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당뇨병(JKD) update

The Journal of Korean Diabetes

  • : 대한당뇨병학회
  • : 의약학분야  >  내과학
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  • : 2233-7431
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  • : 임상 당뇨병(~2010)→ 당뇨병(JKD)(2011~)

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수록범위 : 1권1호(2000)~19권4호(2018) |수록논문 수 : 883
당뇨병(JKD)
19권4호(2018년 12월) 수록논문
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1Opinion : 식사 중 탄수화물은 언제 먹어야 하나

저자 : 배재현 ( Jae Hyun Bae ) , 조영민 ( Young Min Cho )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 4호 발행 연도 : 2018 페이지 : pp. 193-199 (7 pages)

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Postprandial hyperglycemia is associated with the risk of diabetes mellitus, cardiovascular disease, and mortality. Nutrition therapy is an important component of the management of postprandial hyperglycemia. Postprandial glucose levels are determined by several factors, such as the quantity and composition of nutrients, gastric emptying rates, secretion of incretin hormones, insulin secretion, glucose uptake by peripheral tissues, and endogenous glucose production. Nutrient preload and food order (or meal sequence) are dietary approaches targeting these factors. Nutrient preload reduces postprandial glucose excursion by enhancing insulin secretion, augmenting the secretion of glucagonlike peptide-1, and delaying gastric emptying. Carbohydrates-last food order improves glycemic control, increases the secretion of glucagon-like peptide-1, and decreases insulin requirements. Therefore, both nutrient preload and manipulation of food order can be an effective, safe, and feasible strategy for treating hyperglycemia in individuals with diabetes mellitus.

2Statement : 고령화사회, 노인당뇨병 환자의 관리

저자 : 김수경 ( Soo-kyung Kim )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 4호 발행 연도 : 2018 페이지 : pp. 200-207 (8 pages)

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In Korea, by 2060, the proportion of the elderly population will be 40.1%, and at least one in three persons will have diabetes. Elderly patients with diabetes mellitus have higher rates of premature death, functional disability, and coexisting illnesses such as atherosclerotic cardiovascular disease than those without diabetes. In addition, the risk of geriatric syndrome, such as depression, cognitive dysfunction, urinary incontinence, falls, pain, and polypharmacy, is much higher in those with diabetes. The functional status of each elderly person varies greatly, such that comprehensive geriatric assessments for medical, psychological, functional, and social domains are needed. The goals and methods of diabetes management should be individualized according to the results of these assessments. In the treatment of vulnerable elderly patients with diabetes, hypoglycemia or overtreatment should be avoided.

3Focused Issue : 당뇨병성 케톤산증의 효과적인 치료

저자 : 조동혁 ( Dong-hyeok Cho )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 4호 발행 연도 : 2018 페이지 : pp. 208-213 (6 pages)

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Diabetic ketoacidosis (DKA) is serious complication of diabetes mellitus that requires prompt recognition, diagnosis and treatment. It is characterized by a triad of uncontrolled hyperglycemia, metabolic acidosis, and increased total body ketone concentration. The overall DKA mortality rate recorded among children and adults is < 1%. For patients with DKA, appropriate administration of intravenous fluids and insulin with attention to associated fluid and electrolyte disorders can effectively and rapidly resolve metabolic dysregulation. Following acute management and restoration of physiological glucose levels, DKA requires identification of the precipitating cause to prevent recurrence of potentially life-threatening diabetic complications.

4Focused Issue : 입원 환자의 인슐린 치료

저자 : 문선준 ( Sun Joon Moon ) , 조영민 ( Young Min Cho )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 4호 발행 연도 : 2018 페이지 : pp. 214-223 (10 pages)

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In hospitalized patients, hyperglycemia is frequently observed in patients with and without diabetes. Inpatient hyperglycemia worsens outcomes, potentially leading to infection, post-operative complications, and even death. Therefore, it is important to control blood glucose level in an inpatient setting. However, in these patients, it can be difficult to achieve adequate glycemic control due to the disease itself (e.g., infection), treatment drugs (e.g., corticosteroids), procedures requiring fasting, or enteral/parenteral nutrition therapy. In most cases, insulin therapy is required. We reviewed the insulin treatment regimens in hospitalized patients.

