A Very-Low-Calorie Diet Can Cause Remission of Diabetes Mellitus and Hypertriglyceridemia in Familial Partial Lipodystrophy

There is no strong evidence that any specific diet is the preferred treatment for lipodystrophy syndromes. Here we remark on the benefits of a very-low-calorie diet (VLCD) in a patient with familial partial lipodystrophy type 2 (FPLD2). A 38-year-old female diagnosed with FPLD2, with a history of multiple comorbidities, underwent 16 weeks of VLCD with a short-term goal of improving her metabolic state rapidly to achieve pregnancy by in vitro fertilization (IVF). We observed a reduction of 12.3 kg in body weight and 1.4% in hemoglobin A1c. The decrease in the area under the curves of insulin (−33.2%), triglycerides (−40.7%), and free fatty acids (−34%) were very remarkable. Total body fat was reduced by 16%, and liver fat by 80%. Her egg retrieval rate and quality during IVF were far superior to past hyperstimulation. Our data encourage the use of this medical approach for other patients with similar metabolic and reproductive abnormalities due to adipose tissue insufficiency.

Location
Deutsche Nationalbibliothek Frankfurt am Main
Extent
Online-Ressource
Language
Englisch

Bibliographic citation
A Very-Low-Calorie Diet Can Cause Remission of Diabetes Mellitus and Hypertriglyceridemia in Familial Partial Lipodystrophy ; volume:17 ; number:1 ; year:2023 ; pages:103-108 ; extent:6
Obesity facts ; 17, Heft 1 (2023), 103-108 (gesamt 6)

Creator
Foss-Freitas, Maria C.
Besci, Özge
Meral, Rasimcan
Neidert, Adam
Chenevert, Thomas L.
Oral, Elif A.
Rothberg, Amy E.

DOI
10.1159/000533992
URN
urn:nbn:de:101:1-2024021423525179016190
Rights
Open Access; Der Zugriff auf das Objekt ist unbeschränkt möglich.
Last update
15.08.2025, 7:37 AM CEST

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Associated

  • Foss-Freitas, Maria C.
  • Besci, Özge
  • Meral, Rasimcan
  • Neidert, Adam
  • Chenevert, Thomas L.
  • Oral, Elif A.
  • Rothberg, Amy E.

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