Stable Clinical Course of Arteriosclerosis for Elderly Patient with Type 2 Diabetes (T2D)

Ogawa T, Bando H, Okada M, Iwatsuki N and Sakamoto K

Published on: 2025-10-31

Abstract

This patient is 84-year-old male with type 2 diabetes (T2D) and arteriosclerosis. He was diagnosed as T2D 6 years ago as HbA1c 8.4%, and he has been in good diabetic control as HbA1c 6.5% by vildagliptin/metformin (Equa/Metgluco, EquMet) until now with 20.5 kg/m² in BMI. Pulse wave velocity (PWV) showed Cardio-Ankle Vascular Index (CAVI) 11.6/10.8 (right/left), and ankle-brachial index (ABI) 1.15/1.04. He has kept stable value of arterial stiffness (AS) and satisfactory interpersonal communication skill (IPCS) for years. Beneficial points included continuous standard low carbohydrate diet (LCD) and twice intake (bid) of EquMet showed suppressed glucose variability during night.