Abstract
The patient was a 74-year-old female with type 2 diabetes mellitus (T2DM) treated on Humalog mix 25 twice a day. As social history, she has worked long years for growing and harvesting lotus roots. It gives physically heavy loading, which brings unstable glycemic daily control. She had to titrate minute regulation every time. For stable glucose variability, the treatment was changed to Xultophy, which is a specific combined agent of Insulin Degludec and Liraglutide (IDeg/Lira) once a day. Then, detailed glucose monitoring showed a better daily profile of blood glucose, irrespective of heavy or light work. It showed the bio-psycho-social benefit of Xultophy.
Highlights
The patient was a 74-year-old female with type 2 diabetes mellitus (T2DM) treated on Humalog mix 25 twice a day
A variety of health care and medical care have brought the changes into a Low Carbohydrate Diet (LCD)
When people can apply LCD in their daily lives, three kinds of LCD are recommended
Summary
3. Vascular extensibility test showed Anklebrachial index (ABI) 1.12/1.12. cardio-ankle vascular index (CAVI) 8.8/8.6. Several fundamental laboratory data are as follows: Hb 11.2 g/dL、RBC 359 x 10 /μL、Ht 35.9%、MCV 87.3 fL(80-98)、MCH 27.3pg(27-34)、MCHC 31.2 g/dL (31-36)、WBC 4200 /μL 、Plt 20.9 x 10 /μL、BUN 18 mg/dL、Cr 0.7 mg/dL, uric acid 2.2 mg/dL、eGFR 70.2 U/L、ALT 10 U/L、γ-GT 25 U/L、ALP 359 U/L (203460)、LDH 324 U/L(100-340)、T-Bil 0.6 mg/dL、
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