• 제목/요약/키워드: Mellitus

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노인 당뇨병환자의 스트레스 지각, 스트레스 대처방식, 자가간호행위 및 당화혈색소와의 관계 (The Study Related to Perceived Stress, Stress Coping Method, Self-Care Behavior and Hemoglobin $A_1c$ of Elderly Diabetic Mellitus Patients)

  • 박미연;김경희
    • 기본간호학회지
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    • 제15권2호
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    • pp.186-194
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    • 2008
  • Purpose: The purpose of this studγ is to understand relations among perceived stress, stress coping method, self-rare behavior and Hemoglobin $A_1c$ of elderly diabetic mellitus patients. Method: Participants were 128 patients who were under medical treatment in outpatient department at C university hospital. The collected data were analyzed using technical statistics, frequency, percentage, T-test, ANOVA and person's correlation coefficient by SPSS 12.0. Result: There were positive correlation between self-care behavior and coping method based on emotions under the lower category of stress coping method. Hemoglobin $A_1c$ of patients had a negative correlation with physical exorcise of self coping method under the lower category. Perceived stress had also a negative correlation with emotions as coping method in the lower category and medication of self-care behavior. Conclusion: It was noted that elderly diabetic mellitus patients didn't much use a coping method based mainly problems and another method based emotions in case of perceived stress. The findings of this study will be useful for developing an nursing intervention program focused on elderly diabetic mellitus patients.

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갈근탕을 투여하여 호전을 보인 제 2형 당뇨병 증례 1례 (A Case Report of Patient with Type 2 Diabetes Mellitus Treated with Galgeun-tang)

  • 강은진;류혜랑;김영균;김경민
    • 대한한방내과학회지
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    • 제38권5호
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    • pp.541-547
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    • 2017
  • Objectives: The aim of this study was to explore and describe how fasting blood sugar (FBS), postprandial 2 h Glucose (PP2h), and glycated hemoglobin (HbA1c) of a patient diagnosed with type 2 diabetes mellitus can be reduced by treatment with Galgeun-tang herbal medicine. Methods: The patient was administered herbal medicine to reduce serum glucose levels. The prescribed herbal medicines included Galgeun-tang and Galgeun-tang-gami. Results: The therapeutic outcomes were control of blood sugar and glycated hemoglobin (HbA1c) levels and decreased insulin administration. Conclusion: The herbal medicine, Galgeun-tang, appears to be a valid treatment for type 2 diabetes mellitus. Serum glucose (FBS/PP2hrs) and HbA1c were well controlled and insulin administration was decreased. Galgeun-tang was effective in controlling the daily glucose levels in a patient with type 2 diabetes mellitus.

노인 당뇨병 환자의 당화혈색소, 허리/엉덩이둘레, 허리/허벅지둘레 및 치료지시이행과의 관계 (A study on relationship between HbA1c, WHR, WTR and compliance in elderly diabetes mellitus patients)

  • 유용권;송민선
    • 가정간호학회지
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    • 제22권1호
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    • pp.14-21
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    • 2015
  • Purpose: The purpose of this study was to identify relationships between HbA1c (Glycosylated Hemoglobin), WHR (Waist hip ratio), WTR (Waist thigh ratio) and compliance in elderly diabetes mellitus patients aged 65 years or over. Method: We conducted a survey and measured HbA1c, WHR, WTR in a total of 180 elderly patients with diabetes from 5 May 2014 to 30 May 2014. The data were analyzed by t-test, ANOVA, and Pearson's Correlation Coefficient using the SPSS program. Results: There were no significant differences in diabetes-related characteristics for HbA1c, WHR and WTR. However, patients with a family history had low compliance scores (p=.004). Furthermore, patients who visited the hospital regularly had higher compliance scores than patients who visited hospital when they were sick (p<.001). Patients with diabetic complications had low treatment compliance scores (p=.001). In addition, WHR and WTR (r=0.47, p<.001). and WHR and compliance (r=0.15, p=.045) showed positive correlation. Conclusion: For elderly diabetes mellitus patients, diabetes-related characteristics and compliance were highly related, so it is necessary to improve compliance for managing diabetes mellitus.

