Journal of the Japan Diabetes Society
Online ISSN : 1881-588X
Print ISSN : 0021-437X
ISSN-L : 0021-437X
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Volume 50, Issue 4
Displaying 1-6 of 6 articles from this issue
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Original Article
  • Intensive Insulin Therapy in Elderly Patients with Acute Respiratory Infection
    Kazunari Matsumoto, Kan Nakamura, Hiroe Saisyoji, Naruhiro Fujita
    2007 Volume 50 Issue 4 Pages 235-240
    Published: 2007
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.50.235
    JOURNAL FREE ACCESS
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    We evaluated the effects of strict glycemic control on the treatment of acute respiratory infections (pneumonia or acute bronchitis) in elderly (≥70 years old) patients. From January to June 2002 (Intervention year), 79 patients were enrolled in the study. Forty-three patients with hyperglycemia (≥130 mg/dl) received intensive insulin therapy. The treatment resulted in a significant reduction of the blood glucose level (from 193.6±63.5 to 102.6±20.9 mg/dl, p<0.01). We compared the data from the intervention year with those of the 84 patients in the observation year (January to June 2001). In the observation year, the mortality and complication rates were comparable between patients with and without hyperglycemia. However, the duration of fever and the duration of antibiotic administration tended to be longer in the hyperglycemic group than in the normoglycemic group. Furthermore, the duration of hospitalization was significantly longer in the hyperglycemic group than in the normoglycemic group (31.1±22.3 vs. 21.2±15.4 days, p<0.05). In the intervention year also, the mortality and complication rates were not significantly different between the normoglycemic group and the intensive insulin treatment group. The duration of fever and duration of antibiotic administration were also comparable between the two groups. The duration of hospitalization in the intensive insulin treatment group was not significantly longer than that in the normoglycemic group (19.7±11.5 vs. 18.0±15.1 days, p=0.57). Our results suggest that intensive in sulin therapy can accelerate recovery from acute respiratory infections in elderly patients with hyperglycemia.
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Case Report
Co-medical
  • Survey on the Usability and Satisfaction with SMBG Devices
    (1) Research on the Devices Currently Used
    Yasuko Uchigata, Yuri Ono, Toshihiko Sato, Hiroaki Seino, Hirofumi Tak ...
    2007 Volume 50 Issue 4 Pages 261-268
    Published: 2007
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.50.261
    JOURNAL FREE ACCESS
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    We conducted a nationwide questionnaire survey on the use of SMBG (Self Monitoring of Blood Glucose) devices of a wide variety of patients and medical staffs, to determine factors that are important in the selection of a device in medical institutions and the usability and/or satisfaction level of the patients and medical staff with the device. The study showed that more than 3 types of SMBG devices were adopted in over half of the university hospitals and clinics of general practitioners. Self-selection of the devices was done by 14% of patients attending university hospitals, which was the highest.
    Although the clinics had adopted many SMBG devices, self-selection was done by 6% on the patients attending clinics. It would seem that the device selection is influenced by the medical staffs advice in the clinics and self-selection was associated with a high level of satisfaction. Another finding was the difference between the patients and medical staff in terms of the satisfaction level, patients appear to place more importance on the “portability”, “operability”, and “safety”, while medical staff attach more importance to “painless” and “reliability”.
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  • Survey on the Usability and Satisfaction with SMBG Devices
    (2) Case-of-Use of 4 Kinds of Representative SMBG Devices in Japan
    Yasuko Uchigata, Yuri Ono, Toshihiko Sato, Hiroaki Seino, Hirofumi Tak ...
    2007 Volume 50 Issue 4 Pages 269-273
    Published: 2007
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.50.269
    JOURNAL FREE ACCESS
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    In order to explore what types of SMBG (Self Monitoring of Blood Glucose) devices would be selected by diabetic patients, themselves, who were naïve in relation SMBG, we recruited 120 diabetic patients without experience of SMBG, who indicated their preferences in relation to 5 issues namely, “operability”, “safety”, “reliability”, “portability”, and “painless” on a 5-point scale. After reading the directions by themselves, the patients were directed to use one device for a day among the 4 kinds of devices without others' influence. The site for blood sampling was standardized to the fingertips. A score above 3 (common) was obtained for each item for all the device. However, the scores for the devices differed significantly for the “operability”, “safety”, and “reliability”. Moreover, differences in the score given to each device were noted between younger and older patients and between type 1 and type 2 diabetic patients.
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