• Nutritional Sciences
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• 제9권4호
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• pp.280-287
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• 2006

The aims of this study were to describe the effects of glucose-sweetened drinks on blood glucose, energy, and water intake at a meal 3 hours later. The effect of blood glucose on prandial energy intake and the relationship between water and energy intake during a meal were also determined. Twenty healthy normal-weight men were fed pizza test meals 3h after consuming four drinks of 0, 50g, 65g, and 75g glucose in random order, within-subjects design. Blood samples were measured at baseline and every 30 min after ingestion of drinks and 30min after the end of the test meal and the appetite was also assessed by visual analog test at the same interval. The results of this study showed that various glucose drinks altered blood glucose responses compared with that of water control(p<0.0001). Blood glucose areas under the curve(AUC) for glucose-sweetened drinks were significantly(p<0.05) higher than that for the control over 3 hours after a drink and 30 min after the test meal. Consumption of the glucose-sweetened drinks significantly increased(p<0.05) energy and water intake at a test meal compared with the water control, except the drink containing 75g glucose. For all drinks combined, the energy intake was negatively correlated with the blood glucose and positively correlated with the volume of water consumed at a test meal at 3 hours later.

• 핵의학기술
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• 제14권2호
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• pp.100-103
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• 2010

$^{18}F$-FDG PET 검사는 포도당 대사를 이용하여 전신의 종양을 평가하는 검사로 전처치 과정에서 혈당 측정의 중요성이 매우 높다. 혈당 수치가 높은 상태에서 FDG를 투여하면 FDG와 혈중 포도당이 세포 내 흡수에 서로 경쟁하게 되고 종양으로의 FDG 섭취가 감소되어 정확한 검사가 되지 않을 가능성이 있다. 혈당 측정에 사용되는 혈당 측정 검사지는 경우에 따라 모세혈관혈 전용 측정 검사지와 모세혈관혈과 정맥혈을 모두 측정 가능한 범용 측정 검사지로 구분되어 있는데, 정확한 혈당 측정 검사지(스트립)의 사용에 따른 혈당 수치의 차이를 비교 분석 하였다. 연구 대상은 2010년 3월부터 4월까지 서울아산병원 핵의학과에서 $^{18}F$-FDG whole body PET 검사를 시행한 환자 중 46명(남자: 32명, 여자: 14명, 평균연령 $57.3{\pm}12.3$세) 을 연구의 대상으로 하였다. 실험기기는 Abbott사의 Optium Xceed혈당 측정기를 이용하였고, 모세혈관혈과 정맥혈을 모두 측정 가능한 범용 측정 검사지를 사용하여 동일 환자의 모세혈관혈과 정맥혈의 혈당 수치의 차이를 분석하였다. 또한, 모세혈관혈 전용 측정 검사지를 사용하여 동일 환자의 모세혈관혈과 정맥혈의 혈당 수치의 차이를 비교 분석하였다. 분석방법은 MINITAB 통계 프로그램을 이용하여 paired t-test 검정을 시행하였다. 모세혈관혈과 정맥혈을 모두 측정 가능한 범용 측정 검사지로 측정한 동일 환자의 모세혈관혈과 정맥혈의 혈당 수치는 각각$95.2{\pm}12.4$ mg/dL, $104.1{\pm}14.4$ mg/dL (t=8.0, p<0.001)로 통계적으로 유의한 차이가 있었다. 모세혈관혈 전용 측정 검사지로 측정한 동일 환자의 모세혈관혈과 정맥혈의 혈당 수치는 각각 $91.5{\pm}13.6$ mg/dL, $108.1{\pm}16.2$ mg/dL (t=9.2, p<0.001)로 통계적으로 유의한 차이가 있었다. 선행연구에 의하면 모세혈관혈과 정맥혈의 혈당 수치는 여러 가지 이유로 인해 차이가 있는 것으로 보고 되었고 본 연구의 결과도 유사한 차이를 확인하였다. $^{18}F$-FDG PET 검사 전에 혈당 수치를 측정할 때 모세혈관혈 전용 측정 검사지로 정맥혈의 혈당을 측정하는 것은 부정확한 혈당 수치를 측정할 수 있으므로 주의해야 할 것이다. 그러므로 적합한 측정 검사지와 규정된 측정절차를 이행하는 것이 측정 편차를 줄일 수 있어 PET 검사의 전처치를 보다 명확하게 확인할 수 있을 것이다. 또한, 혈당 측정 시에 혈액 채취 부위를 모세혈관 또는 정맥혈관 중에서 항상 동일한 부위에서 측정하는 등의 표준화 과정이 필요할 것이다.

