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당뇨병(JKD) update

The Journal of Korean Diabetes

  • : 대한당뇨병학회
  • : 의약학분야  >  내과학
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  • : 임상 당뇨병(~2010)→ 당뇨병(JKD)(2011~)

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수록범위 : 1권1호(2000)~21권1호(2020) |수록논문 수 : 931
당뇨병(JKD)
21권1호(2020년 03월) 수록논문
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1시론 : 4차 산업시대의 의료 정보 관리: 우리는 무엇을 준비해야 하는가?

저자 : 이은솔 ( Eunsol Lee )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 21권 1호 발행 연도 : 2020 페이지 : pp. 1-5 (5 pages)

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The power of the Internet, mobile devices, and data science including artificial intelligence is making a big difference in our daily lives. The introduction and proliferation of electronic health records, personal health records, and artificial intelligence in the medical field raises expectations that the future of medical practice will change. Both individuals and medical institutions will receive or perform multiple medical services based on much larger and more complete health and medical datasets. Medicine is also expected to increasingly make use of real world evidence (RWE), based on data supplied in the form of real world data (RWD), that will be applied in the clinical setting in real time. Further, the learning healthcare system will complete the data-driven medicine that will be used to deliver future medical care. For these reasons, doctors need to be more data-friendly and respond to these changes.

2Statement : 젊은 제2형 당뇨병 환자의 관리

저자 : 이경애 ( Kyung Ae Lee )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 21권 1호 발행 연도 : 2020 페이지 : pp. 6-10 (5 pages)

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Although type 1 diabetes remains more common among children and adolescents, the prevalence of obesity and type 2 diabetes among children, adolescents, and young adults is dramatically increasing. Young-onset type 2 diabetes exhibits a stronger family history, a greater association with obesity, early loss of insulin secretion capacity with insulin resistance, early onset and rapid progression of chronic complications, and frequent need for early introduction of insulin. Therefore, the management of type 2 diabetes in this age group is challenging and there are age-specific concerns. Young-onset type 2 diabetes affects more individuals of working age, increasing the adverse societal effects of the disease. This article describes the epidemiology, pathophysiology, diagnosis, and management of type 2 diabetes in adolescents and young adults.

3특집 : 당뇨병 환자의 이상지질혈증 관리 가이드라인

저자 : 이은정 ( Eun-jung Rhee )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 21권 1호 발행 연도 : 2020 페이지 : pp. 11-20 (10 pages)

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Treatment of diabetic dyslipidemia is important for prevention of cardiovascular disease in patients with diabetes. Although glucose control is the main target in patients with diabetes to prevent diabetic complications, multifactorial interventions are absolutely important in reducing risk for cardiovascular disease. Recent joint guidelines from European Society of Cardiology and European Society for the Study of Diabetes recommended lower low-density lipoprotein cholesterol (LDL-C) targets for patients with diabetes and included diabetes duration in the stratification of risk groups for cardiovascular disease prevention, emphasizing higher cardiovascular risk in patients with diabetes. In addition, American Heart Association/American College of Cardiology guidelines were revised in that the LDL-C cutoff actually appeared in the guidelines for high risk groups and for the change of treatment options. The Korean Diabetes Association released new treatment guidelines for patients with diabetes and adopted recent changes from other guidelines with respect to dyslipidemia control. In this review, I would like to review recent updates in guidelines regarding dyslipidemia treatment for patients with diabetes.

4특집 : 당뇨병에서 지속되는 비만에 대한 장기간 사용 가능한 약물요법

저자 : 김종화 ( Chong Hwa Kim )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 21권 1호 발행 연도 : 2020 페이지 : pp. 21-26 (6 pages)

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Obesity increases the risk of diabetes, hypertension, and cardiovascular diseases, ultimately contributing to mortality. The Korean Society for the Study of Obesity (KSSO) was established to improve the management of obesity through research and education; to that end, the Committee of Clinical Practice Guidelines of the KSSO reviews systemic evidence using expert panels to develop clinical guidelines. Weight-loss medications are effective adjuncts to diet, physical activity, and behavioral counseling for select Korean patients with type 2 diabetes and body mass index ≥ 25 kg/m2. Potential benefits must be weighed against the potential risks of these medications. If a patient's response to weight-loss medications is < 5% weight loss after 3 months or if there are significant safety or tolerability issues at any time, the medication should be discontinued and alternative medications or treatment approaches should be considered. Long-term medications for enduring obesity have traditionally fallen into two major categories, centrally-acting anorexiant medications and peripherally acting medications, such as orlistat. In this paper, I provide the definition of obesity in Korea and describe anti-obesity medications currently available for long-term treatment in diabetes.

