1972 年 15 巻 5 号 p. 324-328
The result of the treatment of diabetic patients was analysed by the diurnal blood sugar curve. One hundred ninty six hospitalized patients with primary diabetes were selected in this study and the diurnal blood sugar curve was observed with an internal of two to three weeks. The blood specimens were obtained by antecubital venipuncture for blood sugar determinations prior to and two hours after each meal. The control of the blood sugar was evaluated by mean of the M-value proposed by Schlichtkrull and his co-workers. The revised table of MBSBS was used in this study.
The analysis of the relation between the diurnal blood sugar curve of the pre-treatment period and the final treatment revealed that the cases with a M-value over 30 needed insulin or oral hypoglycemic drugs, 85 percent of the cases with a M-value over 50 needed insulin injection, and if it was over 100, all cases needed insulin. The cases with an initial M-value less than 40, were in a good control at the discharge and a poor control state was seen only in the cases with an initial M-value over 100.
The final state of the blood sugar control was compared with the fasting blood sugar (FBS) of the pretreatment period. The cases with an inital FBS less than 150 mg/dl had a good control after the treatment and 11 percent of the cases with the FBS over 250 mg/dl remained in a poor control state at the discharge.
The poor control cases were observed in 5 percent of the cases treated with oral hypoglycemic drugs and in 18 percent of the cases treated with insulin.