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Volume 52, Issue 2
Displaying 1-7 of 7 articles from this issue
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Original Article
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Shoichiro Ikuyama, Koichi Oba, Mika Toyoda, Junji Nishimura2009 Volume 52 Issue 2 Pages 85-92
Published: February 28, 2009
Released on J-STAGE: March 01, 2010
JOURNAL FREE ACCESSTo clarify diabetic neuropathy status in northern Oita Prefecture, Japan, we surveyed patients at 36 local clinics and hospitals, analyzing data on 673 (359 men, 307 women, 7 unknown) obtained from 980 respondents, including information on symptoms, achilles tendon reflex (ATR), and vibration sensation (VS). Symptoms possibly attributable to diabetic neuropathy—numbness, pain, paresthesia, andmuscle cramps—were found in 333 (49.5%). The proportion of subjects with symptoms increased withd isease duration or HbA1c level. Symptom intensity was evaluated by subjects on a visual analog scale. We found that the longer patients had symptoms, the more intensively they perceived those symptoms. Abnormal ATR occurred in 47.8% and abnormal VS in 44.0% of respondents, with the proportion having abnormal ATR increasing with disease duration or HbA1c level. Based on 2002 criteria proposed by the Working Group on Diabetic Neuropathy, Japan, 300 patients (44.6%) were diagnosed withd iabetic neuropathy. In conclusion, the prevalence of diabetic neuropathy in our clinical setting appeared comparable to that reported elsewhere in Japan.View full abstractDownload PDF (419K) -
Masanori Munakata, Hiroki Honma, Takaharu Araki, Mitsugu Akashi, Takah ...2009 Volume 52 Issue 2 Pages 93-101
Published: February 28, 2009
Released on J-STAGE: March 01, 2010
JOURNAL FREE ACCESSUsing a questionnaire givent to 400 patients with metabolic syndrome-293 men and 107 women-and 399 healthy age- and gender- matched control subjects, we studied pediatric behavior and its relationship to current dietary behavior. Metabolic syndrome was associated with a significantly higher odds ratio of obesity in the sixth grade of elementary school and a record of regular sports partcipation during elementary school in both genders. Male metabolic syndrome showed a significantly higher odds ratio of big eaters and of low vegetable intake. Such childhood behavior was linked in part to several current unhealthy dietary habits. Our findings suggest that childhood behavior is related to later dietary behavior in metabolic syndrome.View full abstractDownload PDF (322K) -
Tadayoshi Takegoshi, Yoshihito Kita, Hiroshi Matsumoto, Masayuki Tsuch ...2009 Volume 52 Issue 2 Pages 103-110
Published: February 28, 2009
Released on J-STAGE: March 01, 2010
JOURNAL FREE ACCESSWe studied the March 25, 2007, Noto Peninsula Earthquake influence on glycemic control in 373 diabetic patients. Mean preearthquake HbA1c was 7.32±1.41%, slightly above that 2 months after the earthquake, but decreased significantly to 7.19±1.33% after six months. The percentage of those with more than a 0.5% change in HbA1c was 12.1% after 2 months and that of those with less than a 0.5% change was 16%. Multinominal logistic regression analysis used to determine 20 independent factors for glycemic control showed decreased dietary uptake, decreased cholesterol, and increased HDL-C to be significant ameliorating factors and weight gain and medication interruption to significantly interrupt glycemic control.
These results suggest that diet and the proper medication administration are important factors in HbA1c control both during hard times and in regular daily life.View full abstractDownload PDF (423K) -
Kenji Shima, Machiko Komatsu, Toshio Tanaka2009 Volume 52 Issue 2 Pages 111-116
Published: February 28, 2009
Released on J-STAGE: March 01, 2010
JOURNAL FREE ACCESSThe new walking diary we developed converts step number based on exercise intensity (MET) recorded in addition to pedometer results.
We found in 20 weeks of diary use by 174 diabetics that average daily steps numbered 8,611±3,785 and body weight dropped in those who walked more.View full abstractDownload PDF (514K)
Case Report
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M. Suetsugu, Y. Asou, K. Takebayashi, Y. Imai, Y. Ueda, T. Inukai2009 Volume 52 Issue 2 Pages 117-122
Published: February 28, 2009
Released on J-STAGE: March 01, 2010
JOURNAL FREE ACCESS
Report
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Clinical Profiles in Insulin Treatment and Glycemic Control (JDDM 12)Azuma Kanatsuka, Koichi Kawai, Koichi Hirao, Mariko Oishi, Masashi Kob ...2009 Volume 52 Issue 2 Pages 123-128
Published: February 28, 2009
Released on J-STAGE: March 01, 2010
JOURNAL FREE ACCESSTo clarify the clinical characteristics of insulin-treated Type 2 diabetic (T2DM) patients, we analyzed data from 42 institutes in Japan using CoDiC®, an electronic system for diabetes data collection and management with 22,307 T2DM patients registered in 2006. We surveyed 5,795 treated with insulin for over 6 months. Those treated with insulin were diagnosed younger and had a shorter disease duration than those treated with oral hypoglycemic agents (OHA). Two injections of insulin per day was the most frequently prescribed treatment. Those administered prandial or basal bolus were diagnosed younger and had a shorter disease duration. Six months after treatment started, those with HbA1c of ≥8% were younger at diagnosis, had longer disease duration, and had higher BMI than those with HbA1c of ≤6.9%. These trends were more marked in those administered prandial or basal bolus. Our survey thus confirmed that insulin treatment is more likely to be prescribed in patients diagnosed younger and more severely affected by their disease. Even with insulin treatment, however, glycemic control was poor in those diagnosed younger, having longer disease duration, and with higher BMI.View full abstractDownload PDF (280K)
Co-medical
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Mika Itofuji, Mayumi Matsukawa, Satoko Kageyama, Masami Hamaguchi, Miy ...2009 Volume 52 Issue 2 Pages 129-135
Published: February 28, 2009
Released on J-STAGE: March 01, 2010
JOURNAL FREE ACCESSLowering serum HbA1c is expected to reduce the risk of diabetes complications. Diabetics wanting to attain the goal of HbA1c under 6.5% recommended by the Japan Diabetes Society must thus be able to assess their own data. Through results of a questionnaire given to 220 type 2 diabetes patients under 65 years old, we studied how well patients understand their HbA1C levels and how these levels relatively assessed using HbA1c histograms would change. They remembered their previous months HbA1c well, but most considered their control to be almost average regardless of their actual statistics. Such self-assessment improved through HbA1c histogram use. The belief in the severity of their illness is reported to be a good predictor among such patients of metabolic control and compliance. Our results suggest that HbA1c histograms are useful in improving patient self-assessment of HbA1c relatively and visually, and provide a useful tool for motivating self-management.View full abstractDownload PDF (396K)
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