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学位論文
学位
1. Disordered branched chain amino acid catabolism in pancreatic cells is associated with postprandial hypersecretion of glucagon in diabetic mice
和田, 恵梨
出版情報: 2021-03-23.  群馬大学医学系研究科
概要: Thesis or Dissertation<br />学位記番号：医博甲1850
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論文
論文
2. 糖質制限の実践により短期間で血糖値が安定し，安全に胆囊摘出術を施行できた１例
Kadowaki, Susumu ; 門脇, 晋
出版情報: The Kitakanto medical journal = 北関東医学.  64  pp.153-157,  2014-05-01.  北関東医学会
概要: Journal Article<br />39歳男性. 20歳代で糖尿病を指摘され近医通院していた. 胆石発作のため入院.入院時は身長175cm,体重97kg (BMI 31.6), HbA1c 8.5％ (JDS), 空腹時血糖値210m … g/dlと肥満及びコントロール不良の糖尿病を認めた. 胆囊摘出術を予定し, 江部らが提唱する糖質制限食を自宅で実践した. インスリンや経口血糖降下薬は一切使用しなかった.2か月半後に体重88kg (BMI 28.7),HbA1c 5.6％ (JDS),空腹時血糖値108mg/dlまで改善し, 胆囊摘出術を安全に施行できた. 本稿は外科周術期に糖質制限という概念を応用した初めての報告であり, 糖質制限は術後合併症の低下をもたらし, 医療経済的にも大きなメリットがあると考えられた.（Kitakanto Med J 2014；64：153～157）<br />A 39-year-old male was admitted to our hospital due to an attack of gallbladder stones. He complained of poorly controlled diabetes and obesity. Elective cholecystectomy was planned,and a low carbohydrate diet during the perioperative period was recommended. His hemoglobin A1c (HbA1c) was improved from 8.5％ (JDS) to 5.6％ and his bodyweight was decreased from 97 kg to 88 kg during the 2.5-month interval. We were able to safely perform cholecystectomy. A low carbohydrate diet seems to be safe and effective for improving the condition of patients prior to surgery. Physicians should advise obese patients with diabetes to follow a low carbohydrate diet during the perioperative period, because it can have dramatic effects on the body weight and glycemic control.（Kitakanto Med J 2014；64：153～157） 続きを見る