• 건강소식
• /
• v.15 no.1 s.146
• /
• pp.2-5
• /
• 1991

건강에 대한 관심이 날로 늘어나고 있고, 이러한 욕구를 충족시켜주기 위해 여러 가지 건강강좌나 건강기구, 건강식품 등등이 날로 늘어나고 있다. 그러나 그 내용이 충실한 경우는 극히 드문 것 같고, 일부 강좌의 경우 단순한 지식 전달에 그치고 마는 것이 현실이다. ‘82년 개설되어 올해로 9년째를 맞이하는 국립의료원 당뇨병 클리닉의 당뇨병 교실(실장 · 유형준 박사)은 이러한 현실 속에서 꿋꿋하게 당뇨인의 관리를 위한 철저한 교육을 실시해 왔다. 총 2만 9천여 명이 이 교육을 받았고, 다른 기관 당뇨병 교실의 모범이 되고 있을 뿐 아니라 당뇨 환자들의 자가관리에 많은 도움을 주어온 국립의료원의 당뇨병 교실을 찾아 가 운영방법, 교육내용 등을 알아봤다.

• The Monthly Diabetes
• /
• s.261
• /
• pp.44-45
• /
• 2011

82년 국내 종합병원 중 처음으로 '당뇨교실'을 연 국랍중앙의료원 당뇨병센터는 당뇨병에 대한 기초적 지식을 당뇨전문의가 강의하고, 환자의 자가관리, 식이요법에 대해 간호사와 영양사가 돌아가며 무료로 교육하고 있다. 이곳에서 교육받은 환자가 총 40여만명에 육박할 정도로 많은 당뇨병환자들이 국립중앙의료원의 당뇨교실을 거쳐 갔다.

• The Monthly Diabetes
• /
• s.259
• /
• pp.44-45
• /
• 2011

당뇨병은 평생 관리해야 하는 만성질환으로 지속적인 노력과 교육이 필수적이다. 그러므로 당뇨관리를 체계적으로 하려는 모범환자라면 한 번쯤 당뇨강의를 들어보았을 것이다. 당뇨교실은 각 대학병원에서 실시하고 있는 프로그램으로 당뇨병의 올바른 지식을 습득할 수 있다. 이번 달은 순천향대학교 서울병원의 당뇨교실을 찾아 사회복지사업실 김지인 사회복지사의 '당뇨인의 심리와 사회복지 정보' 수업을 들어보았다.

• The Monthly Diabetes
• /
• s.200
• /
• pp.35-36
• /
• 2006

• The Monthly Diabetes
• /
• s.222
• /
• pp.56-59
• /
• 2008

• Korean Journal of Psychosomatic Medicine
• /
• v.30 no.2
• /
• pp.155-164
• /
• 2022

Objectives : A growing body of evidence links type 2 diabetes (T2D) with a neurodegenerative disease (ND) such as Alzheimer's disease and Parkinson's disease. The purpose of this study is to investigate the relationship between NDs and the development of T2D by comparing the incidence of T2D in a group of various NDs (ND group) and control group. Methods : A population-based 10-year follow-up study was conducted using the Korean National Health Information Database for 2002-2015. We used a retrospective cohort study design to investigate the association of ND with T2D occurrence. The study population included ND (n=8,814) and control (n=37,970) groups, all aged 60 years or over. The Kaplan-Meier method was used to estimate the risk of developing T2D as a function of time. Cox proportional hazards regression models were used to evaluate the relationship between ND and T2D. Results : T2D was developed in a significantly higher percentage of patients in the ND group (53.6%) than in the control group (44.7%). The ND group increased the risk of T2D (HR, 1.43; 95% CI, 1.38-1.47). About one-third of patients in both groups were additionally diagnosed with another ND before the occurrence of T2D during a 10-year follow-up period. When compared to those who did not have another ND during the follow-up period, the incidence of T2D in those who were additionally diagnosed with another ND was higher in both the ND and control groups. Conclusions : The ND group had about 1.4 times higher risk of developing T2D than the control group. Our results showed a positive association between ND and T2D.

• The Journal of Korean Diabetes
• /
• v.16 no.3
• /
• pp.161-167
• /
• 2015

In Korea, diabetes mellitus, which causes micro and macrovascular complications, has been rapidly increasing during recent decades and has become a leading cause of disability-adjusted life years. The prevalence of diabetes mellitus was 12.4% in 2011 and that of prediabetes, a condition of high risk for developing diabetes mellitus, is 1.5- to 3-fold greater than that of diabetes. The diabetes prevention programs in other countries were shown to reduce or delay progression from prediabetes to diabetes mellitus. However, these results are not applicable to Korean people because of genetic and environmental differences. Therefore, we need to plan and perform a diabetes prevention study in Korean. Based on these results, we should design intervention tools for a Korean diabetes prevention program. We can consider several preventive interventions with lifestyle modification suitable for Korean people and pharmacologic treatments such as metformin or alpha-glucosidase inhibitor.

