• Title/Summary/Keyword: Hb Alc

검색결과 36건 처리시간 0.023초

당뇨병 환자의 당뇨병 조절과 식사요법 실천 관련요인과의 상관성 (Interrelationship between Diabetic Control and Related Factors of Dietary Compliance in Diabetic Patients)

  • 최지은;서정숙
    • 대한영양사협회학술지
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    • 제11권2호
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    • pp.137-146
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    • 2005
  • This study was carried out to investigate the relationship between diabetic control and related factors of the practice of diet therapy which affects mostly diabetic patients’ dietary compliance. A questionnaire survey was conducted on 128 diabetic patients who had visited Internal medicine endocrinology clinic at University Medical Center of Daegu area. The questionnaires including clinical characteristics, meal regularity and food intake which shows dietary compliance, intrinsic barriers to the practice of diet therapy and knowledge of diet therapy were asked and analyzed. The factor which affects HbA1c was intrinsic barriers and HbA1c became higher as the level of intrinsic barriers was increasing. The education on diet therapy had no influence on the intrinsic barriers, but the level of knowledge on diet therapy was shown higher in the educated patients. The above results suggest that the practice of diet therapy should be leaded to develop behavioral aspects through resonable motivation on dietary compliance along with removing intrinsic barriers rather than simply providing information.

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하엽(荷葉) 및 하엽옥천산(荷葉玉泉散)이 streptozotocin으로 유발된 당뇨(糖尿)에 미치는 영향 (Effects of Nelumbo Folium and Hayopokchun-san on Diabetes Mellitus in Streptozotocin Treated Rats)

  • 양웅모;장문석;박완수;이병희;김원남;김산웅;최동기;이학철;박성규
    • 동의생리병리학회지
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    • 제20권6호
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    • pp.1497-1501
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    • 2006
  • The therapeutic anti-diabetic effect of Nelumbo Folium and a poly herbal formula (NOC) was evaluated in the streptozotocin (STZ 60 mg/kg, I.p.) induced diabetic rats. For this study, test articles were orally administrated once a day from 7 d after STZ-injection for 3 weeks. The fasting blood glucose, body weight, pancreas weight changes, oral glucose tolerance test, hemoglobin Alc (Hb A1c) level changes and the histopathological changes were observed. WNL-treated rat had lower fasting blood glucose levels compared to control group and NOC-treated rat had significantly lower fasting blood glucose levels, compared to control group (p < 0.05). After 21 days of extract treatment, body weight in control was reduced (p < 0.001). WNL and NOC groups were also reduced compared to control group but insignificantly. Pancreas weight of control group was reduced (p < 0.001), but the weight of NOC group were increased (P< 0.05). During the 2 h oral glucose tolerance test (OGTT), WNL group were improved compared to control group (P < 0.05). NOC group were improved compared to control group but insignificantly. WNL and NOC groups had lower Hb Alc level compared to control group. In addition, atrophy of islet and decrease of insulin-producing cells were detected in STZ induced diabetes rats. However, these diabetic changes were decreased in WNL and NOC groups. These results suggest that N. Folium and NOC have favorable effects to inhibit the changes on the fasting blood glucose levels, pancreas weight, glucose tolerance, hemoglobin Alc and the histopathological changes of pancreas in STZ-induced diabetes.

급성 말초성 안면신경마비 환자의 안면신경 손상 정도에 영향을 미치는 요인에 대한 후향적 연구: 근전도검사를 이용하여 (Retrospective Study on Factors Influencing Facial Nerve Damage of Acute Peripheral Facial Palsy Patients: by Electromyography)

