• Proceedings of the Korean Society for Emotion and Sensibility Conference
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• 2011.11a
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• pp.15-16
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• 2011

• Journal of Home Health Care Nursing
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• v.17 no.2
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• pp.104-111
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• 2010

Purpose: To evaluate the effects of continuous self monitoring of blood glucose (SMBG) on glycemic control in diabetic patients. Methods: Among the diabetic patients who visited the department of internal medicine in H hospital from April 1 to October 27 2008, 76 patients were divided into the experimental group (n=39) and control group (n=36). The experimental group was required to measure blood glucose levels at least twice every other day using SMBG; their compliance was aided by weekly telephone reminders for 3 months after discharge. Glycated hemoglobin, fasting blood sugar and postprandial 2 hours glucose level, triglyceride and high density lipoprotein were measured before and after the study. Results: Baseline characteristics were not different between the experimental and control groups. Three months later, there was a significant difference in postprandial glucose between the two groups (t=-2.042, p=.045). Conclusion: There was significant improvement of glycemic control after the use of continuous SMBG, suggesting its value in strict glycemic control and the merit of an aggressive education program.

• Journal of agricultural medicine and community health
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• v.42 no.4
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• pp.226-233
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• 2017

Objective: The purpose of this study was to describe and understand self-care status of the aged diabetic patients with noncompliance after hospital discharge. Methods: A qualitative research method was used for the study design. The participants were 15 diabetic patients aged 65 or older who had been admitted more than two times for hyperglycemia in the past 1 year in a general hospital in Daegu. Data were collected from November 1 2015 to March 1 2016 through in-depth personal interview. Results: Patients' knowledge level on causes and symptoms of diabetes was low. Most participants rarely and irregularly checked blood sugar at home. They were under a lot of stress from their family. Due to old age and illness they did not have sufficient physical activity and they have had rarely regular meals. They considered the self-care education program unnecessary and there was limitations of accessibility for education. Conclusions: The aged diabetic patients who had the repeat admission did not perform self-care activities properly and had problems especially in blood glucose check, support from their family, and health education after returning home. More personalized and community-based self-management education programs will be necessary.

• The Monthly Diabetes
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• s.219
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• pp.50-51
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• 2008

당뇨병환자가 10만명을 육박해 당뇨 대란이 예상되는 가운데, 당뇨병 예비자 또한 그 수가 만만치 않다. 당뇨병 예비자에는 생활습관이 불규칙하거나, 운동을 전혀 하지 않는 사람, 비만한 사람 등이 포함이 되는데, 당뇨병 전단계라 불리우는 내당능장애와 공복혈당장애 환자도 마찬가지이다. 당뇨병 전단계는 확실하게 당뇨병으로 진단을 받은 것은 아니지만 당뇨병으로 발전할 가능성이 충분한 상태로써 공복, 식후혈당이 이상이 있는 경우를 말한다. 이러한 환자도 당뇨병환자와 똑같은 치료법으로 관리를 해야 훗날 당뇨병으로 발전하거나, 그로 인한 합병증의 피해를 줄일 수 있다.

• The Monthly Diabetes
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• s.254
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• pp.16-17
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• 2011

인슐린을 주사 맞지 않고 먹는 약으로 대신하고, 손가락을 찌르는 아픔 없이 혈당을 측정 할 수 있다면 당뇨관리가 한결 수월해질 것이다. 당뇨병은 관리가 곧 치료이지만 이러한 여러 어려움 탓에 관리가 쉽지 않은 것이 현실이다. 당뇨병은 한 번 걸리면 평생 관리가 필요한 질환이기 때문에 무엇보다 자가관리가 중요하다.

• The Monthly Diabetes
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• s.209
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• pp.66-68
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• 2007

현재 우리나라 당뇨병환자가 500만명을 돌파하고 있고, 해마다 50만명씩 늘어나고 있다. 잘못된 생활습관과 운동부족, 유전 등이 원인인 당뇨병은 평생을 혈당관리에 힘쓰고 당뇨에 대한 공부를 끊임없이 해야 한다. 일단 당뇨에 걸리면 혈당관리는 물론 눈, 발, 심장, 혈관 등에 오는 합병증에 항상 노출이 되어 있다는 것을 알고, 한 번이 아닌 계속적인 교육을 받는 것은 필수적이다. 당뇨가 오래된 환자들은 초보 당뇨병환자들에게 반드시 권유하는 것이 있다. '자만하지 말고 끊임없이 공부하라'는 것이다. 이에 환자들을 교육에 적극적으로 동참 시키고 교육이외에 환자의 몸과 마음이 안정될 수 있도록 도와주는 따뜻한 병원이 있어서 찾아가 보았다.

