• Title/Summary/Keyword: Diabetic patient

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A Case of Yukmijihwang-hwan's effect on Diabetic neuropathy (육미지황환(六味地黃丸)으로 호전된 당뇨병성 신경병증 1례)

  • Cho, Ki-Ho;Jung, Woo-Sang;Lee, Kyung-Jin
    • The Journal of Internal Korean Medicine
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    • v.20 no.1
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    • pp.286-290
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    • 1999
  • Abnormal sensation is the main manifestation of diabetic neuropathy. We treated 53 year-old male patient suffering from diabetic neuropathy with Yukmijihwang-Hwan, herb complex, which has been used to treat Yin deficiency syndrome in Oriental Medicine, The patient complained abnormal sensation(numbness, pain) in the back portion and the both of plantar arch. We could observe the symptom improved after 1 months since the beginning of administration and disappeared after 9 months. So we suggest that long-term administration of Yukmijihwang-Hwan has therapeutic effect on abnormal sensation caused by diabetic neuropathy with the diagnosis of Yin deficiency in Oriental medicine.

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Integrated Medicine Therapy for a Patient with a Diabetic Foot Infection (한양방 병행치료로 호전된 당뇨병성 족부감염 환자 증례보고)

  • Lee, Jae-seob;Kim, Sae-won;Baek, Kyung-min;Jan, Woo-seok
    • The Journal of Internal Korean Medicine
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    • v.36 no.2
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    • pp.207-216
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    • 2015
  • Objectives: The purpose of this study is to report the clinical application of acupuncture, herbal medication, and antibiotic treatment to a patient with a diabetic foot infection. Methods: We treated the patient-who had ulcerations of the 1st, 2nd, and 4th toes and osteomyelitis on the right 1st and 2nd toes-with acupuncture, herbal medication, and antibiotics. We measured the state of this case by changes in his MRI signal and ulceration of his toes. Results: After treatment, the MRI signal indicated that the osteomyelitis had disappeared and the ulceration was diminished. Conclusions: A combination of acupuncture, herbal medication, and antibiotic treatment is effective for treatment of ulceration and osteomyelitis caused by diabetic foot infection.

Clinical Study on one Patient with Vitreous Hemorrhage Caused by Diabetic Retinopathy (당뇨망막병증으로 유발된 유리체출혈(暴盲)환자 1례에 대한 임상적 고찰)

  • Jung Jae-Ho;Kwon Kang;Seo Hyung-Sik
    • The Journal of Korean Medicine Ophthalmology and Otolaryngology and Dermatology
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    • v.17 no.2
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    • pp.112-119
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    • 2004
  • Objective: To carry out the oriental medical treatment on a patient with vitreous hemorrhage in the left eye caused by diabetic retinopathy and record the results of the treatment. Methods: 1. Diagnosis: Fundus photography, Colored paper, Dr. Hahn's standard test chart for 5M, Blood sugar measurement. 2. Treatment: Acupuncture, Electro-Acupuncture, Indirect moxibustion, Western medicines, Oryoungsan(Crude drug preparations) Results: Oriental treatment using Ohaeng-acupuncture, Electro-Acupuncture, Indirect moxibustion resulted in the Unaided visual acuity of 0.1 while it used to be the left eye visual acuity with only light sense I month ago. Looking from Fundus photography result, progress was achieved and diabetic retinopathy was found to be in progress in fluorescein fundus angiography to right eye also by revisiting the patient after treatment. Conclusions: 1. Vitrectomy has many advantages but there are instances where patients do not recover their visual acuity due to complications. Therefore it is necessary to prove the effect oriental medical treatment through more cases in future. 2 For diabetic retinopathy patients, diabetes must be treated together with visual acuity.

