Abstract
Objective: With an increase in the number of patients with diabetes mellitus, the number of people undergoing ningen dock is expected to rise. We evaluated the necessity of disorder screening in the presence of impaired glucose tolerance in ningen dock examinees by clarifying the tendency of complications other than those of diabetes mellitus detected by medical check in the diabetes clinic. Methods: The subjects were 659 patients with type 2 diabetes mellitus who visited the diabetes clinic due to hyperglycemia as the chief complaint between January and December 2006. General physical and screening examinations were performed, and the tendency of complications other than the 3 major complications of diabetes mellitus was evaluated. Results: There were 22 subjects (3.4%)with cancer, which was detected at the initial examination in 59.1% of them. The other disorders detected were amyotrophic lateral sclerosis, Parkinson's disease, spinocerebellar degeneration, mucin-producing cystic pancreatic tumor, chronic rheumatoid arthritis, pulmonary tuberculosis (2 patients), nephritis, pituitary meningioma, internal carotid artery stenosis indicated for bypass operation, asbestos-related pleural thickening, myoma indicated for surgery, and renal failure (3 patients). Conclusions: Due to the qualitative change of the population, i. e., a marked increase in patients with impaired glucose tolerance, screening in ningen dock and health check-up examinations require clinicians to pay attention to not only the 3 major complications of diabetes mellitus, but also malignant tumors, infections, and other systemic diseases. In addition, in the presence of diabetes mellitus as an underlying disease, we, as diabetes specialists, should recommend patients to actively undergo ningen dock and health check-up examinations in addition to routine treatment for the early detection of systemic complications.
