Exacerbation of Diabetic Control by Large Amount of Sports Drink in Baseball Athlete with Detail Investigation

Authors have continued clinical practice and research of low carbohydrate diet (LCD). The case is 62-year-old men with obesity and type 2 diabetes mellitus (T2DM). For social/sport history, he worked as an administration manager of a large hospital and has been baseball player during 15-62 years old. Regarding medical history, he was on LCD with 96kg and HbA1c 6.0% in 2020. He participated many ballgames March-September 2021. He took oral rehydration solution (ORS) (Pokari Sweat, Otsuka Pharmaceutical) 1000ml/day during Mar-June in rather mild climate, and sports drink solution (SDS) (Body Mainte, Otsuka Pharmaceutical) 2000-3000ml/day during Jul-Sept in severe hot weather. He developed thirsty, polydipsia, polyuria, and fatigue and weight loss in Sept and HbA1c was 14.0%. Treatments started immediately by super-LCD, in which taken food in three meals a day was completely taken pictures by recording diet method. The analyzed carbohydrate amount was 40-90g per day, and LCD meal was effective. Just after LCD was started, blood glucose was normalized soon. HbA1c values were decreased to 10.3% in October and 7.8% in November. Consequently, this case had successful and satisfactory clinical improvement by LCD. Some discussion was described concerning LCD, hydration, ORS, SDS, adequate relationship with sports and so on.

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