• 대한의용생체공학회:의공학회지
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• 제32권1호
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• pp.25-31
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• 2011

Blood glucose information is important for self regulation in daily life, but the frequency of self test remains to be only 17%(9 tests/month) in Korea, mainly due to pain during blood sampling. The present study tried to validate the clinical efficacy of the forearm as an alternative sampling site with minimized pain. Capillary blood was sampled both on the index finger($G_F$) and the forearm($G_A$), immediately followed by glucose measurements in 531 subjects, 25 who visited the Health Enhancement Center of C University Hospital, then venous blood($G_V$) was sampled for glucose test. The blood glucose concentration measured on the forearm was closer to the venous glucose than on the finger. The mean difference between $G_V$and $G_F$ was only 10 mg/dL well within the internationally accepted error limit. Error grid analyses of $G_F-G_V$, $G_A-G_V$ and $G_A-G_F$ revealed that the number of data points in regions A and B took 100%, 99.8%, and 97.9%, respectively. These results demonstrate the forearm blood glucose test is not only accurate but also clinically valid. Therefore, the forearm blood glucose test can be a useful way of self managing the chronic diabetes with minimized sampling pain.

• 한국신뢰성학회지:신뢰성응용연구
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• 제13권4호
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• pp.299-307
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• 2013

The value of blood sugar is measured by a personal blood glucose meter which consists of two parts: a glucose strip and a blood glucose meter. A personal blood glucose meter makes use of electric media which are composed of glucose oxidase and electron. This study is to propose a method of reliability demonstration test derived from field data analysis and FMEA(Failure Mode and Effect Analysis). Detailed Conditions for reliability demonstration test are selected from the comparison of various failure mechanisms. The most dominant failure mechanism is wear-out which is caused by strip insertion/extraction. The testing device that can reproduce the failure mechanism of strip insertion/extraction is made to conduct reliability demonstration test. Using the testing device, it is confirmed that target lifetime of selected devices is more than 2 years.

• 대한본초학회지
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• 제27권5호
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• pp.93-97
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• 2012

Background : The purpose of this study was to examine that the effects of Peony-Licorice (PL) mixture supplementation on post-exercise blood glucose and lactate in professional women basketball players. Methods: Eleven professional women basketball players were participated in this study. The subjects participated in two trials, PL supplementation and water supplementation. They did 20-meter shuttle run test, and measured blood glucose and lactate level before, immediately, after 3 minutes, after 5 minutes and after 10 minutes the test. Results: There was not interaction effect on blood glucose(p<0.433) and lactate(p<0.770) levels. Blood glucose and lactate levels were increased in PL group and water group after the test. Conclusion: PL supplementation could not affect changing blood glucose and lactate level. Therefore, we suggest that PL supplementation may not be positive ergogenic aid for improving exercise performance in professional women basketball players.

