What does liposuction do? And why is a thing?

Liposuction removes the subcutaneous fat layer (fat just under the skin) in parts of the body that are notoriously and stubbornly resistant to diet and exercise

You can write out the letter, but it should specify: the patient hasn't been controlling their diabetes bc glucose and ketones spilling into the urine. also, the positive nitrite could indicate a u.t.i. infections can cause hyperglycemia in a diabetic. also the reverse, uncontrolled blood sugar can lead to glycosuria, which is a good nidus for bacteria to grow from sugar in urine, leading to a uti.