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Effectiveness of Korean Patient Education in Preventing Diabetic Foot Ulcer: A Systematic Review (한국인 제2형 당뇨 환자의 당뇨발 궤양 예방교육 프로그램의 효과: 체계적 문헌고찰)

  • Ju, Moung Jean;Kim, Seon Nyeo;Sohn, Sue-Kyung
    • Journal of muscle and joint health
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    • v.28 no.3
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    • pp.223-233
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    • 2021
  • Purpose: This study aimed to systematically review the contents and effectiveness of education programs for preventing diabetic foot ulcer among patients with type 2 diabetes mellitus in Korea. Methods: Six electronic databases were searched using search terms, and 748 articles were identified. Ten articles were eligible based on inclusion and exclusion criteria. Article quality was evaluated using a critical evaluation checklist for manuscripts before performing the systematic review. Results: Although education programs for preventing diabetic foot ulcers have been continuously studied for 20 years, the number of studies is small, and to our knowledge, there have been no studies reporting on the subsequent prevalence of foot ulcers or amputations. While the effect of these education programs on knowledge (ES=1.23) and self-management behavior (ES=.96) was shown to be statistically significant, it was not shown to be significant in preventing diabetic foot ulcers (ES=.03). Conclusion: The actual preventive effect on the prevalence of foot ulcers, through education programs for preventing diabetic foot ulcer could not be determined. Our findings highlight a potential need for studies aimed at developing effective programs to improve education on preventing diabetic foot ulcers.

The Effect of Korean Medical Treatment on Suspected Diabetic Muscle Infarction (DMI)

  • Park, Soo Ah;Lee, Heun Ju;Baek, Ji Young;Yang, Hyun Jung;Ahn, Chang Beohm
    • Journal of Acupuncture Research
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    • v.33 no.4
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    • pp.181-190
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    • 2016
  • Objectives : This study reports the clinical effects of Korean medical treatment on a patient with suspected diabetic muscle infarction (DMI). Methods : A patient diagnosed with spinal stenosis was suspected of DMI. The patient was treated with acupuncture, bee-venom pharmacopuncture and gastrocnemius stretching. Symptoms were evaluated by verbal numeric rating scale (vNRS), Oswestry disability index (ODI) and Manchester foot pain and disability index (MFPDI). Results : After approximately 5 weeks of Korean medical treatment, including 8 bee-venom treatments, vNRS, ODI, and MFPDI all decreased. Conclusion : The results suggest that Korean medical treatment is effective for treating pain caused by DMI.

A Case Report of a Patient Diagnosed with Diabetic Ketoacidosis Accompanied by Hyperammonemia from Systemic Inflammation (고암모니아혈증을 동반한 전신성 염증으로 인한 당뇨병성 케톤산증 환자 치험 1례)

  • Jang, Hansol;Chung, U-ryeong;Jung, Seung-hyun
    • The Journal of Internal Korean Medicine
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    • v.43 no.2
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    • pp.283-293
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    • 2022
  • A 42-year-old male patient with prolonged throat pain and discomfort, dry mouth, and general weakness and recently diagnosed with tonsillitis, pulmonary embolism, and venous thrombosis was admitted to the internal Korean medicine department. A sudden onset of diabetic ketoacidosis with hyperammonemia was diagnosed on the second day of treatment. During admission, the patient received insulin therapy, hydration, and traditional Korean medicine treatment, including herbal medicine. Subjective symptom change was evaluated daily and blood glucose level checked five times per day. At discharge, the patient's fasting and postprandial blood sugar levels were adequate. After an additional two weeks of herbal treatment, the symptoms were significantly ameliorated. Thus, having been admitted with dysregulated glucose metabolism leading to a hyperglycemic crisis after a series of inflammatory events, the patient showed symptomatic improvements and decreased blood glucose after 18 days of hospitalization and treatment.

Effects of Web-based Diabetic Education in Obese Diabetic Patients (비만형 당뇨환자의 웹기반 당뇨 교육 효과)

  • Kim Hee-Seung
    • Journal of Korean Academy of Nursing
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    • v.35 no.5
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    • pp.924-930
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    • 2005
  • Purpose: The purpose of this study was to evaluate the effect of web-based diabetic education on plasma glucose and serum lipids in obese people with diabetes. Method: A random allocation design with control and experimental groups being assessed pre- and post-intervention was used. Eighteen patients were randomly allocated to an intervention group and 16 to a control group. Participants were requested to input their blood glucose levels weekly for 3 months at http://www.biodang.com by cellular phone or wire Internet. The researcher sentoptimal recommendations to each patient weekly for 3 months using a short message service (SMS) of the cellular phone and wire Internet. Results: Patients in the intervention group had a mean decrease of $1.2\%$ in glycosylated haemoglobin ($HbA_{1}c$) levels and those in the control group had no difference in HbA1c levels. There was a significant mean change in 2-hour post prandial blood glucose (2HPPG) for the intervention group, with a mean change of -120.1 mg/dl. The mean change in the control group, however, was not significant. Conclusion: These findings indicate that this web-based intervention using SMS of the cellular phone for 3 months improved $HbA_{1}c$ and 2HPPG, but did not affect total cholesterol, triglyceride, and high density lipoprotein cholesterol in obese type 2 diabetic patient.

