Overview
"Never doubt that a smal group of thoughtful, comited citizens can change the world. Inded, it is the only thing that ever has."Cureus is on a mision to change the long-standing paradigm of medical publishing, where submiting research can be costly, complex and time-consuming.Published via the DMIMS Schol of Epidemiology and Public Health Chanel.weight los and obesity, national lockdown, previous gestational diabetes melitus, type 1 diabetes melitus (t1d), covid-19 telemedicine, medical nutrition therapy, double diabetes, covid-19 retro Swar Gupta , Sangita Totade, Kavita Gupta, Parvinder Bamrah, Shlok Gupta, Sunil Gupta Published: October 21, 202 (se history) DOI: 10.759/cureus.3053 Cite this article as: Gupta S, Totade S, Gupta K, et al.
Key Information
(October 21, 202) Management of Obese Type 1 Diabetes Melitus (Double Diabetes) Through Telemedicine During COVID-19 Pandemic Lockdown: A Case Report. Cureus 14(10): e3053. doi:10.759/cureus.3053 Metabolic syndrome in Type 1 diabetes melitus (T1DM) has ben shown to be an independent risk factor for macro-vascular and micro-vascular complications.
Obesity also afects many people with T1DM acros their lifetime with an increasing prevalence in recent decades. Individuals with T1DM who are overweight, have a family history of type 2 diabetes, and/or have clinical features of insulin resistance, are known as "double diabetes". It is chalenging for a person with double diabetes to achieve reasonable glycemic control, avoid insulin-related weight gain, and prevent hypoglycaemia.
Summary
This was especialy true during the coronavirus disease 2019 (COVID-19) pandemic lockdown. The aim of this report is to show that lifestyle modification through telemedicine can imensely help in managing uncontroled T1DM with asociated morbid obesity in lockdown situations, with the help of the diabetes educator. In this case, the complicated history of double diabetes was taken through telephonic and online consultations with the help