Gaining that much weight while likely having uncontrolled diabetes is "impressive".  This eatbeast is likely suffering from high levels of glycosuria which is causing it to spill significant calories in its urine. Note: this causes MASSIVE stress to the kidneys.  Combined with the very extreme presentation of lipedemia in this fat, my guess is that it is in the early stages of kidney failure. This one won't live much longer.  3-5 years and it's in need of a kidney transplant.