Comment on: Postprandial hypertriglyceridemia predicts improvement in insulin resistance in obese patients after bariatric surgery

摘要

For the obese patient with type 2 diabetes mellitus, bariatric surgery has now been well validated as the most effective and durable intervention to achieve glycemic control and even restore homeostasis with regard to insulin sensitivity. However, the relative contributions of postbari-atric surgery factors, such as diet modification, weight loss amount, and bypass of the duodenum on the resolution of diabetes and improvement in insulin resistance remain unknown and a topic of significant debate. From the current data, it appears that all these factors play a role; however, the degree of weight loss is likely the most important factor in improving systemic insulin resistance [1,2].