• 한국노년학
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• v.32 no.3
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• pp.689-701
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• 2012

The purposes of this study were to identify the changes of postprandial blood pressure and pulse rates of elderly living in nursing homes by time and position after a meal. Blood pressure and pulse rates of 141 elderly aged over 65 years were measured at before the meal to 90 minutes after the meal by 15 min. interval. Data were analyzed by descriptive statistics, repeated measures of ANOVA, ANCOVA, and t-test using the SPSS program. There were no significant differences in change of systolic blood pressure and pulse rates by time between sitting group and lying group after meal. The biggest drops in systolic pressure in sitting and lying position were occurred at 30 min and 45min respectively after the meal. There were no significant change in pulse rates except for the immediately after meal in lying position. To prevent complications of postprandial blood pressure reduction, nurses should carefully monitor blood pressure of elderly in lying position at least from 30 min. till to 90 min. after the meal.

• The Monthly Diabetes
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• s.222
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• pp.13-14
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• 2008

제 2형 당뇨병환자에서 식이요법 및 운동요법으로 목표 혈당에 도달하지 못하면 경구혈당강하제를 사용해야한다. 목표 혈당은 물론 개인마다 차이는 있을 수 있지만, 일반적으로 식전혈당 90$\sim$130mg/dl, 식후 2시간 혈당 180mg/dl 미만, 당화혈색소 7% 미만이다. 제 2형 당뇨병의 원인은 인슐린 분비결함과 인슐린 저항성으로 알려져 있으며, 이 중 췌장에서의 인슐린 분비를 촉진시켜 혈당을 조절하는 약물로 설폰요소제와 메글리티나이드 약물이 있다. 최근에 개발되어 국내에서 사용되기 시작한 약물로 글루카곤유사펩티드-1 작용제가 있는데, 이는 인슐린 분비를 촉진시켜 식후 혈당을 조절하는데 도움이 된다.

• 건강소식
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• v.28 no.10 s.311
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• pp.35-35
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• 2004

• 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 Korean Academy of Fundamentals of Nursing
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• v.17 no.3
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• pp.304-313
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• 2010

Purpose: The purpose of this study was to examine preventive effects of water drinking on postprandial fall of blood pressure in the elderly. Method: Participants were 25 elders who had experienced postprandial fall of systolic blood pressure of more than 15mmHg in a previous study. Within subject repeated measures design using random order allocation was used to control extraneous variables among participants. During the experiment, each participant had to drink 400mL water before lunch, whereas when in the control, they only had their lunch. Blood pressure and heart rate were measured for both times before lunch and at 15 minutes intervals up to 90 minutes after lunch. Data were analyzed using descriptive statistics, repeated measures of ANOVA, paired t-test and Bonferroni adjustment as Post-hoc analysis. Results: Water drinking before lunch elicited significant pressor effects by increasing systolic and diastolic pressure $13.9{\pm}4.7/5.2{\pm}2.2mmHg$ compared blood pressure during the control p<.005, p<.022. Heart rate, however, did not change significantly at either time. Conclusion: Drinking water before meal is recommended for elders who experience postprandial hypotension. However, the appropriate volume of water to prevent postprandial fall in blood pressure should be further studied.

• Journal of Life Science
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• v.27 no.1
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• pp.32-37
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• 2017

Cyanidin-3-O-glucoside (C3G) shows anti-inflammatory and antioxidant effects; however, its effect on postprandial blood glucose levels remains unknown. Alpha-glucosidase inhibitors regulate post-prandial hyperglycemia by impeding carbohydrate digestion in the small intestine. Here, the effect of C3G on ${\alpha}-glucosidase$ and ${\alpha}-amylase$ inhibition and its ability to ameliorate postprandial hyperglycemia in streptozotocin (STZ)-induced diabetic mice were evaluated. ICR normal and STZ-induced diabetic mice were orally administered soluble starch alone or with C3G or acarbose. The half-maximal inhibitory concentrations of C3G for ${\alpha}-glucosidase$ and ${\alpha}-amylase$ were 13.72 and $7.5{\mu}M$, respectively, suggesting that C3G was more effective than acarbose. The increase in postprandial blood glucose levels was more significantly reduced in the C3G groups than in the control group for both diabetic and normal mice. The area under the curve for the diabetic mice was significantly reduced following C3G administration. C3G may be a potent ${\alpha}-glucosidase$ inhibitor and may delay dietary carbohydrate absorption.

