Yamashita, H Kanaiso Hospital
Kato, Y Kanaiso Hospital
Bando, Hiroshi Tokushima University|Japan Low Carbohydrate Diet Promotion Association KAKEN Search Researchers
Kanazawa, S Kanaiso Hospital
Tanaka, M Kanaiso Hospital
Sueki, E Kanaiso Hospital
Kanagawa, H Kanaiso Hospital
Kawata, T Kanaiso Hospital
Kawahito, A Kanaiso Hospital
Aihara, A Kanaiso Hospital
Miyashiro, H Miyashiro Co., Ltd.
Low Carbohydrate Diet (LCD)
Continuous Glucose Monitoring (CGM)
Japan LCD Promotion Association (JLCDPA)
Authors and collaborators have continued diabetic practice and research on low carbohydrate diet (LCD), continuous glucose monitoring (CGM), and so on. The case is a 64-year-old male with type 2 diabetes mellitus (T2DM) treated with multiple daily insulin injections (MDI). When his HbA1c was 8.2% before, he changed to take tofu instead of rice and bread. HbA1c decreased to 7.1% and 4kg of weight reduction in 2 months. Tofu is a traditional Japanese food made from soybeans, which is a suitable LCD with Protein:Fat:Carbohydrate (PFC) ratio=40:45:15 in this case. His HbA1c is recently unstable, then glucose variability was investigated by CGM using FreeStyle Libre. The glucose pattern was different due to his lifestyle, including working day, off day, playing golf, respectively. The average glucose was 143-167 mg/dL and the estimated HbA1c was 7.1%, whereas HbA1c in outclinic was 8.1%, respectively. This report will hopefully become reference data for future research.
Asploro Journal of Biomedical and Clinical Case Reports
© 2020 Yamashita H, Kato Y, Bando H, Kanazawa S, Tanaka M, Sueki E, Kanagawa H, Kawata T, Kawahito A, Aihara A, Miyashiro H. This is an open-access article distributed under the Creative Commons Attribution License(https://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.
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