• Nutrition Research and Practice
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• 제2권4호
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• pp.240-246
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• 2008

Cassia tora L. seeds have previously been reported to reduce blood glucose level in human and animals with diabetes. In the present study, the effects of Cassia tora L. seed butanol fraction (CATO) were studied on postprandial glucose control and insulin secretion from the pancreas of the normal and diabetic rats. Diabetes was induced by an i.p. injection of Streptozotocin (55 mg/kg BW) into the male Sprague-Dawley rats. The postprandial glucose control was monitored during a 240 min-period using a maltose loading test. In normal rats, rats fed CATO (20 mg/l00 g BW/d) showed lower postprandial glucose levels in all the levels from 30 min up to 180 min than those in the control rats without CATO (p<0.05). In diabetic rats, those levels in the CATO group seemed to be lower during the $30{\sim}180$ min, but only glucose level at 30 min showed significant difference compared to that in the control group. Moreover, CATO delayed the peak time of the glucose rise in both normal and diabetic rats in the glucose curves. On the other hand, when CATO was administered orally to the diabetic rats for 5 days, 12 hr fasting serum glucose level was decreased in the diabetic rats (p<0.05). Degree of a decrease in 12 hr fasting serum insulin levels was significantly less in the diabetic CATO rats as compared to diabetic control rats. On the last day of feeding, P cells of the pancreas were stimulated by 200 mg/dL glucose through a 40 min-pancreas perfusion. Amounts of the insulin secreted from the pancreas during the first phase ($11{\sim}20$ min) and the second phase ($21{\sim}40$ min) in the CATO fed diabetic rats were significantly greater than those in the diabetic control group (p<0.05). These findings indicated that constituents of Cassia tora L. seeds have beneficial effect on postprandial blood glucose control which may be partially mediated by stimulated insulin secretion from the pancreas of the diabetic rats.

• Neonatal Medicine
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• 제28권1호
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• pp.41-47
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• 2021

Neonatal diabetes mellitus can be categorized as transient, permanent, or syndromic, and approximately half of the cases are transient. We present a case involving a term newborn who showed overt progression of transient neonatal diabetes mellitus, with complete remission within 6 months. On the second day of life, the patient presented with tachypnea, hyperglycemia, and decreased serum levels of C-peptide and insulin. Continuous subcutaneous infusion of insulin and continuous glucose monitoring were well tolerated. The patient showed a normal growth pattern, with no hyperglycemic or hypoglycemic episodes at 6 months of age. As it is rare and often asymptomatic, hyperglycemia may be attributed to various factors, including intrauterine environment, perinatal stress, and diverse genetic background. Therefore, consistent blood glucose monitoring and prompt early insulin therapy are crucial for any term newborns with persistent hyperglycemia, to prevent further diabetic complications. Moreover, continuous subcutaneous insulin infusion and the utilization of continuous glucose monitoring devices are the most effective and practical management strategies.

• 한국산학기술학회논문지
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• 제19권3호
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• pp.489-498
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• 2018

이 연구의 목적은 만성질환의 발병 위험성이 높은 직장 중년 비만여성을 대상으로, 낮은 강도의 혈류를 제한한 4주간의 걷기트레이닝이 인슐린저항성과 아디포카인, Gut 호르몬에 어떠한 영향을 미치는 지를 구명하고자 한다. 연구의 대상자는 BMI $25kg/m^2$와 체지방률 30% 이상의 직장 중년 비만여성 11명으로 하였으며 혈류의 제한은 특수제작 된 공압식 가압벨트를 사용해 사지의 혈류를 제한하였다. 혈류를 제한한 걷기트레이닝은 대퇴부위 양쪽에 공압방식의 탄성벨트를 착용하고 압력을 조절하여 4주간, 주당 3일, 1일 2회 트레드밀을 이용하여 실시하였고 걷기프로그램은 4km/h의 속도와, 5%의 경사도로 2분 걷기와 1분 휴식으로 구성하여 총 5세트 반복하였다. 이 연구의 결과에서 4주간의 혈류를 제한한 걷기트레이닝 후, 인슐린의 농도는 유의하게 증가하였으나(p<.05) 글루코스의 농도는 증가하는 경향을 보였으나 유의한 차이를 보이지 않았으며 HOMA-IR은 유의하게 감소되었다(p<.05). 아디포넥틴과 비스파틴의 농도는 트레이닝 후, 증가하는 경향을 보였으나 통계적 유의차는 나타나지 않았다. 또한 그렐린과 GLP-1의 농도는 모두 4주간의 혈류를 제한한 걷기트레이닝 후, 유의하게 감소되었다(p<.05). 이상의 결과에서, 4주간의 혈류를 제한한 걷기트레이닝은 직장 중년 비만여성들의 인슐린 저항성과 아디포카인, Gut 호르몬 변화에 효과가 있는 것으로 생각되며 이러한 결과는 낮은강도와 짧은 시간의 혈류를 제한한 트레이닝이 비만의 예방과 치료적 차원에서 긍정적 효과가 있는 것으로 사료된다.