당뇨병성 말초 신경병증 2례에 대한 임상고찰 (Clinical Study on Two Cases of In patients with Diabetic Peripheral Neuropathy)

  • 최훈섭;조충식;김철중
    • 혜화의학회지
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    • 제13권2호
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    • pp.251-258
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    • 2004
  • Two cases of in patients with diabetic peripheral neuropathy were reported in this clinical study. After the study, the results were as follows: 1. Diabetic peripheral neuropathy was occurred with both insulin dependent diabetic mellitus(IDDM) patients, long and short durations, and non insulin dependent diabetic mellitus(NIDDM) patients. However, the degree of subjective symptom was stronger with the former patients. 2. Non insulin dependent diabetic mellitus(NIDDM) patients on dosage of Gamisamultang (加味四物湯) showed remarkable decrease of duration of illness and pain; however, plantar causalgic pain was unremarkable. In contrast to non insulin dependent diabetic mellitus(NIDDM) patients, long duration of insulin dependent diabetic mellitus(IDDM) patients showed remarkable decrease of plantar causalgic pain: however, pain decreased unremarkably. 3. The general treatment of diabetic patients was the control of blood glucose level; however it seemed to be no effect on the degree of subjective symptom. When patients were treated with acupuncture, followed by electropucture, on Palpung(八風), Taechung(太衝:Liv3), Chok-imup(足臨泣: Gb41), Hyonjong(縣鐘 : G39), Sungsan(承山 : B57), Chok-Samni(足三里 : S36), and Yangnungchon(陽陵泉 : G34) showed a great effect on decreasing the pain.

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당뇨병 환자의 자가관리, 우울 양상이 양생에 미치는 영향 (Effects of Self Care and Depression on the Yangsaeng of Diabetes Mellitus Patients)

  • 송민선;최찬헌
    • 동의생리병리학회지
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    • 제31권5호
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    • pp.294-303
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    • 2017
  • The purpose of this study was to investigate self care, depression, and Yangsaeng and to confirm the factors related to Yangsaeng of diabetes mellitus patients. The survey was conducted on 116 subjects who consented to Institutional Review Board for diabetes mellitus patients in the area and data were collected by self-report questionnaire. The questionnaires consisted of self care, depression, and Yangsaeng. Date analysis was done by SPSS 22.0 with T-test, ANOVA, $Scheff{\acute{e}}$ test, Pearson correlation coefficient, and multiple regression. Yangsaeng was significantly related to the educational level, partner, income, perceived health status, depression, and admission for diabetes mellitus. Yangsaeng and self care showed positive correlation, on the other hand Yangsaeng and depression showed negative correlation. Yangsaeng was found to be related to education level, self care, and depression through the multiple regression. In conclusion, the Yangsaeng score increased with improving of blood glucose level and depression. Based on these results, we considered various characteristics such as patient's age and illness characteristics, therefore it is necessary to develop a method to measure Yangsaeng.

노인 당뇨병환자의 인슐린요법 관련 자가간호행위에 대한 영향요인 (Factors Influencing Self-Care Behaviors Related to Insulin Therapy in Elders with Diabetes Mellitus)

  • 손나영;양진향
    • 기본간호학회지
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    • 제20권1호
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    • pp.27-36
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    • 2013
  • Purpose: Self-care behavior is a key dimension of healthcare quality among elderlys with diabetes mellitus. The purpose of this study was to identify factors associated with self-care behaviors related to insulin therapy among elders with diabetes mellitus. Methods: The research was a cross-sectional, descriptive design using questionnaires. The participants were 147 older adult patients with diabetes mellitus receiving insulin therapy. Data were analyzed using descriptive statistics, t-test, ANOVA and multiple regression with SPSS statistics 19.0 program. Results: Participants' self-care behaviors related to insulin therapy were not adequate. Stepwise multiple regression analysis for self-care behaviors related to insulin therapy revealed that the most powerful predictor was self-efficacy. Self-efficacy, family support and frequency of blood sugar test explained 54.4% of the variance in self-care behaviors related to insulin therapy. Conclusion: The results indicate a need to promote self-efficacy, family support and frequency of blood sugar testing with these participants. In addition, strategies to improve self-care behaviors among elderly patients should be considered by health professionals, family members and the elderly patients themselves.

