Digital holographic microscopy (DHM) is a well-known powerful method allowing both the amplitude and phase of a specimen to be simultaneously observed. In order to obtain a reconstructed image from a hologram, numerous calculations for the Fresnel diffraction are required. The Fresnel diffraction can be accelerated by the FFT (Fast Fourier Transform) algorithm. However, real-time reconstruction from a hologram is difficult even if we use a recent central processing unit (CPU) to calculate the Fresnel diffraction by the FFT algorithm. In this paper, we describe a real-time DHM system using a graphic processing unit (GPU) with many stream processors, which allows use as a highly parallel processor. The computational speed of the Fresnel diffraction using the GPU is faster than that of recent CPUs. The real-time DHM system can obtain reconstructed images from holograms whose size is 512 x 512 grids in 24 frames per second.