Abstract

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.

Keywords

non-communicable diseases, calorie restriction, super low carbohydrate diet, laparoscopic sleeve gastrectomy, Japan LCD promotion association