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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~)

수록정보
수록범위 : 1권1호(2000)~19권2호(2018) |수록논문 수 : 866
당뇨병(JKD)
19권2호(2018년) 수록논문
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1시론 : 2018년 미국당뇨병학회 진료지침 속의 작지만 큰 변화

저자 : 박정현 ( Jeong Hyun Park )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 2호 발행 연도 : 2018 페이지 : pp. 71-75 (5 pages)

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The management of type 2 diabetes mellitus should comprise healthy lifestyle modifications along with tailored pharmacologic treatment. Traditionally, the American Diabetes Association (ADA)'s Diabetes Management Guidelines have not prioritized specific anti-diabetic drugs over others with regard to cardiovascular disease (CVD) and mortality prevention. Recently, two novel anti-diabetic medications proved to be significantly protective against future CVD and mortality, regardless of the glycemic levels achieved in type 2 diabetic patients with pre-existing CVD. The 2018 ADA Guidelines recommend SGLT2 inhibitor and/or GLP-1 receptor agonist be used for type 2 diabetes patients with atherosclerotic CVD after metformin monotherapy failure. Considering the value of CVD protection in the management of diabetes mellitus, this minor guideline adjustment could have far-reaching implications.

2Statement : 환경, 오염, 그리고 당뇨병

저자 : 김진화 ( Jin Hwa Kim )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 2호 발행 연도 : 2018 페이지 : pp. 76-81 (6 pages)

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Endocrine disrupting chemicals (EDCs) are exogenous chemicals contained in industrial substances and plasticizers commonly utilized worldwide. Human exposure to such chemicals, particularly at low-doses, is omnipresent, persistent, and occurs in complex mixtures. EDCs include bisphenol A, phthalates, pesticides, and persistent organic pollutants such as polychlorinated biphenyls. Burgeoning epidemiological, animal, and cellular data link environmental EDCs to metabolic dysfunction. In the last three decades, the number of diabetic patients has drastically increased worldwide, with current statistics suggesting that the number will double in the next two decades. There is epidemiological and experimental evidence linking background exposure to a selection of environmental EDCs with diabetes and impaired glucose metabolism. EDC may be related to increased risk of diabetes.

3특집 : 생활습관을 통한 지방간 관리 및 치료

저자 : 이병완 ( Byung-wan Lee )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 2호 발행 연도 : 2018 페이지 : pp. 82-87 (6 pages)

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In the management and treatment of nonalcoholic fatty liver disease (NAFLD) ranging from hepatic steatosis (HS) to nonalcoholic steatohepatitis (NASH), the goals in patients without NASH or hepatic fibrosis are weight reduction through lifestyle modification such as nutritional and exercise intervention and control of associated metabolic morbidities including obesity, metabolic syndrome, and type 2 diabetes. Weight reduction of at least 3% to 5% could improve steatosis, and the characteristics of NASH histopathology with a dose-response curve between the degree of weight loss and improvement of histopathology. The patients with NAFLD could achieve weight reduction with hypocaloric diet with or without exercise, but not with exercise alone. Despite the absence of a weight loss effect of exercise alone, it may prevent or alleviate HS and associated metabolic parameters.

4특집 : 혈당강하제를 통한 지방간 치료

저자 : 양혜경 ( Hyekyung Yang ) , 박철영 ( Cheol-young Park )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 2호 발행 연도 : 2018 페이지 : pp. 88-96 (9 pages)

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Nonalcoholic fatty liver disease (NAFLD) is more prevalent in diabetic patients than in non-diabetic subjects, because the two diseases share a common pathophysiological mechanism. Associated abnormalities can be observed from the pre-diabetic stage. Lifestyle intervention, including diet, exercise, and weight loss, is the primary recommended therapy for NAFLD. Among the therapeutic drugs for NAFLD treatment, anti-diabetic agents are aimed at improving or slowing the progression of NAFLD in addition to lowering blood glucose. In this paper, we systemically review the evidence surrounding anti-diabetic medications and their ability to improve disease progression in patients with NAFLD.

