Asploro Journal of Biomedical and Clinical Case Reports

Asploro Journal of Biomedical and Clinical Case Reports

Yamashita H¹, Kato Y¹, Bando H^2,3*, Kanazawa S¹, Tanaka M¹, Sueki E¹, Kanagawa H¹, Kawata T¹, Kawahito A¹, Aihara A¹, Miyashiro H^4
1Kanaiso Hospital, Tokushima, Japan
²Tokushima University / Medical Research, Tokushima, Japan
³Japan Low Carbohydrate Diet Promotion Association, Kyoto, Japan
⁴Miyashiro Co., Ltd., Tokushima, Japan

Corresponding Author: Hiroshi Bando, MD, Ph.D., FACP ^{ORCID ID}
Address: Tokushima University /Medical Research, Nakashowa 1-61, Tokushima 770-0943 Japan.
Received date: 08 August 2020; Accepted date: 13 September 2020; Published date: 20 September 2020

Citation: Yamashita H, Kato Y, Bando H, Kanazawa S, Tanaka M, Sueki E, Kanagawa H, Kawata T, Kawahito A, Aihara A, Miyashiro H. Relationship of Glucose Variability and Daily Lifestyle by Continuous Glucose Monitoring (CGM). Asp Biomed Clin Case Rep. 2020 Sept 20;3(3):206-12.

Copyright © 2020 Yamashita H, Kato Y, Bando H, Kanazawa S, Tanaka M, Sueki E, Kanagawa H, Kawata T, Kawahito A, Aihara A, Miyashiro H. 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.

Keywords: Low Carbohydrate Diet (LCD), Continuous Glucose Monitoring (CGM), FreeStyle Libre, Japan LCD Promotion Association (JLCDPA), Tofu, Soybeans

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.