• 한국산림과학회지
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• 제98권6호
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• pp.681-689
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• 2009

8주간 옻나무 추출액을 섭취하며 운동을 병행하였을 때 혈중 지질 성분, 인슐린 저항성에 미치는 영향에 대해 연구하였다. 6주된 SD계 수컷 쥐를 대상으로 CON(대조군), RVS(추출액 섭취군), EXE(운동군), 그리고 RVS-EXE(추출액 섭취와 운동 병행군)로 구분하였다. 각 집단의 체중은 EXE(202%)와 RVS-EXE(203%)가 CON(253%)과 RVS(239%)에 비해 통계적으로 유의하게 낮은 증가를 보였다. 저장지방은 옻나무 추출액 혹은 운동에 의해 유의하게 감소하는 것으로 나타났다. 혈중 지질성분은 RVS와 RVS-EXE에서 CON에 비하여 통계적으로 유의하게 개선되는 것으로 나타났다. 혈중 글루코스는 CON에 비하여 다른 집단에서 유의하게 낮은 것으로 나타났으며, 인슐린 역시 동일하였으나, RVS-EXE에서 유의한 상승작용이 나타났다. HOMA 지수는 인슐린과 동일한 결과를 나타내었다. 이와 같은 결과를 종합해 볼 때 옻나무 추출액 섭취와 함께 운동의 병행은 저장지방을 감소시키고 혈중 지질을 억제하며, 인슐린 저항성을 개선시키므로 대사증후군 즉, 당뇨병, 비만, 고지혈증 등을 효과적으로 억제할 수 있다는 점을 시사한다.

• Clinical and Experimental Pediatrics
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• 제51권7호
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• pp.722-728
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• 2008

