. The patients were followed up for six months, and HbA1C was assessed before the operation, at 3 months, and at 6 months after the surgery. All data was recorded and analyzed by SPSSv.25, and the significance level was considered less than 0.05. Results: A total of 713 patients were assessed (27 in the sleeve gastrectomy group and 286 in gastric bypass surgery). The mean level of HbA1C was 8.59±1.85 % at the baseline, and it decreased to 8.41±1.85 % after 3 months (P-value: 0.06). After 6th month, the HbA1C level decreased to 7.79±5.04 %, significantly decreasing from the baseline (P-values<0.05). There was no association between the type of bariatric surgery (sleeve gastrectomy or gastric bypass) and the amount of HbA1C reduction (P-values> 0.05). Conclusion: Bariatric surgery reduces HbA1C level, and a significant reduction can be seen after 6 months. Sleeve gastrectomy and gastric bypass have similar effects in terms of HbA1C improvement.https://journals.sbmu.ac.ir/nbm/article/view/46061sleeve gastrectomygastric bypassbariatric surgeryhemoglobin a1c
spellingShingle Hadi Salehnia
Abbas Ali Dehghan
Sara Rashki Ghalehnoo
Evaluation of the Short-Term Effect of Bariatric Surgery on the Level of HbA1c
Novelty in Biomedicine
sleeve gastrectomy
gastric bypass
bariatric surgery
hemoglobin a1c
title Evaluation of the Short-Term Effect of Bariatric Surgery on the Level of HbA1c
title_full Evaluation of the Short-Term Effect of Bariatric Surgery on the Level of HbA1c
title_fullStr Evaluation of the Short-Term Effect of Bariatric Surgery on the Level of HbA1c
title_full_unstemmed Evaluation of the Short-Term Effect of Bariatric Surgery on the Level of HbA1c
title_short Evaluation of the Short-Term Effect of Bariatric Surgery on the Level of HbA1c
title_sort evaluation of the short term effect of bariatric surgery on the level of hba1c
topic sleeve gastrectomy
gastric bypass
bariatric surgery
hemoglobin a1c
url https://journals.sbmu.ac.ir/nbm/article/view/46061
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AT abbasalidehghan evaluationoftheshorttermeffectofbariatricsurgeryonthelevelofhba1c
AT sararashkighalehnoo evaluationoftheshorttermeffectofbariatricsurgeryonthelevelofhba1c