Improved Diabetic Control in Obese Patient with Type 2 Diabetes (T2D) By Less Carbohydrate and Equmet (Vildagliptin/Metformin)

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

Published on: 2025-04-30

Abstract

The case is 77-year-old elderly male with obesity, type 2 diabetes (T2D) and ischemic heart disease (IHD). His weight increased from 55kg to 86kg during 20s to 60s. As health check-up in autumn 2023, his HbA1c was 8.0%. He started petite low carbohydrate diet (LCD) and vildagliptin/Metformin (EquMet), and then HbA1c became stable about 6.7%. Electrocardiogram (ECG) showed ischemic flat T waves.?For pulse wave velocity (PWV), ankle brachial pressure index (ABI) 1.08/1.18 and cardio-ankle vascular index (CAVI) 9.3/9.0 as right/left were noted. This case will be followed up with attention, through the research of Japan LCD promotion Association (JLCDPA).