Urasaki, Hirohisa Nankai Hospital|Tokushima Low Carbohydrate Diet Promotion Association
Bando, Hiroshi Tokushima Low Carbohydrate Diet Promotion Association|Tokushima University|Yoshinogawa Hospital KAKEN Search Researchers
Urasaki, Hiroko Tokushima Low Carbohydrate Diet Promotion Association
Ogawa, Hiroko Yoshinogawa Hospital
Bando, Masahiro Tokushima University
Nagahiro, Shinji Yoshinogawa Hospital|Tokushima University Tokushima University Educator and Researcher Directory KAKEN Search Researchers
low carbohydrate diet (LCD)
type 2 diabetes mellitus (T2DM)
post-prandial blood glucose
meal tolerance test (MTT)
Background: Low carbohydrate diet (LCD) has been effective for type 2 diabetes mellitus (T2DM), because of less post-prandial increase of blood glucose.
Case presentation: The case is 62-year-old male with T2DM, who had experience of LCD a few years ago. He developed diabetic exacerbation as HbA1c 10.7% in autumn 2021.
Results: He began super-LCD with 12% of carbohydrate in calorie ratio, and recorded the pictures of detail food intake every day and 45-minunte post-prandial blood glucose for long. His HbA1c decreased to 7.1% for 9 weeks. For breakfast, carbohydrate amount varies from 19.7 g to 51.1g, and 45-min post-prandial blood glucose distribute 121mg/dL to 226mg/dL. The relationship between carbohydrate amount in breakfast and 45-min post-prandial blood glucose was investigated. As a result, significant correlation was observed between them (R2=0.46, p<0.05). Regression curve revealed y=2.5897x+73.226, in which the slope of the straight line is 2.6.
Discussion and Conclusion: Obtained data may suggest that carbohydrate 1g can increase post-prandial glucose 2.6mg/dL. As to the standard fact of carbohydrate metabolism in the textbook, 3.0mg/dL glucose increase per carbohydrate 1g has been observed. Restricted carbohydrate intake would be beneficial for improving glucose variability in T2DM.
International Journal of Complementary & Alternative Medicine
This is an open access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by-nc/4.0/), which permits unrestrited use, distribution, and build upon your work non-commercially.
|DOI (Published Version)|
|URL ( Publisher's Version )|
ijcam_15_1_47.pdf 619 KB