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FreeStyle Libre (flash glucose monitoring) is useful to control the blood sugar levels of outpatients with diabetes. We used FreeStyle Libre for a patient with type 1 diabetes mellitus during the perioperative period of cardiac surgery except during and just after surgery. We adjusted the insulin amount according to the glucose level of the device before surgery and prevented prolonged hypoglycemia. After surgery, we could also adjust the blood sugar levels using the device until discharge. All data were within zones A and B of the Clarke error grid analysis when referred to as arterial blood sugar levels in the intensive care unit. In the general ward after surgery, 95% of the data referred to as venous blood sugar levels were within zones A and B. FreeStyle Libre was useful for adjusting the amount of insulin for a patient with type 1 diabetes mellitus during the perioperative period of cardiac surgery in the ward and also might be useful for decreasing the frequency of arterial blood collection in the intensive care unit.

Objectives and Methods: The present study was performed to assess the current status of erectile dysfunction (ED) and so-called male climacteric disorders in male ambulatory patients through a self-administered questionnaire survey throughout Japan. The survey was especially focused on the relationship between ED, depression, and benign prostatic hyperplasia, the effect of ED on quality of life, and current status of ED treatment., Results: The total number of completed questionnaire forms was 6,112 from 447 outpatient clinics. ED was strongly correlated with prostate disease, diabetes mellitus, and heart disease. Patients evaluated as ED by the shortened version of International Index of Erectile Function, IIEF-5, accounted for 81% of the evaluable replies. Thirty-two percent of these patients had either severe or moderate ED. Severity of ED was related to depression, dysuria, and perceived poor health condition. The proportion of ED patients who had received some ED treatments was 10%. Among ED patients, 22% of them were willing to receive pharmacotherapy for ED and the need was significantly high in patients with severer ED., Conclusions: ED is one of the symptoms frequently observed among male ambulatory patients. Physicians should be encouraged to ask their patients about their ED, in order to identify their unmet need for treatment.

Women are about 10 years older than men to suffer from ischemic heart disease(IHD) and they often experience a sudden rise in cholesterol after menopause. These phenomena are thought to be caused by the production of estrogen in women during normal menstruation cycle and its loss after menopause. Hormone replacement therapy(HRT) has been shown to reduce IHD by nearly 50 per cent. This is caused in part by effects of estrogen on lipid metabolism; it reduces LDL and Lp(a), and increases HDL. Although the first large prospective trial of HRT for secondary prevention of IHD failed to demonstrate estrogen's protective effects, HRT was effective in women with high Lp(a). Thus, selection of patients and HRT regimen seems important.