목 적 : 건강한 만삭아의 제대혈에서 아디포넥틴, 렙틴, 인슐린, IGF-I, IGFBP-3를 측정하여 출생체중, 신장, 지방량과의 관계를 알아보고자 하였다. 또한 적정 체중아 그룹에서 이 호르몬들의 출생후 1개월 동안 변화에 대해서 살펴보기로 하였다. 방 법 : 임신과 관련된 합병증이 없었던 산모에서 태어난 200명의 건강한 만삭아(남아 109명, 여아 91명)를 대상으로 하여 제대혈을 채취하여 혈장과 혈청을 분리하였고 출생체중, 출생신장, 머리둘레, 가슴둘레, 피부두께를 측정하였으며 폰더랄지수를 계산하였다. 대상 신생아들을 출생체중에 따라 AGA (n=132), SGA (n=29), LGA (n=39)의 세 그룹으로 나누었다. 적정체중아 중 15명에서 생후 3일, 7일, 30일에 신생아의 혈액을 채취하여 제대혈과 같은 방법으로 분리하였고 체중과 신장을 측정하였다. 결 과 : 아디포넥틴과 인슐린, IGF-I은 AGA, LGA군보다 SGA군에서 더 낮았다. 렙틴은 AGA, SGA군보다 LGA군에서 더 높았다. 아디포넥틴과 렙틴, 인슐린, IGF-I, IGFBP-3는 출생체중과 피부두께의 합과 양의 상관관계에 있었다. 출생 시 신장과 양의 상관관계를 보인 호르몬은 아디포넥틴, 렙틴, IGF-I이었다. 아디포넥틴은 렙틴과 양의 상관관계를 보였으나 인슐린, IGF-I, IGFBP-3와는 상관관계가 없었다. IGF-I은 남아보다 여아에서 더 높은 수치를 보였다. 출생 후 1개월 동안 렙틴은 생후 7일까지는 생리적 체중감소와 더불어 감소하다가 그 후 증가하였고 IGF-I 또한 생후 3일에 감소하다가 1개월 후 급격한 증가를 보였다. 결 론 : 아디포넥틴과 렙틴, 인슐린, IGF-I, IGFBP-3 모두 태아의 성장에 중요한 역할을 하며, 아디포넥틴은 인슐린, IGF-I 축과는 다른 기전으로 태아의 성장을 조절한다고 생각할 수 있었다. IGF-I은 남아에서보다 여아에서 더 높은 수치를 보여서 IGF-I의 성별간의 차이가 자궁 내에서도 존재하였다. 생후 1개월 동안의 성장에 다른 호르몬보다 IGF-I 이 더 중요한 역할을 한다는 사실을 알 수 있었다.

• 한국응용약물학회:학술대회논문집
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• 한국응용약물학회 1998년도 춘계학술대회
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• pp.19-29
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• 1998

Blood glucose level은, 간에 있어서의 glucose 생산과, 말초조직(뇌, 근육, 지방등)에 있어서의 glucose의 흡수 사이의 balancing에 의해 결정된다. 정상적으로는, 췌장에서 분비되는 인슐린(insulin)의 작용으로 이 균형 상태가 매우 안정적(80-85mg/㎗)으로 유지되게 된다. 즉 음식물 섭취후의 blood glucose level이 급격한 증가를 보이게 되면, insulin은 말초 조직에서의 glucose의 흡수를 촉진시켜 결과적으로 glycogen 합성을 증가시키는 한편, 간에서의 glycogenolysis와 gluconeogenesis를 저해하므로써, 이들 상승된 혈당치를 낮추게 하는 것이다. 이러한 작용은 안정된 혈당 농도를 회복시키는 이른바 glucose homeostasis를 유지하게 해 준다.

• 생약학회지
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• 제40권4호
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• pp.408-414
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• 2009

This study was performed to investigate the anti-hyperglycemia effects of the Triticum aestivum wheat sprout (TAWS) water extracts in the diabetic mice. Diabetic experimental model was established by intraperitoneal injection of streptozotocin into male Balb/c mice. Mice were divided into five groups: normal (CON), diabetic control (DM), and three experimental groups (DM-100, diabetes with TAWS extracts 100mg/kg; DM-50, diabetes with TAWS extracts 50 mg/kg; DM-25, diabetes with TAWS extracts 25 mg/kg). TAWS extracts were administered orally in diabetic mice. Body weight, food intake, and blood glucose levels were recorded for 12 days and blood insulin levels were measured at the day 12. Oral administration of TAWS extracts reduced slightly food intake and induced a little body weight gain in DM-100 groups. The blood level of glucose was decreased in the dose-dependent manner; 55% in the DM-100 group and 39.7% in the DM-50 group. The blood level of insulin also was improved 10 folds in the DM-100 group and 3.6 folds in the DM-50 group compared to the DM group. The contents of total phenolic compounds and total flavonoids in 1 g dry mass of TAWS extracts were 6.6 mg of tannic acid equivalents and 1.0 mg of 8-hydroquinolline equivalents, respectively. In addition, the antioxidant and DPPH radical scavenging activity of TAWS extracts were 1.2 mM and 1.8 mM ascorbic acid equivalents, respectively. These results suggest that TAWS water extracts could contribute to attenuate clinical symptoms of diabetes mellitus.

