• The Monthly Diabetes
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• s.192
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• pp.28-31
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• 2005

노인 당뇨병환자에서는 공복혈당은 140mg/dl 이하, 식후 2시간 혈당은 200mg/dl 이하가 적당하며 저혈당의 위험도를 낮추기 위해 공복혈당이나 취침 전 혈당을 270mg/dl 이하 정도로 유지하는 것이 더 적절하다.

• The Monthly Diabetes
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• s.212
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• pp.59-61
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• 2007

당뇨병은 발병 후 거의 완치가 불가능한 질환으로 당뇨병의 치료는 고혈당에 의한 증상을 개선, 여러 가지 급성 및 만성합병증을 예방하는 데 그 목적이 있다. 당뇨병 조절 및 합병증 연구 등에서 엄격한 혈당조절을 통해 당뇨병의 만성합병증이 예방되거나 이미 발생된 합병증도 진행이 지연됨이 알려졌으며, 이에 따라 지속적인 혈당조절의 필요성이 더욱 중요해지고 있다. 지속적인 혈당조절을 위한 당뇨병관리의 기준이 되는 지표에는 여러 가지가 있지만 그 대표적인 것으로 공복혈당, 식전혈당. 식후 2시간 혈당, 당화혈색소 등이 있다. 환자들은 어떤 검사가 나의 혈당변화를 가장 정확히 나타내 주는지 궁금할 때가 있다. 또한 혈당검사를 하루 중 언제 측정해야 가장 정확하고, 얼마나 측정해야 하는지도 궁금하다. 여기서는 혈당조절의 지표가 되고 합병증 예방의 가장 기초가 되는 검사의 종류와 검사 시기, 빈도를 알아보고자 한다.

• The Monthly Diabetes
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• s.219
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• pp.8-10
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• 2008

당뇨병환자가 혈당을 잘 조절해야 하는 가장 큰 이유 중 하나는 당뇨병으로 인해 발생하는 합병증을 예방하고 진행을 늦추는 것입니다. 당뇨병환자가 혈당을 정상에 가깝게 조절을 하면 만성 합병증의 발생을 예방할 수 있고, 발생한 합병증의 진행을 늦출 수 있다는 연구 보고들이 많이 있습니다. 그렇다면 어느 정도 혈당수치가 되어야만 혈당조절이 잘 되었다고 할 수 있을까요? 즉 당뇨병환자의 목표 혈당수치는 얼마일까요? 목표 혈당수치는 공복 혈당, 식후 혈당, 취침전 혈당이 각각 다릅니다. 당화혈색소는 혈당수치는 아니지만 공복이나 식후 혈당과는 달리 2$\sim$3개월간의 혈당수치를 반영하므로 혈당조절이 잘되고 있는지를 알아보는 지표로 많이 이용하고 있습니다. 공복혈당은 80$\sim$120mg/dL, 식후 2시간 혈당은 160mg/dL 미만, 취침전 혈당은 100$\sim$140mg/dL를 유지하는 것을 권장하고 있으며, 당화혈색소는 7% 이하 가능하다면 6.5% 까지 유지하는 것을 목표로 합니다. 더 나아가서 당뇨병으로 인한 만성 합병증을 예방하려면 혈당조절뿐만 아니라 혈압, 콜레스테롤도 잘 조절해야 합니다. 혈압은 130/80mmHg 이하로 유지해야 하며 우리 몸에 좋은 콜레스테롤(HDL)은 남자는 40mg/dL 이상, 여자는 50 mg/dL 이상 되어야 하고, 우리 몸에 나쁜 콜레스테롤(LDL)은 100mg/dL 이하, 중성지방은 150mg/dL 이하로 유지해야 합니다. 물론 금연을 하여야 하고 음주를 해서는 안되겠습니다.

