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Updated: Jul 7, 2026
05:10
Multidisciplinary Approach to Obesity Management: A Case Report
Published on: May 30, 2025
[Insulin-using woman with type 2 diabetes and weight problems].
Sofie Hexeberg1, Fedon A Lindberg
1Dr. Fedon Lindbergs Klinikk, Sjølyst Medisinske Senter, Karenslyst allé 16 D, 0278 Oslo. sofie.hexeberg@drlindbergs.com
Summary
A low-carbohydrate diet and exercise helped a woman with type 2 diabetes and obesity significantly improve her health. She reduced medication, lost weight, and normalized key health markers, suggesting this approach can manage diabetes effectively.
Area of Science:
- Metabolic Health
- Endocrinology
- Nutritional Science
Context:
- A 61-year-old overweight woman with type 2 diabetes, hypertension, and hypothyroidism struggled with escalating blood sugar levels despite medication.
- Initial treatments included antidiabetic drugs, antihypertensives, thyroxine, and eventually insulin, with weight gain persisting despite dietary adherence.
Purpose:
- To present a case study illustrating the potential of a low-carbohydrate diet and exercise in managing type 2 diabetes and obesity.
- To demonstrate the reversal of diabetes-related complications and reduction in medication dependency through lifestyle interventions.
Summary:
- The patient adopted a low-carbohydrate diet, leading to initial weight loss and improved glycemic control, necessitating insulin reduction.
- Further interventions including endurance exercise, metformin, and a very low-calorie diet (VLCD) resulted in significant weight loss (totaling 37 kg) and cessation of insulin therapy.
- Key health markers improved, including HbA1c (8.9% to 5.4%), total/HDL cholesterol ratio (5.4 to 1.7), and micro-CRP (9.0 mg/L to 0.4 mg/L), with stabilized weight at 80 kg.
Impact:
- This case suggests that substantial carbohydrate reduction, combined with exercise, can lead to diabetes remission and improved metabolic health in some individuals.
- The findings support the opinion that many type 2 diabetes patients may manage their condition effectively, potentially without medication, by significantly limiting carbohydrate intake.
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