• 운동영양학회지
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• 제24권4호
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• pp.34-43
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• 2020

[Purpose] The purpose of this study was to assess changes in blood glucose level, blood pressure, and arterial stiffness after a 75 g oral glucose tolerance test (OGTT) in elderly women aged over 65 years with hypertension and either normal glycemic control, impaired fasting glucose tolerance, or diabetes mellitus. We also wished to investigate the relationship between stages of diabetes and physical fitness. [Methods] A total of 24 elderly women with hypertension were assigned to a control group (CON; n=7), impaired fasting glucose group (IFG; n=9), and diabetes mellitus group (DM; n=8). In each group, blood glucose level, brachial ankle pulse wave velocity (PWV), and blood pressure were measured at baseline as well as 60 and 120 minutes after a 75 g OGTT. Physical fitness factors such as hand grip strength, balance test, 4 m gait speed test, chair stand test, short physical performance battery, and 6-minute walking test were subsequently assessed. [Results] In all three groups, blood glucose levels were significantly increased at 60 and 120 minutes after a 75 g OGTT. In the DM group, blood glucose levels were significantly higher before and after a 75 g OGTT than in the CON group. In the CON group, PWV was significantly increased at 60 minutes after a 75 g OGTT; however, there were no changes in other groups after glucose ingestion. In the CON group, systolic and diastolic blood pressures were significantly decreased at 60 and 120 minutes after a 75 g OGTT compared to baseline. However, there was no change in blood pressure after ingestion in the DM group. The IFG group had greater grip strength than the CON group; however, there were no differences in other variables between the groups. [Conclusion] After a 75 g OGTT, elderly women with hypertension and diabetes maintain higher blood glucose levels compared to those with hypertension alone. Unlike elderly women with hypertension alone, those with hypertension and diabetes did not show changes in arterial stiffness and blood pressure after a 75 g OGTT. Therefore, elderly women with hypertension and diabetes may not be able to control their blood vessels following a 75 g OGTT due to impaired vascular endothelial function. Moreover, there was no association between diabetes stage and physical fitness in elderly women with hypertension.

• Journal of Nutrition and Health
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• 제32권1호
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• pp.10-16
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• 1999

This study was conducted to figure out the differences of the BMI, blood lipids, blood pressure and nutrient intakes by serum insulin concentration among adults in Korea. Ninety-three subjects(male : n=37, female : n=56) participated in this study. The subjects were grouped by serum insulin concentrations into two groups-hyperinsulinemia group(n=17) and normoinsulinemia group(n=76). Anthropometric measurements, blood lipid profiles, blood pressure, oral glucose tolerance test, and daily nutrient intakes were analyzed. And serum glucose and insulin secretion pattern as shown through and oral glucose tolerance test were performed. BMI (p<0.05) and WHR(p<0.01) were significantly higher in hyperinsulinemic group than in normoinsulinemia group. There was no differences in fasting blood glucose level between groups, but total glucose area (p<0.001) and insulin glucose resistance(p<0.001) were significantly higher in hyperinsulinemia group than in normoinsulinemia higher in hyperinsulinemia group, but HDL-cholesterol(p<0.05), and systolic blood pressure(p<0.05) were significantly higher in hyperinsulinemia group, but HDL-cholesterol(p<0.001) was significantly lower in hyperinsulinemia group. They showed significant differences in energy, carbohydrate, potassium, riboflavin, niacin and dietary fiber intakes(p<0.05), the intake of those nutrients were low in normoinsulinemia group. Further investigation is necessary to determine the effects of amounts and types of carbohydrate and dietary fiber on serum insulin concentrations.

• 대한의생명과학회지
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• 제4권2호
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• pp.103-112
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• 1998

