[Dynamics of indices of the carbohydrate metabolism in patients with morbid obesity after conservative and surgical methods of treatment]

Abstract

The dynamics of indices of the carbohydrate metabolism was studied in 164 patients, suffering morbid obesity (MO) (body mass index--BMI over 40 kg/M2), before and in 6 mo after conservative and surgical treatment. In 81 patients (I group) for treatment of MO a diet and medicine "Styfimol" were used, and in 83 (II group)--bariatric operations (gastric banding or shunting). In 6 mo after the treatment in patients of both groups a trustworthy reduction of body mass and BMI was observed, including in a group I--by 5.5 kg (4.6%), and in a group II--by 35 kg (22.8%). As a consequence of this a level of insulin and a HOMA index was noted, what have had promoted a reduction of a revealing rate of glucose tolerance violation (GTV) and diabetes mellitus (DM) type II. More essential changes in carbohydrate metabolism were observed in a group II, including a rate of revealing of HGTV--by 41%, DM type II--by 75%.