Outcome and follow-up
Two weeks post-surgery, the patient exhibited elevated blood glucose
levels. Fasting blood glucose measured 274.32 mg/dL, and 2-hour
postprandial blood glucose was 334.26 mg/dL(see Table 2), indicating
secondary diabetes mellitus. Insulin therapy was initiated for glycemic
control. Following hospital discharge, the patient used insulin
sporadically, without experiencing hypoglycemia. Six months
post-surgery, fasting blood glucose was 284.58 mg/dL, and glycosylated
hemoglobin was 12.5%. The patient received instructions to use insulin
consistently. Over the subsequent four years, no hypoglycemic episodes
occurred, and glycemic control remained reasonable.