徳島大学 教育・研究者情報データベース(EDB)

1. 板東 浩

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2. 安倍 吉郎([徳島大学.大学院医歯薬学研究部.医学域.医科学部門.外科系.形成外科学]/[徳島大学.病院.診療科.感覚·皮膚·運動機能科.形成外科・美容外科])

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3. (英) Sakamoto Kazuki

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4. (英) Hatakeyama Shigeki

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5. (英) Yagi Keisuke

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6. (英) Kobayashi Toshiharu

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7. (英) Ogawa Tomoya

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8. (英) Iwatsuki Noboru

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9. (英) Itagaki Mitsuru

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10. (英) Ashikaga Kaori

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11. (英) Matsumoto Yukari

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(英) Profile of Blood Glucose in Diabetic Patient Suffered from Diabetic Foot Osteomyelitis with Effective Low Carbohydrate Diet

(英) The case was 52-year-old female with type 2 diabetes mellitus (T2DM) for 10-years. She complained of the decreased sensation of right lower foot, and revealed diabetic foot infection (DFI) and/or diabetic foot osteomyelitis (DFO) at right 1st proximal phalanx. Various data included body mass index (BMI) 33.3 kg/m2, HbA1c 11.4%, blood glucose 430 mg/dL, WBC 12100 /μL, C-reactive Protein (CRP) 13.5 mg/dL. On admission (day 1), she was started by 4 times of injection (Aspart and Glargin) with glucose profile 200-500 mg/dL. Surgical amputation of the right toe was performed between 1st metatarsal and proximal phalanx (day 17). Then, blood glucose profile decreased moderately. After discharge of the hospital, super-Low Carbohydrate Diet (LCD) was started without Aspart (day 37). Consequently, glucose profile was normalized with HbA1c 6.3% on (day 77). Consequently, LCD was evaluated to be effective for glucose variability in this case and some related discussion was described.

1. (英) Diabetic foot infection (DFI)
2. (英) Diabetic foot osteomyelitis (DFO)
3. (英) Low Carbohydrate Diet (LCD)
4. (英) Japanese LCD promotion association (JLCDPA)
5. (英) International Working Group on the Diabetic Foot (IWGDF)