Asploro Journal of Biomedical and Clinical Case Reports
Article Type: Case Report
Asp Biomed Clin Case Rep. 2023 May 20;6(2):95-102
Corresponding Author: Hiroshi BANDO, MD, PhD, FACP ORCID iD
Address: Tokushima University /Medical Research, Nakashowa 1-61, Tokushima 770-0943, Japan.
Received date: 18 April 2023; Accepted date: 13 May 2023; Published date: 20 May 2023
Citation: Ogura K, Bando H, Kato Y, Yamashita H, Kato Y. CT Image of Consolidation and Ground-Glass Opacification (GGO) of COVID-19 in Diabetic Patient. Asp Biomed Clin Case Rep. 2023 May 20;6(2):95-102.
Copyright © 2023 Ogura K, Bando H, Kato Y, Yamashita H, Kato Y. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
Keywords: Real-Time Polymerase Chain Reaction, COVID-19, EquMet (vildagliptin/metformin), Imeglimin (Twymeeg), Gastro-Intestinal Adverse Effects
Abbreviations: RT-PCR: Real-Time Polymerase Chain Reaction; GIAEs: Gastro-Intestinal Adverse Effects
The case involves a 70-year-old female with Type 2 Diabetes (T2D) who had been prescribed EquMet (vildagliptin/metformin) and had a stable HbA1c. In August 2022, she tested positive for real-time polymerase chain reaction (RT-PCR) without showing any symptoms. By November 2022, her HbA1c had increased to 7.4%, and a chest CT scan revealed a consolidation lesion in her left lower lung, suggesting post-inflammatory pathology of COVID-19. Imeglimin (Twemeeg) was added to her treatment regimen, and it proved effective, resulting in a 0.9% reduction in HbA1c over 4 months without any gastrointestinal adverse effects (GIAEs). The combined treatment of EquMet and Twymeeg was effective, and the interrelationship between T2D and COVID-19 will be followed up.