• Korean Journal of Psychosomatic Medicine
• /
• v.27 no.1
• /
• pp.50-59
• /
• 2019

Objectives : Many of the patients with type 2 diabetes are associated with sleep problems, and the rate of insomnia is known to be higher in the general population. The aims of this study were to know the frequency and clnical characteristics of insomnia, and related variables to insomnia in patients diagnosed with type 2 diabetes. Methods : For 99 patients from 18 to 80 years of age (65 males and 34 females) with type 2 diabetes, interviews were performed. Total sleep time and sleep latency was evaluated. Insomnia was evaluated using the Korean Version of the Insomnia Severity Index (ISI-K). Severity of depressive symptoms were evaluted using the Korean version of the Hamilton Depression Scale (K-HDRM). According to the cutoff score of 15.5 on the ISI-K, subjects were divided into the group of type 2 diabetics with insomnia (N=34) and those without insomnia (N=65) at first, and then statistically analyzed. Results : TInsomnia could be found in 34.34% of type 2 diabetics. Type 2 diabetics with insomnia had significantly more single or divorced (respectively 11.8%, p<0.05), higher total scores of the K-HDRS ($11.76{\pm}5.52$, p<0.001), shorter total sleep time ($5.35{\pm}2.00hours$, p<0.001), and longer sleep latency ($50.29{\pm}33.80minutes$, p<0.001). The all item scores of the ISI-K in type 2 diabetics with insomnia were significantly higher than those in type 2 diabetics without insomnia, that is, total ($18.38{\pm}2.69$), A1 (Initial insomnia) ($2.97{\pm}0.76$), A2 (Middle insomnia) ($3.06{\pm}0.69$), A3 (Terminal insomnia) ($2.76{\pm}0.61$), B (Satisfaction) ($3.18{\pm}0.72$), C (Interference) ($2.09{\pm}0.97$), D (Noticeability) ($2.12{\pm}1.09$) and E (Distress) ($2.21{\pm}0.81$) (respectively p<0.001). Variables associated with insomnia in type 2 diabetics were as following. Age had significant negative correlation with A3 items of the ISI-K (${\beta}=-0.241$, p<0.05). Total scores of the K-HDRS had significant positive correlation, while total sleep time had significant negative correlation with all items of the ISI-K (respectively p<0.05). Sleep latency had significant positive correlation with total,, A1, B and E item scores of the ISI-K (respectively p<0.05). Conclusions : Insomnia was found in about 1/3 of type 2 diabetics. According to the presence of insomnia, clinical characteristics including sleep quality as well as quantity seemed to be different. Because depression seemed to be correlated with insomnia, clinicians should pay attention to early detection and intervention of depression among type 2 diabetics.

• Journal of agricultural medicine and community health
• /
• v.33 no.1
• /
• pp.71-81
• /
• 2008

Objectives: Recently the care of cerebrovascular and cardiovascular disease is important as much as that of cancer care in public health, so the control of diabetes mellitus(DM) which is a risk factor of cerebrovascular and cardiovascular disease has been also important consideration.class(DM class) of a health center. Methods: Study subjects were 54 participants of DM class in a health center that had been held once a month, from January 2005 to March 2006.Results: Among the DM class participants, 67.3% participated by 50% or over in the DM clas.participants(p<0.05). In a comparison betwen more than 50% participation group and les than 50% participation group, more than 50% participation group got decreased level of blood sugar from 182mg/dl to 155mg/dl and less than 50% participation group also got decreased level from 172mg/dl to 156mg/dl. But Conclusion: DM clas of health center was effective program to manage diabetes mellitus patients in comunity.

• Journal of Korean Foot and Ankle Society
• /
• v.26 no.3
• /
• pp.148-150
• /
• 2022

Myiasis is the parasitic infestation of the body of a live animal by fly larvae that grow inside the host while feeding on its tissue. Necrotic tissue is a favorable environment for larvae to thrive, which can be seen easily in patients with a diabetic foot. Myiasis in a diabetic foot is rare but is constantly being reported. The common larvae genera causing myiasis are Calliphoridae, Sarcophagidae, and Muscidae. This paper reports a rare case of sarcophaga myiasis in a diabetic foot. To the best of the author's knowledge, this is the first case report in Korea regarding human myiasis with the sarcophaga genus.