한방치료를 통한 제 2형 당뇨병 증례 1례 (A Case Report of Patient with Type 2 Diabetes Mellitus treated with Traditional Korean Medicine)

  • 조정효
    • 혜화의학회지
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    • 제23권2호
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    • pp.39-43
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    • 2015
  • 2010년 2월 3일~ 2014년 12월 3일까지 본원에서 입원 및 외래치료한 기존 치료에 불응성 2형 당뇨병 환자에 한약, 침치료를 가하여 증상개선과 함께 혈당 강하 효과를 보여 주어 당뇨병에서의 한방치료의 가능성을 확인하였다.

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식이 칼슘, 비타민 D의 섭취와 골다공증, 고혈압 및 당뇨병의 상관관계 (The Correlation between Dietary Intakes of Calcium and Vitamin D and Osteoporosis, Hypertension and Diabetes Mellitus)

  • 신현아;엄애선
    • Journal of Dairy Science and Biotechnology
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    • 제27권2호
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    • pp.17-23
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    • 2009
  • In the light of the increasing concern over the prevalence of osteoporosis, hypertension, diabetes mellitus, we performed this study to review the correlation between the dietary calcium and vitamin D intake and these diseases. To this end, we investigated the effects of dietary calcium and vitamin D on these diseases. We observed that the intake of dietary calcium and vitamin D had a negative correlation with the incidences of osteoporosis, hypertension, and diabetes mellitus. Further, the intake of these two nutrients is expected to improve related mechanisms such as the renin-angiotensin system. Therefore, we suggest that dietary calcium and vitamin D have a beneficial effect on these diseases.

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한국인 인슈린 유전자의 클로닝 및 분석 (Molecular Cloning And analysis of Korean Insulin Gene)

  • 김형민;한상수;고건일;손동환;전창덕;정헌택;김재백
    • 약학회지
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    • 제37권5호
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    • pp.504-510
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    • 1993
  • Human insulin gene is consisted of the polymorphic region with the repeating units, the regulatory sequence, the structural gene including the intervening sequence, and 3'-flanking region. The polymerase chain reaction, which amplifies the target DNA between two specific primers, has been performed for the amplification of human insulin gene and simple one-step cloning of it into Escherichia coli. Out of 1727 nuceotides compared, only 4 sites were variable: 5'-regulatory region(G2101$\rightarrow$AGG); IVS I(T2401$\rightarrow$A); Exon II(C2411 deletion); IVS II(A2740 dejection). The variations at the G2101 and T2401 were the same as those found in one American allele. The other two variations were observed only in the specific Korean allele. And, the enzyme digestion patterns among normal, insulin dependent diabetes mellitus, and non-insulin dependent diabetes mellitus were the same. On the other hand, PCR method showed the possibility of the quickaccess for the polymorphic region in terms of the restriction fragment length of polymorphism.

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Therapy of Diabetes Mellitus Using Experimental Animal Models

  • Min, T.S.;Park, Soo Hyun
    • Asian-Australasian Journal of Animal Sciences
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    • 제23권5호
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    • pp.672-679
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    • 2010
  • Diabetes mellitus is a worldwide epidemic with high mortality. As concern over this disease rises, the number and value of research grants awarded by the National Research Foundation of Korea (NRF) have increased. Diabetes mellitus is classified into two groups. Type 1 diabetes requires insulin treatment, whereas type 2 diabetes, which is characterized by insulin resistance, can be treated using a variety of therapeutic approaches. Hyperglycemia is thought to be a primary factor in the onset of diabetes, although hyperlipidemia also plays a role. The major organs active in the regulation of blood glucose are the pancreas, liver, skeletal muscle, adipose tissue, intestine, and kidney. Diabetic complications are generally classified as macrovascular (e.g., stroke and heart disease) or microvascular (i.e., diabetic neuropathy, nephropathy, and retinopathy). Several animal models of diabetes have been used to develop oral therapeutic agents, including sulfonylureas, biguanides, thiazolidinediones, acarbose, and miglitol, for both type 1 and type 2 diseases. This review provides an overview of diabetes mellitus, describes oral therapeutic agents for diabetes and their targets, and discusses new developments in diabetic drug research.