Resumo

GARCIACABALLERO, Manuel; REYES-ORTIZ, Alexander; MARTINEZ-MORENO, José Manuel  e  TOVAL-MATA, José Antonio. Glycemic and lipid metabolic disorders in diabetic and non-diabetic patients bmi < 35 or > 35 before gastric bypass. Nutr. Hosp. [online]. 2014, vol.29, n.5, pp.1095-1102. ISSN 1699-5198.  https://dx.doi.org/10.3305/nh.2014.29.5.7288.

Introduction: Obesity and diabetes are diseases with high prevalence worldwide. There is currently no effective medical treatment for combat the weight gain. It is precursor of diseases such as diabetes or metabolic syndrome. It is necessary to know if weight gain has cumulative effects on the glycemic and lipid metabolism as precursors of complications or comorbidities. Patients and methods: We studied 131 patients (78 nondiabetic and 53 diabetic), 37 BMI < 35 (3 BMI < 25, 18 BMI 25-29.9, 16 BMI 30-34.9) and 94 BMI > 35 (81 BMI 35-49.9 and 13 BMI > 50). We analyzed BMI, gender, diabetes and the time of evolution. Lipid profile, glucose, HbA1c and C-peptide evaluated after 12-hour fasting. Results: Diabetic and diabese patients showed high triglycerides. Non-diabetics have impaired glucose (58% BMI < 35 and 36% BMI > 35). The 20% of non-diabetics BMI < 35 had high C-peptide, and 19% of BMI > 35 had high levels. The 5% of diabetics BMI < 35 had low C-peptide and 36% of BMI > 35 had high levels. HbA1c was higher in 40% of non-diabetic patients BMI < 35 compared to 13% BMI > 35. Conclusions: Glucose and triglycerides increase with age and years of development of T2DM. Age of 51 and more, and men are more affected. The weight increase has cumulative effect by altering the metabolism favoring the onset of diabetes and comorbidities. Despite having intensive control treatment of diabetes, it continues its deleterious effects on patients through the years.

Palavras-chave : Obesity; Diabetes mellitus; Diabesity; BMI; Metabolism.

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