• Journal of the Korea Academia-Industrial cooperation Society
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• v.19 no.10
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• pp.243-253
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• 2018

This study aimed to investigate the effects of DCI on glucose control, quality of life(SF-36 Version 2.0, Korean) and SDSCA(Summary of Diabetes Self-Care Activities) in patients with type 2 diabetes mellitus. A randomized, double-blind, placebo-controlled study was performed on 46 patients with HbA1c 7.0% taking triple anti-diabetic drug regimen who visited the department of Endocrinology and Metabolism in Chungnam National University Hospital between March 2015 and May 2016. As a result, DCI treatment in the intervention group resulted in significantly reduced HbA1c levels $8.75{\pm}0.79%$(baseline), $8.36{\pm}1.03%$(after 12weeks), and $8.65{\pm}0.81%$(after 24weeks). However, patients in the control group did not show any significant change. Interestingly, both DCI treatment group and the control group significantly showed improvements in SDSCA. Participants in the intervention group showed a small yet significant improvement in their only fasting blood glucose test in SDSCA and revealed significant increase in the quantitative levels of quality of life, from $73.05{\pm}16.85$ to $82.74{\pm}10.68$. By using pathway analysis, improvement of SDSCA scores(${\beta}=-0.505$, t=-2.743) was the most influential factor to the fasting blood glucose. The quality of life of patients with type 2 diabetes mellitus was affected by changes of SDSCA scores(${\beta}=0.411$, t=2.024) and fasting c-peptide(${\beta}=-0.445$, t=-2.668) in DCI treatment group. In conclusion, treatment of DCI effectively improved glucose control in patients with type 2 DM(HbA1c level>7.0%) after 12 weeks of treatment, although it had no impact on glucose control after 24 weeks of treatment. Improved glucose control may encourage diabetic patients to conduct self-care activities and improve the quality of life. Based on the present study, we suggest that diabetes self-management, as well as consideration of comprehensive laboratory findings, may be important factor in regulating the quality of life in type 2 DM patients.

• The Monthly Diabetes
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• s.214
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• pp.8-9
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• 2007

신장 합병증은 당뇨병환자가 사망하게 되는 주요 원인의 하나이다. 성인 당뇨병은 주로 제2형 당뇨병으로 1형보다 상대적으로 신장의 합병증이 덜 발생하는 것처럼 보이는데, 이는 신장 합병증의 발생에 다소 시일이 걸리기 때문이다. 따라서 그 전에 심근경색이나 뇌경색 같은 심혈관계 질환으로 사망하는 경우가 많다. 그러나 최근 심혈관계 질환에 대한 치료가 발달해 생존률이 높아져 신장 합병증의 유병률이 높아지고 있다. 당뇨병환자의 교육을 들어보면 신장관리를 포함한 모든 합병증의 예방과 관리에는 혈당조절이 기본원칙이다. 그러나 많은 환자들이 혈당조절의 어려움을 겪고, 방치해 결국 합병증에 의한 사망에까지 다다른다. 신장질환으로 인해 복막투석이나 혈액투석을 하는 환자를 보면 당뇨로 인해 신장기능이 손상된 경우가 많다. 당뇨가 모든 합병증과 신체건강에 영향을 주는 것은 사실이다. 이번 호에서는 당뇨병이 신장기능에 미치는 영향과 혈당조절과 식사조절이 신장과 어떠한 관계가 있는지 알아보도록 하자.

• The Monthly Diabetes
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• s.125
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• pp.30-32
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• 2000

무통혈당측정기의 경우 통증이 없다는 점에만 그치지 않고 짧은 시간에 정확한 혈당치를 알려주어야 하고, 비용이 비싸지 않아야 하며 휴대할 수 있는 정도의 크기여야 한다는 점 때문에 아직 미국에서 조차 일반인에게는 판매되지 못하고 있으며 몇몇 기기들만이 미국 FDA의 승인을 기다리고 있는 상태이다.

• Journal of the Korea Convergence Society
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• v.12 no.3
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• pp.389-399
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• 2021

This study is the quasi-experimental research of nonequivalent groups and is designed to investigate the effects of an aquatic exercise program with diabetes self management education on the self care efficacy, self care behaviors in diabetic patients in community. The subjects of this study were 26 patients in the experimental group who participated in the aquatic exercise program and 25 patients in the control group who did not paricipated in. And they were registered at the W Health Clinic in D city. The aquatic exercise program was conducted twice a week for 80 minutes, and consisted of a 30 minutes diabetes self management education and a 50 minutes aquatic exercise. After this program, there were significant differences in FBS(p=.047), HbA1c(p<.001), diabetes self efficacy(p<.001), and self care behaviors(p<.001). In order to reduce the prevalence of diabetes and prevent complications in the community, it is believed that the constant operation of aquatic exercise programs including self management education is necessary.