ID 112885
著者
板東, 浩 Tokushima University|Japan Low Carbohydrate Diet Promotion Association KAKEN研究者をさがす
Kato, Yoshikane Kanaiso Hospital
Kanazawa, Setsuko Kanaiso Hospital
Tanaka, Mayumi Kanaiso Hospital
Sueki, Etsuko Kanaiso Hospital
Kanagawa, Hiroe Kanaiso Hospital
Kawata, Takafumi Kanaiso Hospital
Kawahito, Atsuko Kanaiso Hospital
キーワード
Continuous Glucose Monitoring (CGM)
FreeStyle Libre
Type 1 Diabetes Mellitus (T1DM)
Mean Absolute Relative Difference (MARD)
Low Carbohydrate Diet (LCD)
資料タイプ
学術雑誌論文
抄録
Background: Investigation of glucose variability is crucial for patient with Type 1 Diabetes mellitus (T1DM) on insulin treatment. For Continuous Glucose Monitoring (CGM), FreeStyle Libre (Abbott) has been introduced to clinical practice with useful and beneficial efficacy.
Case and Results: The patient was 55 year-old T1DM female with body mass index (BMI) 21 kg/m2, HbA1c 8.0 %. She was on CGM for 14 days, with obtained glucose data in every 15 minutes. Treatment included multiple daily insulin injection (MDI) of Insulin Aspart 3 times and Insulin Glargin once a day. She showed unstable blood glucose variability with hyperglycemia and hypoglycemia, besides 2 hours delay shift in daily lifestyle rhythm. There was a discrepancy of HbA1c between actual value 8.0% and presumed value 6.9% by FreeStyle Libre.
Discussion and Conclusion: Obtained glucose data from FreeStyle Libre have been satisfactory. One reason for lower HbA1c value would be from the characteristic tendency in lower glucose region. Larger distribution of glucose variability would be due to delayed shift of lifestyle, sleep situation and irregular meal. These results would become the basal data for CGM, the reference to better modification of MDI and clinical diabetic practice in future research.
掲載誌名
Asploro Journal of Biomedical and Clinical Case Reports
出版者
Asploro
1
1
開始ページ
1
終了ページ
6
発行日
2018-08-02
権利情報
© 2018 Bando H, Kato Y, Kanazawa S et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
出版社版URL
フルテキストファイル
言語
eng
著者版フラグ
出版社版
部局
歯学系