5특집 : 비혈당강하제를 통한 지방간 치료

저자 : 김승업 ( Seung Up Kim )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 2호 발행 연도 : 2018 페이지 : pp. 97-100 (4 pages)

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Nonalcoholic fatty liver disease (NAFLD) is a common condition that may progress to end-stage liver disease. Recently, NAFLD has been recognized as a hepatic manifestation of metabolic syndrome and an independent risk factor for cardiovascular disease. Therefore, appropriate management of this common disorder is an important public health issue. The management of NAFLD is based on gradual weight loss through lifestyle modification. Reducing total calorie intake and carbohydrates in the diet is beneficial for NAFLD patients. Regular exercise reduces hepatic fat content independent of weight loss. However, such lifestyle changes are difficult to maintain long term for most patients. Despite the growing need for pharmacologic therapy, there is currently no effective agent for the treatment of NAFLD. Several large clinical trials have shown promising but inconsistent effects of pioglitazone and vitamin E for improving NAFLD. However, larger clinical trials are required before definitive conclusions can be drawn.

6당뇨병 교육을 위한 정보광장 : 노인 당뇨병 환자의 인슐린 주사요법에 대한 교육전략

저자 : 신은총 ( Eun Chong Shin )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 2호 발행 연도 : 2018 페이지 : pp. 101-105 (5 pages)

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The prevalence of diabetes mellitus (DM) has increased, with about 30% of patients over the age of 65 suffering from diabetes. Because DM requires intensive treatment, the rate of insulin use has increased in elderly diabetes patients. The elderly can suffer from physical, psychological, and socioeconomic problems, making it difficult to administer insulin injections. When educating elderly diabetic patients, it is necessary to reduce psychological insulin resistance and to educate them about the physical diseases related to aging and complications. Also, the patients should be provided appropriate educational materials and informed of available resources. It is important for elderly diabetes patients to receive continuous repetition and encouragement for proper insulin administration.

7당뇨병 교육을 위한 정보광장 : 당뇨병 영양교육 프로그램의 국내 현황 및 교육 효과

저자 : 강해진 ( Hae Jin Kang )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 2호 발행 연도 : 2018 페이지 : pp. 106-112 (7 pages)

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Diabetes mellitus is a chronic disease that requires continuous self-management to prevent complications. Diet therapy is essential for the treatment of diabetes mellitus, and proper nutrition education should be provided to patients so that changes in eating habits and lifestyle can be induced. This review examines the current status and effects of nutrition education programs for diabetic patients in Korea.

8당뇨병 교육을 위한 정보광장 : 당뇨병 환자 섭식장애의 발견과 치료

저자 : 이지현 ( Jee-hyun Lee )

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 2호 발행 연도 : 2018 페이지 : pp. 113-118 (6 pages)

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Eating disorders have especially devastating consequences for patients with diabetes. Even subclinical eating disorders can interfere with glycemic control and result in complications of diabetes mellitus. But, eating disorders of diabetic patients are often undetected and untreated. Therefore, diabetes educators must play a critical role in the detection, support, referral, and treatment of diabetic patients with eating disorders.

9원저 : 한국인 2형 당뇨병에서 팀기반 교육이 혈당 조절에 미치는 효과

저자 : 김종호 ( Jong Ho Kim ) , 남윤정 ( Yun Jeong Nam ) , 김원진 ( Won Jin Kim ) , 이경아 ( Kyung

발행기관 : 대한당뇨병학회 간행물 : 당뇨병(JKD) 19권 2호 발행 연도 : 2018 페이지 : pp. 119-133 (15 pages)

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Background: Although clinicians, nurse specialists, pharmacists, and nutritionists expend significant time and resources in optimizing care for patients with diabetes, the effectiveness of integrated diabetes care team approach remains unclear. We assessed the effects of a multidisciplinary team care educational intervention on glycated hemoglobin (HbA1c) levels among diabetes patients. Methods: We conducted a matched case-control study in Korean patients with type 2 diabetes, comparing the propensity scores pertaining to the effectiveness in reducing HbA1c levels between a group receiving an educational intervention and a control group. We included 40 pairs of patients hospitalized between June 2014 and September 2016. HbA1c values measured at baseline, 3 months, and 6 months were compared between the two groups. Results: The educated group showed an improvement in HbA1c levels compared to the control group at 3 months (6.3 ± 2.3% vs. 9.5 ± 4.0%; P = 0.020) and at 6 months (7.5 ± 1.5% vs. 9.6 ± 3.0%; P = 0.106). There was a significant difference in the change in mean HbA1c from baseline to 3 months between the two groups (-35.7 ± 26.1% vs. -9.1 ± 20.5%; P = 0.013). Conclusion: A multidisciplinary team care education intervention was advantageous for improving glucose control in patients with type 2 diabetes, and may help to optimize glycemic control in clinical practice.

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