Vol 7, No 2 (2006): Practical Diabetology
Case report
Published online: 2006-05-16

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The role of the diet and life style modification in treatment of the diabetes type 2 in patient with metabolic syndrome

Agnieszka B. Niebisz, Mariusz Jasik, Waldemar Karnafel
Diabetologia Praktyczna 2006;7(2):138-141.


INTRODUCTION. In numerous scientific reports and epidemiological researches it has been suggested, icreasing prevalence of the metabolic syndrome, which can be named the civilization disease of the 21st century. The modification of the diet and life style, the first stage of the treating is a goal very hard to reach but of great importance in metabolic disorders control. The aim of the study is estimation of the role of diet and life style in metabolic syndrome treatment.
MATERIAL AND METHODS. 49 years old patient presenting all factors of the metabolic syndrome at the moment of the diagnosis of type 2 diabetes (according to IDF 2005): waist circumference > 102 cm, Triglycerides (TG) - 1722 mg/dl, HDL-cholesterol - 37 mg/dl, Blood Pressure (BP) - 140/100 mm Hg, fasting glycemia - 140 mg/dl, glycemia 2 hours after 75 mg glucose charge 650 mg/dl. At the diagnosis glycated hemoglobin A1c concentration - 16.2%, C-peptide concentration - 2.95 ng/dl and hyperuricemia (9.0 mg/dl) with accompanying acute attack of the gout were found. Patient received the following treatment: metformin (3 × 500 mg), simvastatin (1 × 20 mg), quinapril (1 × 10 mg) and recommendations: low simple carbohydrates and low fat diabetic diet of 1000 kcal and light physical effort daily. During 2 months values of the glycemies and BP were observed and HbA1c concentration this time were estimated afterward.
RESULTS. After 2 month time of following the diet and pharmacotherapy rules and systematical physical effort patient came for control visit to the outpatients clinic. BP was 130-140/85-90 mm Hg. Mean fasting glycemia: 98.45 ± 6.77 mg/dl, mean postprandial gycemia: 90.83 ± 14.78 mg/dl were observed. TG concentration was 118 mg/dl, total cholesterol - 173 mg/dl, HDL-cholesterol - 40 mg/dl and HbA1c - 6.0%. There was body mass index reduction from 31.8 kg/m2 to 30.4 kg/m2 (weight lost of 7 kg).
CONCLUSIONS. Diabetic diet and life style modification, successfully improve diabetes metabolic regulation, blood pressure and fat metabolic control contributing to the insulinotherapy resignation, weight reduction and lower prevalence of the acute and chronic complications of the diabetes coexisting with metabolic syndrome.

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