  • 김필군;성원석;구본혁;유희경;석경환;이주현;김민정;박연철;서병관;백용현;박동석
    • Journal of Acupuncture Research
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    • 제30권5호
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    • pp.155-167
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    • 2013
  • Objectives : This research was conducted to investigate the factors that affect the level of facial nerve damage. Methods : From October 2009 to September 2013, the total number of 581 patients of Bell's palsy and Ramsay-Hunt syndrome visited Facial Palsy Center in Kyung Hee University Hospital at Gangdong for Traditional Korean and Western combined medical treatment. Of these, 453 patients of peripheral facial nerve palsy were selected for the research. After reviewing the medical records that have details of age, gender, diagnosis(Bell's palsy and Ramsay-Hunt syndrome), onset, underlying diseases(DM, HTN), and HbAlc value, the analysis on the influence factors on the level of facial nerve damage was drew out. Results : The axonal loss rate of oris branch and nasal branch were significantly higher than the axonal loss rate of frontal branch and oculi branch. In addition, the frequency of becoming a major damaged branch was also high in the oris branch nasal branch. The factors by month, weather, smoking, and alcohol did not influence EMG axonal loss rate. Male rather than female and patient with Rasmay-Hut syndrome rather than Bell's palsy had a higher axonal loss rate in all branches. Of those, front of branch of male was remarkably higher than female. Patient with DM as P/H had high axonal loss rate in all branches. Patient with HTN as P/H had high axonal loss rate in all branches except for oris branches. Patients with DM and HTN group had significantly higher value from the average of axonal loss rate than patients who are only with HTN and without DM/HTN. DM alone group had significantly higher value than patients who are without DM/HTN. However, HTN alone was not significantly high. By analysing HbAlc of the patients who were hospitalised regardless DM, axonal loss rate was high in the order of DM group, preDM group, normal group. Nevertheless, only DM group showed higher axonal rate statistically than normal group. Considering DM and HbA1c value, the patients can be divided into 4 different groups of hkDM, lkDM, hfDM and nDM. By analysing those groups, the average damaged value of the groups with diagnosis followed by treatment(lkDM, hkDM) were higher than the average rate of hfDM and statistically higher than the rate of the nDM. Conclusions : The influential factors of increasing the level of EMG damage are male(only for the frontal branch), age above sixties, HTN, DM, and HbAlc value above 6.5. Besides, the negligible factors are month, season, diagnosis, alcohol, and smoking. Further research including clinical prognosis should be conducted.

당뇨병 환자의 우울상태에 따른 자가 관리 이행 (Depression and Self Care Behavior in Patients with Diabetes Mellitus)

  • 정선하;문정순
    • 기본간호학회지
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    • 제12권1호
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    • pp.58-65
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    • 2005
  • Purpose: To investigate the level of depression and self management behavior in patients with diabetes. Method: From May to August 2004, 124 diabetic patients 18 years or older were surveyed using the Korean version of the BDI, the self-management scale by Toobert(2000) and hospital lab data for HbAl, FBS and Blood Sugar-2hr. Results: 1. Mean score on the BDI for the patients was 10.85 points. The score on the BDI was significantly higher in hyperglycemic patients than in normoglycemic patients. 2. The level of self management for the past week showed care on an average of 4.2 days. According to level of depression, patients in the normal group and patients in the mild group had significantly higher levels of self management than those in the moderate group. 3. According to level of depression, patients in the normal group had significantly lower levels of blood glucose than those in the moderate group, and for HbAlc and FBS those in the mild group had lower levels compared to those in the moderate group. 4. The factors significantly associated with level of self management were depression (25.66%) and duration of illness. Conclusion: Programs should be developed to combat depression in patients with diabetes in order to increase compliance through self care management and thus increase of blood glucose levels.

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휴대전화 문자 메시지를 이용한 당뇨 교육이 당뇨벙환자 혈당에 미치는 효과 (Effects of a Nurse Short-Message Service via Cellular Phones for People with Diabetes)

