Table 1.
Patient | 1 | 2 | 3 | 4 | 5 | 6 | 7 | Average (±SD) |
---|---|---|---|---|---|---|---|---|
Sex | F | F | M | F | F | F | F | |
Age at RYGB (yrs) | 46 | 35 | 40 | 28 | 32 | 37 | 25 | 35 ± 7 |
BMI before RYGB (kg/m2) | 38 | 50 | 50 | 37 | 47 | 49 | 54 | 46 ± 7 |
Preop DM? | no | no | no | no | no | prediabetes | no | |
Onset of sxs (months post bypass) | 12 | 19 | 6 | 56 | 100 | 32 | asymptomatic | 37.5 ± 36 |
Other problems | hypopara-thyroid | nausea/vomiting | reflux | anemia | hypopara-thyroid | |||
Complications of hypoglycemia | car accident, LOC | car accident | Hand callous/inability to monitor glucose | seizures | severe headaches | seizures | n/a | |
Nadir glucose with OGTT (mg/dL) | 44 | 44 | 38 | 60 | 46 | 54 | 64 | 50 ± 9.5 |
HOMA-IR at diagnosis (from OGTT) | 2.08 | 0.85 | 0.61 | 1.58 | 1.12 | 1.54 | 0.92 | 1.2 ± 0.5 |
Hemoglobin A1C at diagnosis | 5.70% | 5.50% | 5.50% | 5.60% | 5.00% | 5.60% | n/a | 5.48 ± 0.2% |
Treatment modalities implemented prior to reversal | Dietary, acarbose, verapamil | Dietary, acarbose, diazoxide, verapamil, octreotide | Dietary, acarbose, diazoxide | Dietary, acarbose | Dietary, acarbose, prednisone | Dietary, acarbose | n/a | |
BMI at reversal (kg/m2) | 27.5 | 24 | 33 | 28 | 30 | 23 | 28 | 27 ± 3.5 |
Reversal surgery date (months post bypass) | 39 | 41 | 48 | 93 | 122 | 55 | 33 | 62 ± 33 |
Reversal anatomy | normal | sleeve gastrectomy | sleeve gastrectomy | sleeve gastrectomy | sleeve gastrectomy | normal | normal | |
Weight change from G-tube MTT to post op MTT (lbs/BMI in kg/m2) | 21 lbs +3.2 BMI |
−21 lbs −3.9 BMI |
28 lbs +3.2 BMI |
0 lbs | −22 lbs −3.5 BMI |
17 lbs +3.1 BMI |
−14 lbs −2.4 BMI |
2 ± 19 lbs 0 ± 3.2 BMI |
Total weight change with reversal (lbs/BMI in kg/m2) | 38 lbs +5.8 BMI |
11 lbs +2 BMI |
128 lbs +16.4 BMI |
37 lbs +5.1 BMI |
2 lbs +0.3 BMI |
19 lbs +3.5 BMI |
13 lbs +2.2 BMI |
35 ± 43 lbs 5 ± 5.3 BMI |
BMI at last follow up after reversal (kg/m2) | 33.3 | 26.3 | 49.2 | 33 | 30.3 | 26.2 | 30 | 33 ± 8 |
Months of followup after reversal | 47 | 18 | 34 | 20 | 9 | 3 | 11 | 20 ± 15 |