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 5
Displaying 1-6 of 6 articles from this issue
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Original Article
  • Effects of Exercise on the Blood Sugar, Blood Lipid Profile, Risk of Diabetes and Risk of Cerebral Infarction: The Higashikagura Study
    Mitsuhiro Sohma, Eiji Mutoh, Yutaka Kohgo
    2007 Volume 50 Issue 5 Pages 297-301
    Published: 2007
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.50.297
    JOURNAL FREE ACCESS
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    We examined the parameters in 542 nondiabetic individuals (208 men and 334 women) who underwent health checks in Higashikagura town in 1993. The subjects were divided into two groups (exercise (+) and exercise (-)) on the basis of their responses to a questionnaire. Then, the incidence of diabetes and cerebral infarction in the subsequent 10 years was investigated.
    Results: (1) After adjustments for sex, age and number of cigarettes smoked/day, significantly higher fasting plasma glucose and HbA1c levels, and lower serum high-density-lipoprotein-cholesterol (HDL-C) levels were observed in the exercise (-) group than in the exercise (+) group. (2) None of the subjects who exercised on four or more days of the week developed diabetes or cerebral infarction. (3) Only subjects of the exercise (-) group who underwent two successive medical checks in the summer and winter of the same year (1993-1996), showed significantly lower serum levels of HDL-C in the winter than in the summer.
    Conclusions: These findings suggest that exercise exerts a favorable influences on the sugar and lipid metabolism, and also protective effects against the development of diabetes and cerebral infarction.
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  • Approach and Long-Term Process of a Clinical Network for Diabetes Involving a Hospital Which Plays the Central Role in an Area: The Ogaki Diabetic Clinical Network Study
    Atsushi Suzuki, Atsushi Fujiya, Atsushi Kiyota, Masahiro Yamauchi, Tai ...
    2007 Volume 50 Issue 5 Pages 303-311
    Published: 2007
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.50.303
    JOURNAL FREE ACCESS
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    We established a clinical network system for diabetic patients who do not have unstable complications and investigated the current situation and problems in the functioning of the network for four years. Seventy-eight diabetic patients who were referred to general practitioners underwent clinical examinations every six months and annual detailed examinations for diabetic complications at our hospital, independent of their monthly visits to the clinics. Patient satisfaction was investigated six months after the referral. The clinical status and progression of complications was followed up for four years. Eighty percent of the patients reported being satisfied with the system. However, some patients showed anxiety or dissatisfaction with the changes in the testing methods and clinical decisions. The four-year follow-up could be completed in 69 patients (clinical network group). The HbA1c in the 52 patients who continued to participate in the clinical network for four years increased significantly after one year (p<0.0001), and was higher than that in the patients (control group) who continued to attend our hospital after four years (p=0.047). Retinopathy and nephropathy developed at a similar frequency in the clinical network group and the control group. When a clinical network is organiced for patients with diabetes, it is also necessary to include systems for the rapid treatment of worsening glycemic control and periodic examinations of diabetic complications.
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