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ID 114839
Author
Bando, Hiroshi Tokushima University|Japan Low Carbohydrate Diet Promotion Association|Sakamoto Hospital KAKEN Search Researchers
Sakamoto, Kazuki Sakamoto Hospital
Hatakeyama, Shigeki Sakamoto Hospital
Yagi, Keisuke Sakamoto Hospital
Kobayashi, Toshiharu Sakamoto Hospital
Ogawa, Tomoya Sakamoto Hospital
Iwatsuki, Noboru Sakamoto Hospital
Itagaki, Mitsuru Sakamoto Hospital
Ashikaga, Kaori Sakamoto Hospital
Matsumoto, Yukari Sakamoto Hospital
Keywords
Diabetic foot infection (DFI)
Diabetic foot osteomyelitis (DFO)
Low Carbohydrate Diet (LCD)
Japanese LCD promotion association (JLCDPA)
International Working Group on the Diabetic Foot (IWGDF)
Content Type
Journal Article
Description
The case was 52-year-old female with type 2 diabetes mellitus (T2DM) for 10-years. She complained of the decreased sensation of right lower foot, and revealed diabetic foot infection (DFI) and/or diabetic foot osteomyelitis (DFO) at right 1st proximal phalanx. Various data included body mass index (BMI) 33.3 kg/m2, HbA1c 11.4%, blood glucose 430 mg/dL, WBC 12100 /μL, C-reactive Protein (CRP) 13.5 mg/dL. On admission (day 1), she was started by 4 times of injection (Aspart and Glargin) with glucose profile 200-500 mg/dL. Surgical amputation of the right toe was performed between 1st metatarsal and proximal phalanx (day 17). Then, blood glucose profile decreased moderately. After discharge of the hospital, super-Low Carbohydrate Diet (LCD) was started without Aspart (day 37). Consequently, glucose profile was normalized with HbA1c 6.3% on (day 77). Consequently, LCD was evaluated to be effective for glucose variability in this case and some related discussion was described.
Journal Title
Diabetes Research : Open Journal
ISSN
23796375
Publisher
Openventio Publishers
Volume
6
Issue
1
Start Page
10
End Page
16
Published Date
2020-05-05
Rights
Copyright 2020 by Bando H. This is an open-access article distributed under Creative Commons Attribution 4.0 International License (CC BY 4.0)(https://creativecommons.org/licenses/by/4.0/), which allows to copy, redistribute, remix, transform, and reproduce in any medium or format, even commercially, provided the original work is properly cited.
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language
eng
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departments
Medical Sciences