case_images: PMC8666486_01
case_images: Endoscopic and pathologic findings in duodenum. (A) Endoscopy shows loss of mucosal folds. (B) Severe atrophic duodenitis. (C) Duodenal biopsy specimen showing subtotal villous atrophy and crypt hyperplasia (H&E, 100x). (D) Histologic changes in the duodenum characteristic of increased intraepithelial lymphocytosis and a chronic inflammatory infiltrate in the lamina propria (H&E, 200x).
case_images: JAFES-36-2-227-g001.jpg
case_images: PMC8666486_01_JAFES-36-2-227-g001.jpg
case_images: f0001
case_images: The results of histopathologic findings from random duodenal biopsies revealed subtotal villous atrophy, crypt hyperplasia, and increased intraepithelial lymphocytes, shown in Figure 1.
case_images: Intermittently scanned continuous glucose monitoring (isCGM) recorded through 14-day showed time-in-range (70-180 mg/dL) at 69% after a strict gluten-free diet for 3 months.
case_images: JAFES-36-2-227-g002.jpg
case_images: PMC8666486_01_JAFES-36-2-227-g002.jpg
case_images: f0002
case_images: As shown in Figure 2, the time-in-range (70-180 mg/dL, 3.9-10.0 mmol/L) was achieved at 69% and time spent in hypoglycemia (less than 70 mg/dL, 3.9 mmol/L) was at only 3%.