과산화 효소와 포도당 산화효소의 효소반응을 이용하여 혈액 중 당을 측정하는 혈당 측정 용 스트립을 개발하였다. 멤브레인에 포도당 산화효소와 과산화 효소, 색원체를 건조처리하면 혈당이 멤브레인에 처리된 포도당 산화효소와 즉각 반응하여 과산화 수소를 발생하고 발생된 과산화 수소가 과산화 효소와 반응하여 착색물을 형성한다. 제조된 스트립은 혈액과 접촉하면 반응시간 2∼3분 이내에 0∼800mg/d1의 혈당에 대하여 농도에 따라 연 녹, 청 녹, 짙은 청색을 나타내며 이때 민감도는 40 mg/dl이었다. 육안용 혈당 스트립을 이용하여 정상을 포함한 당뇨 환자의 혈당 농도를 측정한 결과 Ames사와 BM사에서 시판하고 있는 제품과 유사한 결과를 얻을 수 있었다. 본 연구에서 개발된 스트립이 자동 분석기기의 재료로 활용될 수 있는지 여부를 알아보기 위하여 분광 비색계로 발색 반응의 최적 파장을 분석하고 최적 파장에서 각 혈당 농도별 반사 밀도를 측정하여 검정선을 얻었다. 이 검정선에 의해 임상 혈청시료의 혈당 농도를 측정한 결과 일본의 Kyoto Daiichi사의 혈액 분석시스템과 유사한 결과를 얻었다. 이로서 본 연구에서 개발한 혈당 스트립을 이용하여 혈액 중 혈당량을 육안으로 측정할 수 있음은 물론 자동 분석기기의 기본 시료로 이용될 수 있음을 확인할 수 있었다.

• 대한임상검사과학회지
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• 제42권3호
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• pp.125-128
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• 2010

HbA1c test measures the amount of glycated hemoglobin in blood. HbA1c shows the average of blood glucose levels for the past three months, this is a better indicator of how overall diabetes is doing. HbA1c gives a much better idea of how the body is breaking down the glucose. Therefore, this HbA1c is very important tool for maintaining normal glucose levels for pre-and diabetic patients. Total 408 participants were tested HbA1c voluntarily from Chosunilbo Health Expo (8th~11th, July 2010). Through this small-scaled direct HbA1c, about 54.7% (207 out of 408) was shown glucose tolerance and diabetes. However, 61 from 157 participants who were shown under 6.9% HbA1c (normal and pre-diabetic stage) are taking only antidiabetic drugs to maintain a normal blood glucose. Regular HbA1c test can bring an important management and awareness about controlling blood sugar level and prevention of diabetic complications.

• 한국산학기술학회논문지
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• 제10권9호
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• pp.2451-2459
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• 2009

통증이 거의 없는 새로운 모세혈액 채혈기법인 진공자동채혈법(vacuum assisted auto-lancing)의 정확도를 분석하고자 전형적인 대체부위인 전완(팔) 부위에서 채혈하여 측정한 혈당값을 표준 채혈부위인 정맥 및 손가락에서 채혈하여 측정한 혈당값과 비교, 분석하는 연구를 수행하였다. C대학교병원을 내원한 531명의 환자들을 대상으로 왼손 집게손가락 끝과 왼쪽 전완 부위에서 말초혈액의 혈당을 측정하였고, 곧바로 정맥 채혈하여 혈당을 측정하였다. 전완 부위 혈당 평균값이 손가락보다 정맥 혈당값에 더욱 가까웠으나 이들 간의 차이는 약 10 mg/dL 범위에 불과하여 임상적으로는 동일한 값들로 볼 수 있었다. 측정값들 간에 상관분석을 수행한 결과 손가락과 정맥 채혈의 혈당값 간의 상관계수는 0.94, 전완 부위와 정맥 혈당값 간의 상관계수는 0.92, 또한 전완 부위와 손가락 채혈 간의 상관계수는 0.94로 모두 매우 유의한 상관관계를 보였다(p<0.001). 따라서 대체부위인 전완 부위 혈당검사의 정확도가 실험적으로 입증되었다. 손가락 혈당검사는 상당한 채혈 통증이 수반되어 당뇨 환자들이 자가 검사를 기피하는 주요 원인이 되지만, 전완 부위에서 진공자동채혈하면 통증이 거의 없으므로 만성 당뇨환자들의 자가 질환관리를 위해 매우 유용하리라 기대된다.