5특집 : 당뇨병 환자의 고혈압 관리 가이드라인

저자 : 김상용 ( Sang Yong Kim )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 21권 1호 발행 연도 : 2020 페이지 : pp. 27-35 (9 pages)

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Hypertension is a major risk factor for cardiovascular disease in diabetic as well as non-diabetic patients. Moreover, the presence of diabetes increases the risk of developing hypertension. The management of these two diseases will become even more important in our aging society. Despite significant advances in our understanding of the pathophysiology and treatment of hypertension, the management of hypertension remains controversial, especially in patients with diabetes. In particular, the blood pressure at which to initiate drug therapy and blood pressure target remain unclear. Recently, the Korean Diabetes Association published “Treatment Guideline for Diabetes 2019”. This review will mainly compare major guidelines from other countries and discuss how to select a target goal for blood pressure control in Korean diabetic patients. Lifestyle modification and the use of anti-hypertensive agents for the management of hypertension will also be discussed.

6당뇨병 교육을 위한 정보광장 : 제1형 당뇨병 환자에서 효과적인 인슐린펌프 사용

저자 : 구민정 ( Minjeong Gu )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 21권 1호 발행 연도 : 2020 페이지 : pp. 36-40 (5 pages)

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In young patients with type 1 diabetes, insulin pump therapy lowers the risk of severe hypoglycemia and diabetic ketoacidosis compared to insulin injection therapy. It also increases lifestyle flexibility and improves glucose control. However, appropriate use of insulin pumps requires structured education programs to improve patient self-care. In addition, feedback and ongoing attention from diabetes educators are needed. For this purpose, a systematic education program for medical staff related to insulin pump treatment should be pursued in Korea.

7당뇨병 교육을 위한 정보광장 : 영양소와 당뇨병: 칼륨

저자 : 강주희 ( Ju Hee Kang )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 21권 1호 발행 연도 : 2020 페이지 : pp. 41-45 (5 pages)

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Potassium (K) is an essential mineral that plays major roles in intracellular osmolality and acid-base balance. In addition, potassium affects endothelial and vascular smooth muscle functions and has been shown to decrease blood pressure. Recently, potassium intake and plasma potassium concentration have been reported to be related to insulin secretion and diabetes risk. Therefore, in this article, we review how potassium intake reduces blood pressure and affects insulin release. We also determine methods for safe consumption and dose of potassium.

8원저 : 제2형 당뇨병 환자에서 배달형 당뇨도시락 섭취 후 혈당 개선 효과

저자 : 최종한 ( Jong Han Choi ) , 민세희 ( Se Hee Min ) , 임경혜 ( Kyeong Hye Lim ) , 신윤정 ( Uoon Jeong Shin ) , 김민선 ( Min-seon Kim )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 21권 1호 발행 연도 : 2020 페이지 : pp. 46-54 (9 pages)

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Background: Medical nutrition therapy is a fundamental part of diabetes management; however, it is very difficult for patients to maintain the recommended diet programs. We investigated whether providing home-delivered therapeutic meals designed by registered dietitians could be useful in lowering blood glucose levels in patients with type 2 diabetes.
Methods: During a 12-day study period, we monitored the blood glucose levels of 19 patients with type 2 diabetes by continuous glucose monitoring. For the first six days, the participants maintained their usual lifestyles and were allowed to eat freely (free meal period). During the last six days, two out of the three main meals per day were replaced with home-delivered therapeutic meals designed for diabetes management (therapeutic meal period), during which snacks and exercise were freely allowed. Blood glucose levels and estimated glycated hemoglobin (eHbA1c) were compared between the two periods.
Results: Between the free meal period and the therapeutic meal period, mean blood glucose level and eHbA1c dropped by 11.9 mg/dL (P < 0.001) and 0.4% (P = 0.002), respectively. These results were mainly due to the decrease in postprandial glucose levels rather than preprandial glucose levels.
Conclusion: Providing home-delivered therapeutic meals designed for diabetes management was effective in lowering the blood glucose levels in patients with type 2 diabetes.

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