1968 年 11 巻 1 号 p. 14-22
58, 235 subjects in 1963, 49, 174 subjects in 1964, 55, 393 subjects in 1965 and 82, 001 subjects in 1966 received a screening test for glycosuria using tes-tape. Since this study wes done on individuals who were exposed to the Atomic Bomb, no one was under 17 years of age when examined. Urine sample was obtained between 9 AM for 4 PM. Incidence of positive glycosuria was 3.0%, 3.9%, 4.4% and 4.3% respectively in each year. The incidence was 3.6 times higher in the male than in the female. Maxium incidence was noted in men over 60 years old being 10.1%, and minimum was in women under 39 years old being 1.1%. Of the glycosuric patients, 25.1% of males and 56.1% of females were obese, and 11.9% of males and 18.2% of females gave a family history of diabetes mellitus.
2, 352 subjects from the cases who showed positive glycosuria had an oral glucose tolerance test. It was positive for diabetes mellitus in 42.6% of the subjects, 28.6% showed possible diabetes mellitus, 5.4% showed oxyhyperglycemia, 0.9% showed renal glycosuria and 22.3% were normal. Detection ratio of diabetes mellitus from the glycosuric patients was higher in the female (55.2%) than in the male (37.7%), though incidence of glycosuria was higher in the male than in the female. Of the 21 subjects who were diagnosed as renal glycosuria, 20 were male.
The incidence of family history of diabetes mellitus was 14.6% in the diabetics and 12.8% in the glycousuric nondiabetics. This incidence in the nondiabetics was much higher than that of nonglycosuric nondiabetics (1.72%) which was reported by Dr. Rudnick in Hiroshima ABCC.
Of total diabetic patients, the cases detected by this study was 72.7%. This would indicate that the screening test measuring urine sugar is valuable for the detection of diabetes mellitus in this kind of mass survay.
The incidence of hypercholesteremia and of hypertension was statistically higher in the detected diabetics than in the nondiabetics.