On 2014 Feb 11, David Keller commented:

None

On 2014 Feb 10, David Keller commented:

Mingrone and colleagues report that morbidly obese patients with poorly-controlled type 2 diabetes were able to achieve glycated hemoglobin levels of 4.95 +/- 0.49% after biliopancreatic-diversion bariatric surgery. Fasting glucose levels for these patients are reported in Table 2 as 3.89 mm/L +/- 0.67, which corresponds to 70 mg/dL +/- 12. This remarkable result raises the question of whether any of these patients were troubled by episodes of hypoglycemia, particularly those with fasting blood sugar levels of 58 mg/dL, at the low end of the range. Hypoglycemia is widely defined for diabetic patients as a blood sugar level of less than 70 mg/dL, and diabetic patients accustomed to hyperglycemia may not initially tolerate these lower blood sugar levels. Were there any reported episodes of severe or symptomatic hypoglycemia among the patients treated with bariatric surgery?

On 2014 Feb 10, David Keller commented:

Mingrone and colleagues report that morbidly obese patients with poorly-controlled type 2 diabetes were able to achieve glycated hemoglobin levels of 4.95 +/- 0.49% after biliopancreatic-diversion bariatric surgery. Fasting glucose levels for these patients are reported in Table 2 as 3.89 mm/L +/- 0.67, which corresponds to 70 mg/dL +/- 12. This remarkable result raises the question of whether any of these patients were troubled by episodes of hypoglycemia, particularly those with fasting blood sugar levels of 58 mg/dL, at the low end of the range. Hypoglycemia is widely defined for diabetic patients as a blood sugar level of less than 70 mg/dL, and diabetic patients accustomed to hyperglycemia may not initially tolerate these lower blood sugar levels. Were there any reported episodes of severe or symptomatic hypoglycemia among the patients treated with bariatric surgery?