Journal of the Japan Diabetes Society
Online ISSN : 1881-588X
Print ISSN : 0021-437X
ISSN-L : 0021-437X
Volume 45, Issue 5
Displaying 1-8 of 8 articles from this issue
  • Junichi Fukata, Kazumasa Chikamori, Takashi Itahara, Takako Komi, Hisa ...
    2002 Volume 45 Issue 5 Pages 311-317
    Published: May 30, 2002
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
    We surveyed the prevalence and status of chronic diabetic complications in patients with diabetes mellitus visiting principal provincial diabetes clinics in Kochi Prefecture in 1999. To reduce possible bias and obtain accurate information, we selected patients based on systematic random sampling and inquired about their conditions by a questionnaire prepared for this study. The mean age of the 387 subjects surveyed was 61.2 (± 12.2) years, diabetes duration was 11.0 (± 7.8) years, and recent HbA1c was 7.3 (± 1.5)%. Among these patients, diabetic retinopathy was observed in 33.8% and overt proteinuria was positive in 20.6%. Patients who had at least 1 subjective symptoms related to diabetic polyneuropathy numbered in 71.2%, and 63.3% had at least 1 objective sign of diabetic neuropathy. In contrast, based on the recently proposed diagnostic criteria for diabetic neuropathy, 37.8% of the patients were diagnosed with diabetic polyneuropath (DPN). Of these, DPN prevalence showed a significant positive correlation with diabetes duration, severity of renal and retinal complications, and symptoms such as numbness, spontaneous pain, and paresthesis of feet and signs such as decreased Achilles and/or patella tendon reflex, abnormal vibration, touch, and pain in the feet.
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  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    2002 Volume 45 Issue 5 Pages 319-323
    Published: May 30, 2002
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    2002 Volume 45 Issue 5 Pages 325-328
    Published: May 30, 2002
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
  • Yoshihiro Miyamoto, Hiroko Kanbayashi, Tagui Kashiwaya, Atsuko Abiko, ...
    2002 Volume 45 Issue 5 Pages 329-333
    Published: May 30, 2002
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
    A 28-year-old woman reporting polydipsia, polyuria, and weight loss was diagnosed with type 2 diabetes by her physician, and underwent insulin treatment. She was admitted to our hospital due to paresthesia in both lower extremities with rapid improvement of glycemic control. Neurological examination showed sensory abnormality in both lower extremities. Nerve conduction studies showed decreased tibial motor nerve conduction velocity, increased tibial F-wave minimum latency, and decreased sural sensory nerve action potential. She did not have diabetic retinopathy or nephropathy. Paresthesia and abnormalities of nerve conduction studies improved with time, and paresthesia disappeared 6 months later. Her clinical course was thought to be compatible with post-treatment neuropathy.
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  • [in Japanese], [in Japanese], [in Japanese]
    2002 Volume 45 Issue 5 Pages 335-337
    Published: May 30, 2002
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
  • [in Japanese], [in Japanese], [in Japanese], [in Japanese], [in Japane ...
    2002 Volume 45 Issue 5 Pages 339-344
    Published: May 30, 2002
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
  • 2002 Volume 45 Issue 5 Pages 345-383
    Published: May 30, 2002
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
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  • Makoto Tominaga, Isao Kobayashi, Katsuhiko Kuwa, Izumi Takei, Tadao Ho ...
    2002 Volume 45 Issue 5 Pages 385-388
    Published: May 30, 2002
    Released on J-STAGE: March 02, 2011
    JOURNAL FREE ACCESS
    The Japan Diabetes Society (JDS) Committee on Standardization of Laboratory Testing Related to Diabetes Mellitus has taken over the activity of the JDS Glycohemoglobin Standardization Committee led by Dr. K. Shima. On March 31, 2001, our committee ended the distribution of the primary calibrator for standardization of HbAic measurement (lyophylised material, 2 levels, JDS Lot 1). This material was mannufactured and distributed by the Shima committee, and achieved standardization throughout Japan. The new committee qualified the primary standard material (deeply frozen material, 5 levels, JDS Lot 2) distributed by HECTEF. Our committee hopes that the standardization of HbAic measurement will be achieved using Lot 2 within 5 to 10 years. The committee sent JDS Lot 2 to the anchor laboratory of the National Glycohemoglobin Standardization Program (NGSP) in the United States, where its HbAic levels were determined. Results showed that the relationship between JDS and NGSP is as follows:
    JDS (%) =NGSP (%)-0.3%.
    In conclusion, we recommend that simple subtraction of 0.3% from NGSP will produce JDS.
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