PMID- 34707946 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240403 IS - 2168-8184 (Print) IS - 2168-8184 (Electronic) IS - 2168-8184 (Linking) VI - 13 IP - 10 DP - 2021 Oct TI - Effect of Bariatric Surgery on Glycaemic Control in King Fahad Hospital. PG - e18943 LID - 10.7759/cureus.18943 [doi] LID - e18943 AB - BACKGROUND: Laparoscopic Sleeve Gastrectomy (LSG) is an approved procedure for weight reduction in obese patients. This outcome of weight loss is essential to achieve optimal control in patients with type 2 diabetes mellitus (T2DM). OBJECTIVES: This study was designed to evaluate the effect of LSG on glycemic control among a sample of obese patients in Al-Madinah Al-Munawwarah, Saudi Arabia, through assessment of reduction in hemoglobin A1c (HbA1c) associated with weight loss following LSG. METHODS: In this cross-sectional study, we studied 102 patients with a body mass index (BMI) of >/=30 kg/m(2 )and aged >/=18 years who underwent LSG between January 2017 and December 2019. Patient age, characteristics, preoperative and postoperative records of BMI and HbA1c were collected. The data of BMI and HbA1c were analyzed based on baseline and mean postoperative readings with variable postoperative visits after LSG. RESULTS: There was a 30% reduction in BMI and a 26.4% reduction in HbA1c following LSG from baseline in all patients. We noted 44 patients achieved BMI <40kg/m(2) with HbA1c <6.5% and 32 patients achieved BMI <40kg/m(2) with HbA1c <5.7% within a mean follow-up time of 10 months. CONCLUSIONS: Laparoscopic Sleeve Gastrectomy (LSG) has a positive effect on glycemic control in obese patients in short term, evidenced by the significant reduction of weight and HbA1c. Larger longitudinal studies are needed to assess the long-term impact of LSG glycemic control and the related factors associated with maintaining weight reduction and optimal glycemic control in Saudi Arabia for patients with obesity. CI - Copyright (c) 2021, Zaki et al. FAU - Zaki, Mohammed Khaled S AU - Zaki MKS AD - General Surgery, Taibah University, Al-Madinah Al-Munawwarah, SAU. FAU - Alhelali, Rayan E AU - Alhelali RE AD - College of Medicine, Taibah University, Al-Madinah Al-Munawwarah, SAU. FAU - Samman, Yazeed H AU - Samman YH AD - College of Medicine, Taibah University, Al-Madinah Al-Munawwarah, SAU. FAU - Alharbi, Abdulaziz Saud AU - Alharbi AS AD - College of Medicine, Taibah University, Al-Madinah Al-Munawwarah, SAU. FAU - Alharbi, Yazeed K AU - Alharbi YK AD - College of Medicine, Taibah University, Al-Madinah Al-Munawwarah, SAU. FAU - Alrefaei, Abdullah K AU - Alrefaei AK AD - College of Medicine, Taibah University, Al-Madinah Al-Munawwarah, SAU. FAU - Hasaballah, Mohammed I AU - Hasaballah MI AD - College of Medicine, Taibah University, Al-Madinah Al-Munawwarah, SAU. FAU - Alquliti, Osama A AU - Alquliti OA AD - College of Medicine, Taibah University, Al-Madinah Al-Munawwarah, SAU. LA - eng PT - Journal Article DEP - 20211021 PL - United States TA - Cureus JT - Cureus JID - 101596737 PMC - PMC8530792 OTO - NOTNLM OT - bariatric surgery OT - glycaemic control OT - laparoscopic sleeve gastrectomy OT - obesity OT - type 2 diabetes mellitus COIS- The authors have declared that no competing interests exist. EDAT- 2021/10/29 06:00 MHDA- 2021/10/29 06:01 PMCR- 2021/10/21 CRDT- 2021/10/28 06:41 PHST- 2021/10/21 00:00 [accepted] PHST- 2021/10/28 06:41 [entrez] PHST- 2021/10/29 06:00 [pubmed] PHST- 2021/10/29 06:01 [medline] PHST- 2021/10/21 00:00 [pmc-release] AID - 10.7759/cureus.18943 [doi] PST - epublish SO - Cureus. 2021 Oct 21;13(10):e18943. doi: 10.7759/cureus.18943. eCollection 2021 Oct.