2型糖尿病术前应做的专项检查（Special examination should be done before operation for type 2 diabetes mellitus）.docVIP

2型糖尿病术前应做的专项检查（Special examination should be done before operation for type 2 diabetes mellitus） Special inspection should be done in type 2 diabetic patients before operation Source: Guangxi diabetes clinical research center What should we do a special inspection of type 2 diabetes before surgery? The best treatment of type 2 diabetes, diabetes experts suggest that gastric bypass (GBP) surgery in the treatment of diabetes, gastric bypass surgery has changed the physiological flow of food, through the stomach, blocking the gastrointestinal anastomosis, intestinal anastomosis procedures completed. Gastric bypass surgery experts said that patients with type 2 diabetes in the following special inspection should be done before radical surgery for type 2 diabetes: 1. Detection of autoimmune diabetes antibody (LADA) Including insulin autoantibodies (IAA) and islet cell antibody (ICA), glutamic acid decarboxylase antibody (GAD-Ab) and tyrosine phosphatase antibody (IA-2Ab). Detection significance: adult patients with diabetes mellitus in patients with type 1 diabetes excluded, contribute to the screening and diagnosis of patients with type 1 diabetes and type 1 diabetes prone patients, in order to more accurately determine whether suitable for radical resection of type 2 diabetes mellitus. Diabetic patients with adult onset, detection of autoantibodies can predict the future whether there is tendency of islet B- cell function failure. A 12 year study found that in diabetic patients with newly diagnosed adult onset, if there are more than 2 autoantibodies, while 74% of the patients had pancreatic islet B- cell function failure after 5 years (undetectable serum C-P), in 12 years, almost all newly diagnosed 2-3 antibody positive patients the function of islet B- cell failure; newly diagnosed only 1 antibody positive, 5 years after B- cell failure occurred in 17%, 12 years to reach 80%. In the first visit and antibody negative patients, 1 cases occurred after 12 years without