Journal of the Japan Diabetes Society
Online ISSN : 1881-588X
Print ISSN : 0021-437X
ISSN-L : 0021-437X
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Volume 51, Issue 1
Displaying 1-8 of 8 articles from this issue
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Original Article
  • Investigation of Rapid-Acting Insulin Analogue (Insulin Aspart) for CSII
    Yoichi Imamura, Naoko Takane, Shusuke Kouno, Shingo Shoji, Yuji Hiroma ...
    2008 Volume 51 Issue 1 Pages 1-7
    Published: 2008
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.51.1
    JOURNAL FREE ACCESS
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    Regular insulin was switched to rapid-acting insulin analogue in 12 type 1 diabetic patients undergoing continuous subcutaneous insulin infusion (CSII), and changes in glycemic control and QOL were studied for 6 months. Mean HbA1c decreased from 8.4±2.1% at the switch to 8.1±1.7% after 1 month and 7.6±1.1% after 3 months. After 6 months, HbA1c was 7.7±1.3% and was similar to the value at 3 months. Following the switch in treatment, hypoglycemia slightly increased, but nocturnal hypoglycemia decreased. No difference was seen in body weight before and after the switch.
    A questionnaire conducted at 6 months showed that many subjects felt rapid-acting insulin analogue was more convenient to use. Based on these results, CSII with rapid-acting insulin analogue is considered useful in Japanese patients with type 1 diabetes.
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Case Report
Co-medical
  • Evaluation of Endogenous Insulin Secretory Capacity by Using an Insulin Measurement Kit that has Low Cross-reactivity with Insulin Analogues
    T. Ando, M. Higashi, K. Yaba, N. Ogawa, S. Ehara, S. Watanabe, M. Kimu ...
    2008 Volume 51 Issue 1 Pages 39-44
    Published: 2008
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.51.39
    JOURNAL FREE ACCESS
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    [in Japanese]
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  • Successful Use of a Diet Balance Sheet in an Obesity Clinic
    Kazuhisa Suzuki, Suzu Konishi, Misako Masumura, Etsuko Ozaki, Akiko Su ...
    2008 Volume 51 Issue 1 Pages 47-52
    Published: 2008
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.51.47
    JOURNAL FREE ACCESS
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    We devised a diet balance sheet (DBS) for the management of obesity in Japanese women in the diet clinic for obese and pre-obese women of Mukogawa Women's University, according to which each meal contain 400kcal, and we assessed its efficacy as educational material for body weight control. The subjects were the 745 women aged 53.1±9.8 years having a BMI over 25.0 kg/m2 who registered in our weight reduction program, and each class consisted of about 18 registrants. The subjects' BMI at baseline was 27.2±3.2 kg/m2. Each education class was held roughly once a month, and the members of each class were instructed how to use the DBS during a study period that lasted six months. At the end of each class the level of achievement was assessed by rating intake of each food as “excessive”, “proper” or “insufficient”. By the end of study the subjects had reduced their body weight by 7.5±3.6% and their body fat by 16.2±10.4%. Weight reduction of over 5% was achieved by 74.8% of the women. All participants improved from “excessive” to “proper” intake of diet by one month. However, “insufficient” intake was still “insufficient” in those who could not reduse their body weight at 6 months. Our DBS was confirmed to be effective as diet education material for obese and pre-obese women and it is expected to be widely applicable to the management of other lifestyle-related diseases.
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