5Focused Issue : 중환자실 환자의 혈당 모니터링과 인슐린 치료

저자 : 김태년 ( Tae Nyun Kim )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 4호 발행 연도 : 2018 페이지 : pp. 224-231 (8 pages)

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Since the multicenter Normoglycemia in Intensive Care Evaluation-Survival Using Glucose Algorithm Regulation (NICE-SUGAR) study was published, the pursuit of tight glycemic control (TGC) among intensive care unit (ICU) patients has been seen as counterproductive and moderate glycemic control has become standard practice in ICUs. However, thus far, there is good evidence that hypoglycemia and hyperglycemia are associated with worse outcomes in ICU patients. Recently, the importance of improving time in band and reducing hypoglycemic episodes and glycemic variability has been more recognized. Compared to intermittent monitoring systems, continuous glucose monitoring (CGM) can have greater clinical benefit in terms of the prevention of severe hyperglycemia and hypoglycemia by enabling insulin infusions to be adjusted more rapidly and accurately. In this review, modern methods for glucose control in the ICU are presented, as well as future perspectives including the development of CGM and semiautomated glucose control, such as closed-loop systems.

6Information Desk : 자가관리가 어려운 노인환자의 혈당관리 방법

저자 : 송복례 ( Bok Rye Song )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 4호 발행 연도 : 2018 페이지 : pp. 232-236 (5 pages)

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Modern medical advances have led to an aging society with longer life expectancy, and now the health awareness of the elderly is increasing, presuming an average age of 100 years. The elderly present with various clinical symptoms, delirium, falls, senility, dizziness, syncope, and urinary incontinence, which are defined as elderly syndromes not distinguished by separate diseases. In addition, 91% of people aged 65 or older have chronic diseases, 31.9% of which are limited by one or more of the six basic activities of daily living, while 3.5% do not perform their basic activities of daily living. In particular, the diabetes prevalence rate in the elderly has been reported to be around 30%, and since older adults with diabetes have a number of disturbing factors that cannot be self-controlled, we want to analyze them and consider alternative measures. The medical, social, mental, and functional approaches to diabetes assessment of patients inform the development of individualized treatments. Diabetes patients believe that personal and social efforts are very necessary to improve their quality of life and restore their physical and social functions through adequate self-care.

7Information Desk : 혈당조절과 저탄수화물고지방 식사

저자 : 강은희 ( Eun Hee Kang )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 4호 발행 연도 : 2018 페이지 : pp. 237-245 (9 pages)

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Diabetes patients and pre-diabetic patients are increasing worldwide. Type 2 diabetes starts with insulin resistance, and the long-term habit of stimulating insulin secretions causes insulin resistance and accumulates body fat to develop obesity and non-alcoholic fatty liver into diabetes. It also causes a variety of chronic diseases such as high blood pressure, polycystic ovary diseases, cancer and dementia. Insulin resistance is caused by an unbalanced lifestyle, and among other factors, the balance of the macronutrient is a very important factor. Koreans are characterized by high carbohydrate intake. Given the increasing prevalence of diabetes and the characteristics of Korean physical and eating habits, a more effective balance of diet education is needed. Therefore, it is very important for clinical dietitian to understand the carbohydrate and fat metabolism caused by insulin, and the concept of balanced diet for blood sugar control needs to be shifted from low-fat high-carbohydrate diet to low-carbohydrate high-fat diet.

8Information Desk : 당뇨캠프에서 의료사회복지사의 개입에 대한 역할과 의의

저자 : 김동희 ( Tong-hui Kim )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 4호 발행 연도 : 2018 페이지 : pp. 246-254 (9 pages)

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In diabetes camps, medical social workers interact with individuals and groups of participants to help them learn to adapt psychologically and emotionally to the stress from diabetes and to improve their ability to cope with interpersonal relationships. The change stage model (transtheoretical model) is applied to change the behavior of diabetics. Social worker intervention programs in diabetes camps provide opportunities for patients to manage their diabetes healthily by increasing self-esteem, participating in motivational counseling, and developing stress management, fear and conflict resolution. In particular, in the 2030 diabetes camp program, young diabetics can learn the personal importance of medical social workers through the 'post-camp' talk.

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(2006)홍길동 외 1명심리학41회 피인용

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