title: The DIAMOND system in the treatment of type 2 diabetes mellitus in an obese patient.
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.
authors.affiliation: Department of Endocrinology, Center of Postgraduate Medical Education, Bielański Hospital, Warsaw, Poland.
authors.forename: Jarosław
authors.initials: J
authors.lastname: Kozakowski
authors.affiliation: Department of Medicine State University of New York Health Science Center at Brooklyn, Brooklyn, NY, USA.
authors.forename: Harold E
authors.initials: HE
authors.lastname: Lebovitz
authors.affiliation: Department of General, Oncological and Gastrointestinal Surgery, Center of Postgraduate Medical Education, Orłowski Hospital, Warsaw, Poland.
authors.forename: Adam
authors.initials: A
authors.lastname: Kiciak
authors.affiliation: Department of Endocrinology, Center of Postgraduate Medical Education, Bielański Hospital, Warsaw, Poland.
authors.forename: Wojciech
authors.initials: W
authors.lastname: Zgliczyński
authors.affiliation: Department of General, Oncological and Gastrointestinal Surgery, Center of Postgraduate Medical Education, Orłowski Hospital, Warsaw, Poland.
authors.forename: Wiesław
authors.initials: W
authors.lastname: Tarnowski
keywords: diabetes mellitus; gastric electrical stimulation; obesity