• Journal of Nutrition and Health
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• v.41 no.1
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• pp.31-40
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• 2008

This study was aimed at evaluating the effect of red-yeast-rice supplementation on cholesterol-lowering and glucose control in subjects with impaired fasting glucose (IFT) or impaired glucose tolerance (IGT). We conducted a doubleblind, placebo-controlled study with 3 groups; placebo, low dose group (red yeast rice 210.0mg/capsule, 2.52g/day) and high dose group (red yeast rice 420.0mg/capsule, 5.04g/day), which were randomly assigned to subjects with impaired fasting glucose or impaired glucose tolerance. We measured fasting serum concentrations of total-, LDL-, HDL-cholesterol, triglyceride, glucose, insulin, free fatty acid (FFA) and 2 h oral glucose tolerence test (OGTT) before and after the supplementation. Both low dose and high dose groups had significant decrease in LDL cholesterol and atherogenic index (AI) compared with placebo group (p<0.05). Additionally, total and HDL cholesterol improved significantly in high dose group compared with placebo group (p<0.05). Fasting serum glucose decreased in test groups and increased in placebo group after intervention. However, it was not significant differences. In subjects which fasting blood glucose is more than 110mg/dL, fasting glucose had a tendency to decrease in high dose group (p<0.1) and Hemoglobin A1c (HbA1c) had significant decrease in low dose group (p<0.05), while insulin and HOMA-IR had a tendency to increase in placebo group after intervention. Mean changes of glucose related parameters (fasting glucose, insulin, HOMA-IR) compared with placebo group did not show significant differences. In conclusion, subjects with impaired fasting glucose or impaired glucose tolerance were significantly improved in serum lipid profile by red yeast rice supplementation without serious side effects. These are more effective in the case of a high dose. The effects of red yeast rice supplementation on glucose control were insignificant.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.14 no.2
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• pp.751-758
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• 2013

In order to estimate risk of diabetes by analyzing dietary patterns, we examined prevalence of diabetes and impaired fasting glucose among Korean adults who are similar in food frequency to diabetes and impaired fasting glucose. The mean of food frequency of diabetes and impaired fasting glucose was calculated for analyzing the prevalence using the food frequency data from 2007, 2008 and 2009 Korea National Health and Nutrition Examination Survey(KNHANES). Also the most frequent food was estimated for each group by using the mean difference of food frequency. As the results shows that the similar food frequency groups have significant prevalence rate, we expect that this study will contribute to the relations between dietary intakes and prevalence of diabetes.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.12 no.11
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• pp.5034-5042
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• 2011

This aim of this study is to assess the association of between glucose level and periodontal diseases in Korea adults. The data for analysis were obtained from Korea National Health and Nutrition Examination Survey 2009. A total of 7,062 subjects who aged 19 years and above, underwent a medical and dental checkups. The prevalence of undiagnosed diabetes group was 27%, and the prevalence of impaired fasting glucose(IFG) group was 41.2%, diabetes group was 43.6% with periodontitis. IFG and diabetes had significantly higher prevalence of periodotontits compared to those having normal after adjusting confounding variables; the odds ratios were 1.35 (95% confidence interval: 1.17 to 1.55) and 1.27 (95% confidence interval: 1.02 to 1.58), respectively. This study has suggested that diabetes increases the risk of periodontal disease. Proactive, preventative dental and diabetes self care, as well as regular dental and diabetes assessment, are important management strategies for impaied fasting glucose and periodotnal health.

• Journal of the Korean Society of Food Science and Nutrition
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• v.34 no.6
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• pp.821-824
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• 2005

The purpose of this study is to investigate tile effects of the Paecilomyces japonica on blood glucose in non-insulin dependent diabetes mellitus volunteers. During the 3 months of the experimental period, freeze-dried powder of Paecilomyces japonica (2 g/meal) was given to the subjects right before each meal. Paecilomyces japonica caused a significant decrease of $27.5\%\;and\;35.5\%$ in fasting and postprandial blood glucose levels, respectively. There were significant reductions of $28.5\%\;and\;33.5\%$ in fasting and postprandial blood glucose levels of the male subjects, respectively Paecilomyces japonica also significantly decreased in fasting and postprandial blood glucose levels of $26.1\%\;and\;37.3\%$ in female patients after treatment. This study shows that Paecilomyces japonica supplementation significantly lowered the fasting and postprandial glucose levels in NIDDM patients. These effects presumably contribute to the hypoglycemic activity.