• Journal of Life Science
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• v.27 no.9
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• pp.1052-1058
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• 2017

Gelidium amansii shows antioxidant and anti-obesity effects; however, the effect on postprandial blood glucose levels is not known. The objective of the present study was to investigate the inhibitory effect of Gelidium amansii extract (GAE) on carbohydrate-digesting enzymes and its ability to alleviate postprandial hyperglycemia in streptozotocin (STZ)-induced diabetic mice. Gelidium amansii was extracted with 80% ethanol and concentrated for use in this study. The ${\alpha}-glucosidase$ and ${\alpha}-amylase$ inhibition assays were performed using the colorimetric method. ICR normal and STZ-induced diabetic mice were orally administered GAE (300 mg/kg body weight) or acarbose (100 mg/kg body weight) alone or soluble starch (2 g/kg body weight). Blood samples were taken from the tail vein at 0, 30, 60 and 120 min. Our results indicated that GAE markedly inhibited ${\alpha}-glucosidase$ and ${\alpha}-amylase$ activities with $IC_{50}$ values of $0.099{\pm}0.009mg/ml$ and $0.178{\pm}0.038mg/ml$, respectively, and was a more effective inhibitor than acarbose, the positive control. Further, the postprandial blood glucose levels of STZ-induced diabetic mice in the GAE-administered group were significantly lower than those of control group mice (p<0.05). Moreover, the area under the curves (AUC) significantly decreased with GAE administration in STZ-induced diabetic mice (p<0.05). These results indicate that GAE may be effective in decreasing postprandial blood glucose levels by inhibiting carbohydrate-digesting enzymes such as ${\alpha}-amylase$ and ${\alpha}-glucosidase$. Therefore, GAE could be used as a potential functional food for alleviating postprandial hyperglycemia.

• Korean Journal of Clinical Laboratory Science
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• v.52 no.4
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• pp.398-407
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• 2020

The inhibitory effect on α-glucosidase, a marker of postprandial hyperglycemia, and angiotensinconverting enzyme (ACE), a marker of hypertension, was analyzed using non-fermented green tea and three different types of fermented tea, which are popular beverages in modern life. Green tea was mixed with trace amounts of vanadate (50 ㎍/mL), which has insulin-mimetic effects, to investigate the synergistic effect of vanadate on the inhibition of α-glucosidase. The concentration of epigallocatechin gallate (EGCG) and caffeine was also checked. The extracts of green tea and fermented teas showed clear inhibition on α-glucosidase, which caused a decrease in the postprandial glucose levels. The inhibitory effect was most prominent in the 20% fermented tea. Trace amounts of vanadate (50 ㎍/mL)-mixed green tea extract had twice the inhibitory effect on α-glucosidase than the pure tea extract. All teas showed inhibitory effects on ACE. Among those, the effect was most prominent in green tea, which had higher concentrations of EGCG. In contrast, the postprandial glucose-lowering effect and ACE inhibition of the fermented teas, which have a lower level of EGCG, was attributed to some other different functional substances.

• Journal of Life Science
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• v.32 no.8
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• pp.589-594
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• 2022

The objective of this study was to investigate whether betulinic acid can inhibit the activities of carbohydrate-digesting enzymes and reduce postprandial hyperglycemia in mice with streptozotocin-induced diabetes. Our results revealed that betulinic acid has potent inhibitory effects on α-glucosidase and α-amylase activities. The half-maximal inhibitory concentrations (IC₅₀) of betulinic acid were 12.83±6.81 and 18.32±3.24 μM for α-glucosidase and α-amylase, respectively. This result indicates lower IC₅₀ values and higher inhibitory activities than those of acarbose, an oral hypoglycemic drug. The increase in postprandial blood glucose levels was significantly suppressed in the betulinic acid group than in the control group of diabetic and normal mice. Postprandial blood glucose levels were 23.22±1.1, 24.38±1.31, and 21.05±1.36 μM in the betulinic acid group compared to 24.64±1.7, 27.22±1.58, and 26.36±1.40 μM in the control group of diabetic mice at 30, 60 and 120 min, respectively. The area under the curve also significantly decreased with the administration of betulinic acid in diabetic mice, however, it did not decrease more than that after acarbose administration. Our results showed that betulinic acid may be a potent inhibitor of carbohydrate-digesting enzymes and ameliorate postprandial hyperglycemia in diabetic mice.

• The Journal of the Korean dental association
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• v.21 no.12 s.175
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• pp.961-963
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• 1983