One Case of Diabetic Ophthalmoplegia Which Was Treated Acupuncture at Jok-Gwoleum-Gan-Gyeong (족궐음간경 자침을 이용한 당뇨병성 안근마비 1례)

  • Kim, Seon Wook;Shin, Jeong Cheol;Kim, Jae Hong;Cho, Myoung Rae;Lee, Jung Hun
    • Korean Journal of Acupuncture
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    • v.32 no.2
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    • pp.75-79
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    • 2015
  • Objectives : This study is to report one case of the diabetic ophthalmoplegia by acupuncture at Jok-Gwoleum-Gan-Gyeong. Methods : The patient was treated with acupuncture and herbal medicine for about 5 weeks. We evaluated the results of the treatment by observing the patient's symptoms. Results : After acupuncture the patient's symptoms such as strabismus, headache, ptosis, Rt eye pain and discomfort and both shoulder pain were considerably reduced. Conclusions : These results support that acupuncture at Jok-Gwoleum-Gan-Gyeong can have a meaningful effect in improving symptoms of diabetic ophthalmoplegia.

Wound Care in an Older Rural Patient With Diabetic Lower Extremity Ulcers: A Case Report (당뇨병성 하지궤양을 가진 농촌 노인의 상처간호 사례보고)

  • Shin, Eun Ji;Park, Kyung Hee;Yi, Kyunghee
    • Journal of Korean Academy of Rural Health Nursing
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    • v.18 no.2
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    • pp.92-98
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    • 2023
  • Purpose: This study describes a case report of wound care performed by a community health practitioner for a rural older adult with diabetic ulcers. Methods: Data were collected from a rural older adult who had a diabetic lower extremity ulcer, and wound dressing was applied over 20 weeks after the skin graft operation. Results: The patient visited a primary healthcare post for regular ulcer care, and a community health practitioner applied appropriate wound dressings and managed the patient's diabetic condition. Conclusion: In rural areas, where healthcare resources are scarce compared with urban areas, rural nurses, such as community health practitioners, are primarily required to manage rural residents' health problems. Advanced nursing practices such as complicated wound care should also be appropriately provided to patients by enhancing rural nurses' competencies in the changing health care environment.

A Study on the Relationship of Self Care Behavioral Compliance and Perceived Self-Efficacy in Type II Diabetic Patient (제2형 당뇨병 환자의 자기간호행위 이행과 자기효능감에 관한 연구)

  • Yoo Jae-Hee
    • Journal of Korean Academy of Fundamentals of Nursing
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    • v.7 no.3
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    • pp.453-465
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    • 2000
  • This study was designed to identify the relationship between perceived self-efficacy and self care behavioral compliance in type II diabetic patient. The subjects for this study were the 113 adults with type II diabetes that received hospital treatment or attended as outpatients in 2 general hospitals at Inchon City. The data were collected during the period from August 15 to semtember 15, 2000 by means of an interview. Collected data were analyzed by means of descriptive statistics, t-test, ANOVA, Pearson's correlation using the SPSS/PC+ program. The results of this study were as follows : 1. The mean score of self care behavioral compliance was 3.06. 2. There were statistically significant difference in self care behavioral compliance according to sex(p<0.05), age (p<0.001), BMI(p<0.05), education(p<0.001), occupation(p<0.001), experience of diabetic education(p<0.05) and complication(p<0.05). 3. The mean score of perceived self-efficacy was 3.45. Self care behavioral compliance and perceived self-efficacy had a positive correlation which was statistically significant (r=0.3879 p<0.001). 4. Stepwise multiple regression analysis was performed to identify the influencing factors for self care behavioral compliance. Education, experience of diabetic education and self-efficacy accounted for 41% of the variance in self care behavioral compliance. The results suggest that education, experience of diabetic education and self-efficacy are important variables in the compliance of self-care behavior with typeII diabetes.

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