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

• Childhood Kidney Diseases
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• v.13 no.1
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• pp.1-13
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• 2009

Type 1 diabetes mellitus commonly occurs in childhood and adolescence, although the prevalence of type 2 diabetes mellitus in these age groups is now being increased in the western world and Korea. Diabetic nephropathy developing in 15-25% of subjects with type 1 diabetes mellitus and in similar or higher percentage of type 2 diabetes mellitus patients is the leading cause of end-stage renal disease worldwide. Although prepubertal diabetic duration may contribute less to the development of microvascular complications than pubertal and postpubertal duration, diabetic nephropathy in susceptible patients almost certainly begins soon after disease onset and may accelerate during adolescence, leading to microalbuminuria or incipient DN. Type 1 diabetes is commonly associated with a period of hyperfiltration followed by the development of persistent microalbuminuria after as little as 7-10 years of type 1 diabetes. Microalbuminuria is associated with pathologic lesions that are so advanced as to overlap with those seen in patients with overt proteinuria and declining kidney function, therefore, microalbuminuria currently considered the best clinical indicator of overt diabetic nephropathy risk. This review covers the natural history and renal manifestations of diabetic nephropathy in children and adolescents.

• The Monthly Diabetes
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• s.78
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• pp.46-49
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• 1996

• The Monthly Diabetes
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• s.257
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• pp.34-35
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• 2011

당뇨병과 간은 상관관계가 없는 것 같지만 그동안 당뇨병과 간에 대한 연구가 여러 차례 진행돼 왔다. 우리나라에서 2001년 연구한 바에 따르면 제 2형 당뇨병에서 C형 간염의 발생률이 높은 것으로 나타났다. 뿐만 아니라 당뇨병환자에서 비알콜성 지방간이 흔하게 관찰되는 것으로 보고되고 있다. 반면 간 질환자에서 당뇨병 발생빈도가 10~30%로 매우 높게 나타나 당뇨병과 간이 밀접한 연관성이 있음을 짐직할 수 있다.

• Journal of the Korean Society of Food Science and Nutrition
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• v.36 no.6
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• pp.696-702
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• 2007

This study was performed to investigate the antihyperglycemic effect of green tea extracts (GTE) in diabetic rats. Experimental animals used were alloxan-induced diabetic Sprague-Dawley (SD) rats; as a model of type 1 diabetes mellitus and Otsuka Long Evans Tokushima fatty (OLETF) rats, and as a model of type 2 diabetes mellitus. Animals were randomly assigned either to continue the ad libitum diet or begin a green tea extracts (GTE) contained diet. GTE extracted from green tea was supplemented in the diet (2%). Body weight, food intake, and blood glucose concentration were recorded for 4 weeks. Animals were killed and glucose, triglyceride, and asparate aminotransferase (AST) were analysed in blood. Food intake was not affected by GTE in both alloxan.induced diabetic and OLETF rats but body weight was slightly decreased by GTE in OLETF rats. The blood glucose concentration was markedly decreased by GTE supplementation in both alloxan-induced diabetic and OLETF rats; however, triglyceride and AST levels in serum of GTE treated animals were not changed. This study shows that GTE beneficially modulate blood glucose concentration in diabetic animals. Dietary supplementation with GTE could potentially contribute to nutritional strategies for the treatment of diabetes mellitus.

• Journal of the Korea Convergence Society
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• v.9 no.12
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• pp.485-493
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• 2018

This study analyzed the motivational interviewing of type 2 diabetes patients in order to understand the difficulties and motivations associated with starting insulin treatment in psychosomatic insulin-resistant patients. The method used the consistent comparative analysis. The results of study were as follows: building relationships, focusing (Self-explore of problems with diabetes self-management, Recognizing the limitations of diabetes management, Concerns about complications, Imagine the future), inducing (Imagine the expected benefits and disadvantages of insulin administration, Discovering the benefits of insulin, Changes in thinking about starting insulin therapy), planning (Show specific curiosity about change, Planning change), maintaining change behavior (Keeping change confident), and evaluating. This study will contribute to understanding patients with type 2 diabetes with psychological insulin resistance. It may also provide implications for professionals helping these subjects.

• The Monthly Diabetes
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• s.240
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• pp.35-35
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• 2009

베타세포 손상 및 비만 등 제 2형 당뇨병의 근본적인 원인을 치료해 줄 인슐린 유사체가 개발됐다. 도마뱀의 타액성분을 합성시켜 만든 한국릴리의 '바이에타'는 엑세나타이드를 주성분으로, 인크레틴계열 호르몬인 GLP-1과 유사한 작용을 갖고 있다. 국내에서는 지난해 6월 식품의약품안전청으로부터 승인을 받고 같은 해 11월 출시됐다.

• The Monthly Diabetes
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• s.254
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• pp.14-15
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• 2011

안철수(가명)씨는 매일 스마트폰으로 제 2형 당뇨병을 앓고 있는 어머니의 혈당관리를 돕고 있다. 혈당 및 측정시간을 미리 알려주고 복용법 및 약 먹는 시간을 체크하기도 한다. 또 실시간으로 의료진에게 궁굼한 점을 물어보기도 한다. 핸드폰 하나만 있으면 당뇨관리를 척척 알아서 해준다.

• The Monthly Diabetes
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• s.289
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• pp.53-56
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• 2013

당뇨병과 췌장암은 어떠한 관계가 있을까? 제2형 당뇨병의 경우 췌장암의 발생 위험은 1.8배 높다. 우리나라 췌장암 환자의 당뇨병 유병률은 28~30%로 일반인의 당뇨병 유병률이 7~9%에 비하여 3배 이상 높다(중앙암등록본부, 2012). 또한 일반인의 췌장암 유병률이 10만명 당 7명(0.007%)인데 비하여 당뇨병 환자의 췌장암 유병률은 1.6%이고, 췌장암 환자에서 당뇨병이 있을 확률은 40.6%라 한다(대한소화기학회지, 2009).

• Journal of Convergence for Information Technology
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• v.8 no.4
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• pp.37-43
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• 2018

To explore the lived experiences of nurses on the insulin medication support activity for the type 1 diabetes mellitus. 2 clinical nurse and 3 school health nurse volunteered to complete qualitative analysis by Colaizzi method as phenomenological approach using group activity reports from June 17, to June 24, 2018. 3 codes and 7 themes were deduced and explained 'cheer first step', 'therapeutic relationship maintenance', 'prepare scaffolding'. Findings recommended to provide insulin medication manual focused AI-generation students-their parents have various perceptual expectations.