• Journal of Nutrition and Health
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• 제40권7호
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• pp.601-605
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• 2007

This study investigated the therapeutic effects of Inonotus obliqua extract on blood glucose, insulin, and other biochemical parameters in genetically diabetic mice $(C57BL/KsJ^-m^{+/+}Lepr^{db})$. The mice were divided into four groups-control, Chaga 1 (dose of 0.09 mg/kg of body weight), Chaga 5 (5 times of Chaga 1), and Chaga 10 (10 times of Chaga 1) - according to supplemented dose. Inonotus obliqua extract was orally administered to the animals for 6 weeks. The body and organ (liver and kidney) weights were not different among groups. Fasting blood glucose level was significantly lower in the Chaga 5 group compared with the control (p < 0.05). Hemoglobin A1c content was significantly lower in the Chaga 5 group compared with either the control and Chaga 1 group (p < 0.05). There was no significant difference in serum insulin level among groups. The glucose-6-phosphatase activity in liver was significantly the lowest in Chaga 10 group and was significantly lower in Chaga 5 group as compared with those of control and Chaga 1 groups. Therefore, the results of this study demonstrate that Inonotus obliqua extract alleviates many of the symptoms of diabetes in genetically obese mice and may offer a possibility as a therapeutic supplement for the normalization of blood glucose levels in human with hyperglycemia and have beneficial effects in patients with non-insulin-dependent diabetes mellitus.

• Asian-Australasian Journal of Animal Sciences
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• 제15권7호
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• pp.963-967
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• 2002

Eighteen crossbred goats were selected from the Institute's goat herd to determine the changes in hormones, blood metabolites and yield and composition of milk during lactation. The blood and milk samples were collected from each goat in a heparinized vacutainer tubes at fortnightly interval for a period of 150 days. In milk samples, fat, protein and lactose contents were estimated while in blood plasma hormones viz., prolactin, GH, cortisol, insulin, $T_4$ and $T_3$ were measured using radioimmunoassay methods. The plasma concentration of prolactin, GH and cortisol were high during early lactation when the goats acquired peak milk yield. During remainder of lactation their concentration varied. The high NEFA concentration during early lactation indicated mobilization of body reserves as the body weights also decrease during early lactation. However, with the advancement of lactation, the body weights of the goats and the concentration of NEFA declined which indicated utilization of NEFA for energy yielding purposes in addition to fatty acid synthesis. The ambient temperatures did not influence plasma concentration of prolactin, GH, insulin, $T_3$ and $T_4$ during the lactation cycle. The fat content of milk varied significantly (p<0.01) but protein and lactose content of milk remains unchanged during different stages of lactation. Growth hormone was positively correlated with insulin (p<0.05) during lactation while prolactin had a positive correlation with lactose and plasma NEFA (p<0.01) and negative correlation with $T_3$ (p<0.05).

• 중환자간호학회지
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• 제7권2호
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• pp.45-57
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• 2014

Purpose: The purpose of this study was to examine the effect of a blood glucose control protocol for medical intensive care unit (ICU) patients. Methods: The subjects were recruited from medical ICU adult patients whose blood glucose levels exceeded 200 mg/dL in two consecutive tests. The experimental group (n=62) received the modified Yale (MY) insulin protocol, whereas the control group (n=64) was treated with the conventional insulin therapy methods. Results: In the experimental group, the mean blood glucose levels (p<.001) and the time to reach the target range of glucose (p<.001) decreased significantly while the incidence rates of a target range of glucose of 100-140 mg/dL (p<.001) increased significantly as compared to the control group. However, no statistically significant differences were found in the incidence of hypoglycemia(p=.644), or the number of glucose tests (p=.236) between the groups. The length of stays in the ICU (p=.001), ventilator care days (p=.038), and the Sequential Organ Failure Assessment (SOFA) score (p=.029) in the experimental group were significantly lower than those of the control group. Conclusion: Application of the protocol was effective in improving the state of blood glucose control in medical ICU patients. Therefore, this protocol is expected to be used as a part of nursing intervention in critical care nursing.