Journal of Korean Diabetes  2019;20(4):205-209

doi:10.4093/jkd.2019.20.4.205

Metabolic Surgery and Diabetes Mellitus: Its Effects and Side Effects

Mee Kyoung KIM 1

Affiliations

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Keywords

Bariatric surgery; Diabetes mellitus; Korea

Country

Republic of Korea

Language

Korean

Abstract

Recent studies have shown that metabolic surgery can lead to the remission of diabetes mellitus (DM) in a large portion of patients with both type 2 DM and morbid obesity. Metabolic surgery may be considered for glycemic control and weight loss in obese patients with type 2 DM. The most commonly performed bariatric surgeries are sleeve gastrectomy and Roux-en-Y gastric bypass. The effect of metabolic surgery, especially Roux-en-Y gastric bypass, is thought to be caused by mechanisms other than weight loss. Increased insulin secretion associated with altered gut hormones might play a role in this improvement. After metabolic surgery, glucose, lipids, and blood pressure are greatly improved, but not all patients with type 2 DM who undergo metabolic surgery achieve DM remission.