Abstract
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.
Highlights
In the last decade, diabetes has been a more important disease to be managed adequately in the world [1]
Humalog mix 50 is provided once a day just before the supper, which is 14-16 units. In this case, his daily profile of blood glucose was investigated by the system of continuous glucose monitoring (CGM)
Regarding low-carbohydrate diet (LCD), we have proposed three kinds of practical diet
Summary
Diabetes has been a more important disease to be managed adequately in the world [1]. It is necessary to evaluate the status of diabetic patients concerning the presence of microand macroangiopathy, such as neuropathy, retinopathy, nephropathy, and arterial sclerosis [2]. These include Type 1 and 2 diabetes mellitus (T1DM, T2DM). As regards to diet therapy, there has been a variety of nutritional treatments reported so far. These are low-carbohydrate diet (LCD), calorie restriction (CR) (low-fat), Mediterranean, vegetarian, moderate carbohydrate, high-protein, low glycemic index/ glycemic load (GI/GL), Palaeolithic, control, and others [3]
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