  • 김희승;박혜자
    • 기본간호학회지
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    • 제13권2호
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    • pp.235-241
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    • 2006
  • Purpose: The purpose of this study was to evaluate the effect of a six month web-based diabetic education on plasma glucose in people with diabetes. Method: A randomized design with control and experimental groups being assessed pre- and post-intervention was used. Seventeen patients were randomly assigned to a control group and 18 to an experimental group. Participants were requested to input the blood glucose level weekly to http://www.biodang.com by cellular phone or wire Internet for 6 months. The researcher sent optimal recommendations to each patient using the short message service (SMS) for cellular phone and wire Internet. Messages were sent weekly for 6 months. Results: Glycosylated hemoglobin ($HbA_1c$) decreased 1.5 percentage points at 3 months and 1.4 percentage points at 6 months compared with baseline in the intervention group. Patients in the intervention group had a decrease in 2 hours post meal glucose (2HPMG) of 94.3mg/dl at 3 months and 82.5mg/dl at 6 months compared with baseline. Conclusion: This web-based intervention using SMS for cellular phone improved HbAlc, and 2HPMG for six months in patients with type 2 diabetes.

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db/db 당뇨모델 생쥐에서 손바닥 선인장의 항당뇨 효과 (Antidiabetic Activity of Opuntia ficus-indica var. sabotan on db/db Mice)

  • 신지은;한명주;이영철;문영인;김동현
    • 생약학회지
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    • 제33권4호통권131호
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    • pp.332-336
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    • 2002
  • Opuntia ficus-indica var. sabotan was administered with diet for 5 weeks on db/db diabetic mice and its antidiabetic activity was investigated. Leaves of Opuntia ficus-indica var. sabotan inhibited the increase of body weight, glucose elevation in blood and urine, and protein excretion in urine, and protein excretion in urine. Opuntia ficus-indica var. sabotan also inhibited the intestinal maltase and sucrase activity on db/db Mice loaded with maltose and sucrose. However, it did not significantly lower HbAlc in blood of db/db mice. These results suggest that leaves of Opuntia ficus-indica var. sabotan could be effective on insulin-independent diabetic mellitus type 2.

Effect of Cinnamon and Rhodiola rosea treatment on blood Glucose, Triglyceride, Total cholesterol and Glycohemoglobin in db/db mouse

  • Kim, Shung-Hee;Lee, Geum-Ju;Choung, Young-Se
    • 대한약학회:학술대회논문집
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    • 대한약학회 2003년도 Proceedings of the Convention of the Pharmaceutical Society of Korea Vol.2-2
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    • pp.104.1-104.1
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    • 2003
  • The purpose of this study is to investigate the effect of the samples on the blood levels of glucose, glycohemoglobin(HbAlc), total cholesterol and triglyceride. The samples have been used in the treatment of a type 2 diabetic animal model (C57BlKsj db/db). The samples were administrated orally before each meal for 6 weeks. Cinnamon dose was 50mg/kg/day, 100mg/kg/day, 150mg/kg/day and 200mg/kg/day, respectively. Rhodiola rosea dose was 50mg/kg/day, 100mg/kg/day, 15-mg/kg/day and 200mg/kg/day, respectively. (omitted)

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4종 한약 처방이 db/db 마우스의 혈당 개선에 미치는 영향 (Antidiabetic Effects of Herbal Medicine on db/db Mice)

  • 장문석;진현선;정계진;박선민;최수봉;고병섭;박성규
    • 동의생리병리학회지
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    • 제18권1호
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    • pp.58-62
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    • 2004
  • The effects of herbal medicine on type 2 diabetic animal model were investigated. Herbal medicine were composed with the addition of Coicis Semen into Okchun-san (OCS). Commelinae Herba into Gangsim-tang (GST). Scrophulariae Radix into Hyunsamsunki-san (HSK). and Erythrinae Cortex into Yukmijihuang-hwan (YMH). We evaluated anti-hyperglycemic and body weight reduction activity in diabetic db/db mice. The experimental animals were divided into six groups. as control group and five sample groups. Each 200mg/kg/day of OCS, GST, HSK and YMH was administered with orally for 14days long. 5mg/kg/day of acarbose was administered with orally for 14days long. On day 14, OCS-treated db/db mice had significantly lower fasting blood glucose levels compared to control group(296±25.9 versus 593±16.4mg/dl. p<0.001). During the 2 h intraperitoneal glucose tolerance test (IPGTT), all the sample groups were improved compared to control group but insignificantly. After 14days of extract treatment. body weight in control. YMH and acarbose groups were increased. but OCS. GST and HSK groups reduced. However. it did not significantly lower hemoglobin Alc(HbAlc) in blood of db/db mice. These result suggest that OCS could be effective on insulin-independent type 2 diabetes.

