Behavior Modification Maintenance with Long-Term Blood Glucose and Weight Management in Prader–Willi Syndrome Complicated with Diabetes: Team Management Approach Combined with Pharmacological Treatment

Figure 3

Energy intake recorded by the patient during 40 months after the second hospitalization for treatment guidance, plotted with the results of manual muscle testing (MMT). Changes in the home environment (mother illness) at 5 months after discharge were associated with increased daily energy intake and decrease in quadriceps femoris muscle MMT. Canagliflozin was subsequently started at 10 months after discharge in order to deal with these changes and correct blood glucose levels.