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 2
Displaying 1-5 of 5 articles from this issue
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Original Article
  • Comparison of Effects of 1-week and 2-week Hospitalization Training Using Critical Paths in Glycemic Control in Type 2 Diabetes Patients
    Yasuto Matsuo, Seiya Shimoda, Kenro Nishida, Toshihiko Nishiyama, Mich ...
    2008 Volume 51 Issue 2 Pages 101-107
    Published: 2008
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.51.101
    JOURNAL FREE ACCESS
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    We designed a 1-week critical path for hospitalization training for type 2 diabetes patients, and evaluated path feasibility by comparing it to a 2-week path used previously. Improvement in mean plasma glucose during hospitalization was significantly greater in a group using the 2-week path (-48.5±57.4 mg/dl) than in one using the 1-week path (-22.4±41.5 mg/dl). No significant difference was seen between groups in HbA1c 36 months after discharge—7.4±1.5% in the 2-week group and 7.4±1.3% in the 1-week group. The frequency of diabetic microangiopathy development and progression was similar in both groups. Results suggest that the 1-week path is as effective as the 2-week path for long-term glycemic control in type 2 diabetes patients.
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  • Risk Factors of Development and Progression of Chronic Diabetic Complications
    —An Investigation in Long-term Cases—
    Akane Kishimoto, Hideyuki Sasaki, Junko Ibata, Yoshio Nakano, Hisao Wa ...
    2008 Volume 51 Issue 2 Pages 109-115
    Published: 2008
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.51.109
    JOURNAL FREE ACCESS
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    We retrospectively studied clinical risk factors in chronic diabetic complications in 166 long-term cases followed up over 20 years, evaluating retinopathy and nephropathy severity and the incidence of myocardial and cerebral infarction. We statistically analyzed relationships between clinical parameters-onset age, duration, obesity, hyperglycemia, dyslipidemia, hypertension, and their accumulation-and the above complications with ANOVA, the chi-squared test, and multiple logistic regression analysis. Significant risk factors in retinopathy were hyperglycemia and its duration and hypertension, while those in nephropathy were young onset age, hyperglycemia, dyslipidemia, and hypertension. Cerebral infarction was associated with hypertension. A significant increase was seen in the frequency of complications parallel to the accumulation of metabolic syndrome components-obesity, dyslipidemia, and hypertension in nephropathy but not in vascular events. Resuls suggest that sufficient hypertension treatment is important for preventing diabetic complications and that the accumulation of obesity, dyslipidemia, and hypertension is a risk factor for nephropathy in diabetic patients.
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Case Report
Co-medical
  • Dietary Self-management Behavior and Actual Energy Intake Analyzed from Individual Type 2 Diabetic Patient Clinical Indices
    Chiemi Taru, Yuri Nakawatase, Akimitsu Tsutou, Yoshikazu Tamori, Tetsu ...
    2008 Volume 51 Issue 2 Pages 125-138
    Published: 2008
    Released on J-STAGE: May 20, 2009
    DOIhttps://doi.org/10.11213/tonyobyo.51.125
    JOURNAL FREE ACCESS
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    We studied the relationship between dietary self-management behavior and actual energy intake by Type 2 diabetic individuals based on clinical backgrounds and profiles of gender, age, HbA1c, body mass index (BMI), and waist size. Subjects were 99 men and 77 women. Using data from the dietary self-management behavior questionnaire (DSBQ) and semiquantitative food frequency questionnaire, which lists 122 dishes, we initially divided clinical profiles into two groups. We then assessed the rank correlation coefficient between DSBQ factors and dietary intake using Student's t-test and Spearman's technique. We noted three trends: (1) Men aged <60 showed a noticeably low frequency of behavior such as “Device to enhance satisfaction during meals,” “Device to reduce the use of high-calorie seasoning,” and “Device to eat tasty food while maintaining nutritional balance,” Similarly, those with a BMI of >25 and a waist of >85 cm demonstrated a noticeably low frequency of behavior such as “Device to avoid excessive food intake,” “Device to enhance satisfaction during meals,” and “Device to eat tasty food while maintaining nutritional balance,” consequently reflected in increased dietary intake. (2) Women with HbA1c <7.0% showed a noticeably high frequency of behavior such as “Device to reduce the amount of cooking salt,” consequently reflected in decreased dietary intake. Women with a BMI of >25 and a waist of >90 cm showed a high frequency of “Behavior that each allows one's own value system to take priority even if it means eating inappropriate food” in behavior to cope with factors interfering with dietary regimens, consequently reflected in increased dietary intake. Results suggest that it is important for the sake of good care to point out each own characteristics of self-management behavior using the DSBQ.
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