• The Journal of the Convergence on Culture Technology
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• v.8 no.4
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• pp.107-114
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• 2022

The purpose of this study is to identify the prevalence of impaired fasting glucose among non-diabetic middle-aged men in Korea and to identify factors related to impaired fasting glucose. The research method is a descriptive research study using data of 545 men aged 40-64 who participated in the 8th Korean Health and Nutrition Examination Survey(KHANES) in the second year(2020). For data analysis, frequency and percentage, mean and standard deviation, Rao-Scott 𝛘², t-test, and logistic regression analysis were performed using the complex sample analysis method of SPSS/WIN 23.0 program. The results of this study showed that the prevalence of impaired fasting glucose was 44.77%, and the frequency of drinking(OR=1.531, 95% CI: 1.01-2.33) and triglycerides(OR=1.002, 95% CI: 1.00-1.01) were significantly related factors for impaired fasting glucose. Therefore, it is necessary to develop a program for the prevention and management of impaired fasting glucose in middle-aged men, and this program should include drinking habits and triglycerides management strategies.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.9 no.5
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• pp.1374-1385
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• 2008

This study aims at finding blood glucose levels in rural residents and factors influencing their glucose levels. For these purposes, the researcher surveyed 1,857 residents in a rural area, Geumsan-gun, Chungcheongnam-do between January and February 2006. Consequently, as major factors influencing fasting glucose and 2-h plasma glucose, it was indicated that insulin, C-reative protein, gamma-glutamy transferase, blood pressure levels, and age were important variables, and thus in light of this result, in order to prevent diabetes, it is very important to control obesity and blood pressure and also it is needed to establish national health management plans fur preventing and controling diabetes and its complications fur the aging society

• Korean Journal of Clinical Laboratory Science
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• v.49 no.3
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• pp.239-247
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• 2017

Among the commonly known tools to diagnose diabetes are fasting plasma glucose (FPG), HbA1c., and OGTT known as gold standard. However, there can be many disagreements on the ways to diagnose diabetes. In this study, we examined the differences of the types of diabetes according to the applicability of FPG and HbA1c. Moreover, we evaluated the concordance of diagnosis. We excluded subjects with missing glucose and HbA1c data, as well as those previously diagnosed with diabetes, and those who fasted less than 8 hours. The data of 4,502 subjects (1,956 men and 2,546 women) from the 2015 KNHNES were analyzed. We divided these patients into three categories which are normal, prediabetes, and diabetes, based on the FPG and HbA1c. In men, the number of subjects with FPG ranging from 100 to 125 mg/dL and HbA1c ${\geq}6.5%$ was 23 out of 664, and the number of subjects with FPG < 126 mg/dL and HbA1c ${\geq}6.5%$ was 39 out of 86 newly diagnosed diabetes patients. The concordance rate was as follows: Normal 80.3%, prediabetes 44.9%, and diabetes 54.7%. The coefficient of Cohen's Kappa was 0.322 in men and 0.362 in women; this suggests that both gender showed a low concordance rate. However, when we divided them into two categories (nondiabetes and diabetes), Kappa was 0.582 in men and 0.637 in women, showing a relatively high concordance rate. While all subjects with FPG ${\geq}126mg/dL$ showed a significantly high HOMA IR, all subjects with FPG < 126 mg/dL showed a significantly high QUICKI. Considering the low concordance rate for the diagnosis of diabetes and characteristic of diagnostic tests, it is necessary to combine the related tests for diagnosing diabetes.