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  1. 学術雑誌論文
  2. 琉球医学会
  3. 琉球医学会誌
  4. 17巻3号
  1. 部局別インデックス
  2. その他

[話題]琉球大学医学部第二内科における糖尿病の診断と治療

http://hdl.handle.net/20.500.12000/0002016090
http://hdl.handle.net/20.500.12000/0002016090
70f81a6f-9d79-41f1-aee8-83625502cad9
名前 / ファイル ライセンス アクション
v17p169.pdf v17p169.pdf
Item type デフォルトアイテムタイプ(フル)(1)
公開日 2010-07-02
タイトル
タイトル [話題]琉球大学医学部第二内科における糖尿病の診断と治療
言語 ja
タイトル
タイトル The management of diabetic patients in our department
言語 en
作成者 島尻, 佳典

× 島尻, 佳典

ja 島尻, 佳典

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砂川, 優

× 砂川, 優

ja 砂川, 優

Search repository
高須, 信行

× 高須, 信行

ja 高須, 信行

Search repository
Shimajiri, Yoshinori

× Shimajiri, Yoshinori

en Shimajiri, Yoshinori

Search repository
Sunakawa, Suguru

× Sunakawa, Suguru

en Sunakawa, Suguru

Search repository
Takasu, Nobuyuki

× Takasu, Nobuyuki

en Takasu, Nobuyuki

Search repository
アクセス権
アクセス権 open access
アクセス権URI http://purl.org/coar/access_right/c_abf2
権利情報
言語 ja
権利情報 琉球医学会
主題
言語 en
主題Scheme Other
主題 Diabetes mellitus
主題
言語 en
主題Scheme Other
主題 diagnosis
主題
言語 en
主題Scheme Other
主題 treatment
内容記述
内容記述タイプ Other
内容記述 Diabetes mellitus is a hyperglycemic state due to absolute or relative insulin deficiency. Adequate treatment is required to prevent diabetic complications; neuropathy, retinopathy and nephropathy. Adequate treatment is also required to prevent macroangiopathy, such as brain infarction, myocardial infarction and arteriosclerosis obliterans. In Japan, prevalence of diabetes mellitus has been estimated to be more than 6 million. Complications of the disease inhibit patients' quality of life. Early diagnosis and treatment are important not only for the patients, but also for the society. For the above reasons, we chose this topic and discuss how we manage diabetic patients in our department by presenting some experimental data. Diabetes mellitus is clinically classified as 1) insulin dependent diabetes mellitus: IDDM, 2) non-insulin dependent diabetes mellitus: NIDDM, 3) gestational diabetes mellitus and 4) others. We diagnose diabetes mellitus based on the criteria given by the Japan Diabetes Society. GAD_65 antibody is helpful for the differential diagnosis of IDDM and NIDDM. HbA_1c and 1,5 anhydroglucitol are useful markers for following diabetic patients. Steady-state plasma glucose method instead of glucose clump technique is valuable for evaluation of insulin resistance. We evaluate neuropathy by nerve conduction velocity and evaluate autonomic neuropathy by CV_R.R and Schellong test. Evaluation for retinopathy is based on Fukuda's classification and that for nephropathy is based on the Japanese Ministry of Public Health and Welfare classification. Treatment of IDDM, including diabetic ketoacidosis, is to supply sufficient insulin, $ \alpha $ -glucosidase inhibitors, sulfonylureas and insulin resistance reducing agents are useful drugs in treating NIDDM. The aim of the diabetic treatment is to lmprove the progressing complications. It is important to connect diagnosis and treatment directly.
内容記述
内容記述タイプ Other
内容記述 論文
出版者
言語 ja
出版者 琉球医学会
出版者
言語 en
出版者 Ryukyu Medical Association
言語
言語 jpn
資源タイプ
資源タイプ journal article
資源タイプ識別子 http://purl.org/coar/resource_type/c_6501
出版タイプ
出版タイプ VoR
出版タイプResource http://purl.org/coar/version/c_970fb48d4fbd8a85
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 1346888X
収録物識別子
収録物識別子タイプ ISSN
収録物識別子 0289-1530
収録物識別子
収録物識別子タイプ NCID
収録物識別子 AN10369445
収録物名
言語 ja
収録物名 琉球医学会誌 = Ryukyu Medical Journal
書誌情報
巻 17, 号 3, p. 169-174, 発行日 1997
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