2형 당뇨 마우스에서 솔잎 추출용액의 경구투여가 혈당조절에 미치는 영향 (Effects of Pine Needle Extract Oil on Blood Glucose and Serum Insulin Levels in db/db Mice)

  • 김미정;안진홍;최강호;이윤학;우경진;홍은경;정영신
    • 한국식품영양과학회지
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    • 제35권3호
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    • pp.321-327
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    • 2006
  • 본 연구는 솔잎을 수증기 증류법으로 생산한 솔잎 추출용액을 2형 당뇨 마우스인 db/db mice에게 투여하여 솔잎 추출용액의 혈당강하 효과를 조사하고자 하였다. 이를 위해서 $30{\sim}40g$정도의 6주령 수컷 C57BL/Ksj(BL/Ls) homozygous diabetic(db/db) mice(SPF)를 음성대조군(corn oil), 솔잎 추출용액 저용량군(112.5 mg/kg), 고용량군(450 mg/kg) 및 양성대조군(metformin 150 mg/kg)의 4군으로 나누어 6주간 시험물질을 경구 투여하였다. 6주 사육기간 동안 혈당의 변화를 측정하기 위해 매주 1회씩 6시간 공복 시 미정맥으로부터 혈당을 측정하였으며, 6주 실험종료 후 모든 동물은 희생시킨 후 복대정맥에서 혈액을 채취하여 당화혈색소(HbAlc), 혈청 인슐린, C-peptide 및 leptin 농도 등을 측정하였다. 그 결과 다음과 같은 결론을 얻었다. 식이섭취량은 솔잎 추출용액 투여군에서 감소하는 경향을 보였으며, 양성대조군은 섭취량의 변화가 없었고, 1일 1마리당 평균섭취량은 고용량군이 음성대조군 및 양성대조군에 비하여 유의적으로 낮은 섭취량을 보였다. 체중은 군 간의 차이가 나타나지 않았으며, 간 무게와 상대적 간 무게는 음성대조군에 비하여 솔잎 추출용액 고용량군에서 유의적으로 높게 나타났다. 혈당은 솔잎 추출용액 고용량군에서 실험개시 3주부터 음성대조군에 비하여 유의적으로 감소하였으며, 최종 혈당은 저용량과 고용량군 모두 음성 대조군에 비해 유의적으로 낮아졌고, 용량 의존적인 경향성을 나타내었다. 당화혈색소의 함량 역시 솔잎 추출용액 고용량군에서 음성대조군에 비해 유의적이지는 않지만 낮은 경향을 보였다. 혈청 인슐린과 C-peptide농도는 솔잎 추출용액의 투여에 따른 차이가 나타나지 않아 솔잎 추출용액이 인슐린의 생성에 영향을 미치지는 않는 것으로 사료된다. 혈청 leptin 농도는 유의적이지는 않지만 음성대조군에 비해 솔잎 추출용액 투여군에서 높은 경향을 나타냈으며, 혈당과 음의 상관관계를 나타내고 있어 솔잎 추출용액의 혈당강하 효과의 작용기전으로 leptin과 관련된 인슐린 감수성에 영향을 미첬을 가능성이 있는 것으로 기대된다. 그러므로 본 연구에 사용한 112.5 mg/kg 및 450 mg/kg의 솔잎 추출용액은 6주 경구투여 시 혈당강하 효과를 나타냈으며, 인슐린의 농도에는 영향을 미치지는 않았다. 이러한 결과는 솔잎 추출용액의 혈당강하 효과의 작용기전이 인슐린의 감수성이나 저항성에 영향을 미쳤을 가능성이 있는 것으로 기대되며, 본 연구가 앞으로 솔잎 추출용액에 대한 다양한 연구를 활성화하는데 기여할 것으로 사료된다.