Remarkable improvement and weight reduction in obese diabetic patient by continuation of super low carbohydrate diet (LCD)

The case was 39-year old female patient with T2DM (BMI 33.3). She had a strong hope to receive Laparoscopic sleeve gastrectomy (LSG), but she could not take the operation of LSG because of severe diabetic control (HbA1c 11.4%). She was treated with 5 kinds of diabetic medicine such as, Exenatide, Alogliptin, Metformin, Mitiglinide and Miglitol. She continued LCD successfully, with the improvement of HbA1c 10.8 % to 6.3% and weight reduction 83.2 kg to 66.6 kg. At 7 months, medicine was only Metformin. In our activity of Japan LCD Promotion Association (JLCDPA), super-LCD has been effective with 12% of carbohydrate.

Necrotizing Fasciilitis of the Anterior Abdominal Wall Following Myomectomy in an Obese Diabetic Patient: A Case Report

Necrotizing fasciitis is a progressive infection of fascia that is associated with necrosis of subcutaneous tissues. It has high morbidity and mortality rates because the diagnosis is often not made early enough to institute the aggressive treatment that is necessary to prevent death. We herein report a case of necrotizing fasciitis of the anterior abdominal wall following a myomectomy in an obese diabetic female that was diagnosed early enough to allow for a favorable outcome following aggressive antibiotic therapy and surgical debridement.