Abstract
We studied the March 25, 2007, Noto Peninsula Earthquake influence on glycemic control in 373 diabetic patients. Mean preearthquake HbA1c was 7.32±1.41%, slightly above that 2 months after the earthquake, but decreased significantly to 7.19±1.33% after six months. The percentage of those with more than a 0.5% change in HbA1c was 12.1% after 2 months and that of those with less than a 0.5% change was 16%. Multinominal logistic regression analysis used to determine 20 independent factors for glycemic control showed decreased dietary uptake, decreased cholesterol, and increased HDL-C to be significant ameliorating factors and weight gain and medication interruption to significantly interrupt glycemic control.
These results suggest that diet and the proper medication administration are important factors in HbA1c control both during hard times and in regular daily life.