2021 Volume 64 Issue 6 Pages 368-375
A 28-year-old woman (weight 134.8 kg, body mass index 46.7 kg/m2) who had been undergoing infertility treatment at another hospital for 2 years presented with type 2 diabetes (HbA1c 7.6 %) and amenorrhea due to polycystic ovary syndrome. She was referred to our hospital for weight loss to improve her fertility. Initially, she was unable to maintain her weight through diet and exercise, so her amenorrhea persisted. The next line of treatment was metabolic surgery, the efficacy and risks of which were explained to her. She opted for laparoscopic sleeve gastrectomy. In preparation for surgery, she was given comprehensive nutrition education. Over approximately 5 months, she lost 10 kg, reaching a weight of 119 kg, which allowed her to undergo surgery. Six months postoperatively, her weight had decreased to 90.1 kg, and her HbA1c was 5.0 %-5.3 %. The postoperative course was good, allowing her to resume amenorrhea treatment, which led to pregnancy and childbirth. Her glucose metabolism by 75 g OGTT was borderline before surgery but normal at 28 months postoperatively. She achieved childbirth as a result of compliance with the dietary regimen through a comprehensive understanding of the preoperative nutrition education.
