PMC5674842_01
The results of continuous glucose monitoring using the sensor-based flash glucose monitoring system. The arrows indicate the timing of the patient's meals and insulin injections. The numbers above the arrows indicate the numbers of the units for each insulin injection. The patient needed 57 units of injected insulin on day 8 (2200 kcal in 5 meals) (a), 43 units of injected insulin on day 10 (1960 kcal in 5 meals) (b), 35 units of injected insulin on day 17 (1960 kcal in 4 meals) (c), 18 units injected insulin on day 38 (1960 kcal in 4 meals) (d), and no injected insulin at 3 days after the delivery (2200 kcal in 3 meals) (e)
40200_2017_327_Fig1_HTML.jpg
PMC5674842_01_40200_2017_327_Fig1_HTML.jpg
Fig1
The patient also received 1 cup of yoghurt immediately before going to sleep (Fig. 1a). However, the patient subsequently experienced abdominal distension and difficulty eating, and we reduced her intake to 1960 kcal/day (Fig. 1b).  The re-distributed meals and flash glucose monitoring system allowed the patient to achieve good glycemic control, and the doses of the injected insulin decreased to 35 units (Fig. 1c) and then to 18 units (Fig. 1d). After the delivery, the patient stopped all insulin injections and had glucose levels of 70-140 mg/dL throughout the day with a normal puerperium diet (2200 kcal/day in 3 meals) (Fig. 1e).