Journal of the Japan Diabetes Society
Online ISSN : 1881-588X
Print ISSN : 0021-437X
ISSN-L : 0021-437X
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Volume 52, Issue 6
Displaying 1-11 of 11 articles from this issue
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New Aspects on Incretin
Original Article
  • Annual Medical Expenses for Outpatients with Type 2 Diabetes Mellitus Requiring Insulin Therapy—Patients <70 versus ≥70 Years Old
    Toshio Kahara, Asako Yakeda, Miyuki Hashimoto, Kazuko Nishio, Tohru Ta ...
    2009 Volume 52 Issue 6 Pages 437-442
    Published: June 30, 2009
    Released on J-STAGE: March 01, 2010
    DOIhttps://doi.org/10.11213/tonyobyo.52.437
    JOURNAL FREE ACCESS
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    To determine whether annual medical expenses for outpatients with type 2 diabetes mellitus requiring insulin therapy are high, we studied expenses for 58 patients—32 men and 26 women 43-90 years old—seen for disease management between January and December 2007. Annual medical expenses were 505,274.5±164,591.7 yen, with insulin cost accounting for 14.9%. A comparison of these expenses for 31 nonsenior patients <70 years old versus 27 senior patients ≥70 years old showed that insulin cost was significantly lower for senior patients, although overall annual medical expenses did not differ significantly between the two groups. The mean daily insulin dose was significantly lower in senior patients, but mean HbA1c did not differ significantly between the two groups. In short, annual medical expenses do not necessarily rise with age.
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  • The Investigation of the Risk Factor of the Borderline Type Development in the 75 g Oral Glucose-tolerance Test
    Kazutoshi Fujibayashi, Michio Hayashi, Toshiaki Gunji, Naohiko Tanaka, ...
    2009 Volume 52 Issue 6 Pages 443-448
    Published: June 30, 2009
    Released on J-STAGE: March 01, 2010
    DOIhttps://doi.org/10.11213/tonyobyo.52.443
    JOURNAL FREE ACCESS
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    Purpose: We studied borderline-diabetes risk factors.
    Subjects and Methods: Subjects were men undergoing a 75 g oral glucose tolerance test (75 g OGTT) twice or more at 3-year or longer intervals over the last 10 years. Test results were evaluated based on Japanese Society of Diabetes Mellitus criteria. Patients with borderline or diabetic conditions were excluded. Patients maintaining normal glucose tolerance (NGT) were assigned to the NGT group. Those showing change from normal to borderline glucose tolerance were divided into 4 groups based on plasma glucose tolerance test results-IFG, 60 IGT, IGT, and IFG+IGT. We studied risk factors in each group borderline.
    Results: Borderline risk factors included reduced insulin sensitivity and an increased plasma glucose level 60 minutes after 75 g OGTT at the start of observation, both of which were common to all groups.
    Conclusions: Patients showing a plasma glucose increase 60 minutes after loading should be considered at risk for deterioration to borderline levels.
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