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Case Reports
. 2014 Dec;9(4):627-31.
doi: 10.5114/wiitm.2014.45734. Epub 2014 Oct 7.

The DIAMOND system in the treatment of type 2 diabetes mellitus in an obese patient

Jarosław Kozakowski  1 , Harold E Lebovitz  2 , Adam Kiciak  3 , Wojciech Zgliczyński  1 , Wiesław Tarnowski  3
Affiliations
Case Reports

The DIAMOND system in the treatment of type 2 diabetes mellitus in an obese patient

Jarosław Kozakowski et al. Wideochir Inne Tech Maloinwazyjne. 2014 Dec.

Abstract

Obesity and type 2 diabetes mellitus have reached epidemic proportions worldwide. As the majority of antidiabetic medications are of limited efficacy and patient adherence to long-term therapy is one of the main limiting factors of effective blood glucose and body weight control, new therapies are still looked for. The DIAMOND system seems to be one of the most promising among them. This system recognizes natural electrical activity of the stomach and automatically applies electrical stimulation treatment during/after eating with subsequent modulation of signals transmitted to the regulatory centers in the brain in order to provoke an early response of the gut typical of a full meal. We present the case of a 47-year-old obese woman with type 2 diabetes. During treatment with this system, serum glucose and hemoglobin A1c levels significantly decreased. Body weight loss and waist circumference reduction were observed. Additionally, beneficial effect on lipid profile was found.

Keywords: diabetes mellitus; gastric electrical stimulation; obesity.

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Figures

Figure 1
Figure 1
Placement of the leads implanted in the wall of the stomach (permission from MetaCure Ltd)
Photo 1
Photo 1
Rechargeable implantable pulse generator (IPG) (permission from MetaCure Ltd)
Figure 2
Figure 2
Scheme of the study protocol
See this image and copyright information in PMC

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