TABLE 2.
Antidiabetic effects of bariatric procedures
| LAPAROSCOPIC ADJUSTABLE GASTRIC BANDING | ROUX-EN-Y GASTRIC BYPASS | BILIOPANCREATIC DIVERSION | |
|---|---|---|---|
| Tempo of diabetes remission | Slow | Rapid | Rapid |
| Insulin sensitivity | Improved | Improved | Supranormal |
| Insulin secretion | Reduced | Increased | Reduced |
| Glucagon-like peptide-1 levels | No change | Increased | Increased |
| Peptide YY levels | No change | Increased | Increased |
| Glucose-dependent insulinotropic peptide levels | No change | No change or increased | Reduced |
ADAPTED FROM MINGRONE G. ROLE OF THE INCRETIN SYSTEM IN THE REMISSION OF TYPE 2 DIABETES FOLLOWING BARIATRIC SURGERY. NUTR METAB CARDIOVASC DIS 2008; 18:574–579, WITH PERMISSION FROM ELSEVIER; HTTP://WWW.SCIENCEDIRECT.COM/SCIENCE/JOURNAL/09394753.