{"id":6228,"date":"2023-09-15T10:34:51","date_gmt":"2023-09-15T02:34:51","guid":{"rendered":"https:\/\/cardiothinklab.com\/%e6%97%a5%e6%9c%ac%e3%81%ab%e3%81%8a%e3%81%91%e3%82%8b%e7%b3%96%e5%b0%bf%e7%97%85%e3%81%ae%e7%ae%a1%e7%90%86-%e6%82%a3%e8%80%85%e3%81%af%e3%82%88%e3%82%8a%e9%87%8d%e8%a6%81%e3%81%aa%e5%bd%b9\/"},"modified":"2026-02-12T00:27:32","modified_gmt":"2026-02-11T16:27:32","slug":"management-of-diabetes-in-japan-can-patients-play-a-more-significant-role","status":"publish","type":"post","link":"https:\/\/cardiothinklab.com\/ja\/management-of-diabetes-in-japan-can-patients-play-a-more-significant-role\/","title":{"rendered":"\u65e5\u672c\u306b\u304a\u3051\u308b\u7cd6\u5c3f\u75c5\u306e\u7ba1\u7406 \u2013 \u60a3\u8005\u306f\u3088\u308a\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u304b\uff1f"},"content":{"rendered":" \n

\u7cd6\u5c3f\u75c5\u306f\u3001\u4f55\u767e\u4e07\u4eba\u3082\u306e\u4eba\u304c\u7f79\u60a3\u3057\u3066\u3044\u308b\u4e16\u754c\u7684\u306a\u5065\u5eb7\u554f\u984c\u3067\u3059\u3002 2021\u5e74\u306e\u56fd\u969b\u7cd6\u5c3f\u75c5\u9023\u5408\uff08IDF\uff09\u306e\u5831\u544a\u3067\u306f\u3001\u7cd6\u5c3f\u75c5\u306e\u6709\u75c5\u7387\u304c\u6025\u901f\u306b\u4e0a\u6607\u3057\u3066\u304a\u308a\u3001\u4e16\u754c\u4e2d\u30675\u51043,700\u4e07\u4eba\uff0810\u4eba\u306b1\u4eba\uff09\u306e\u6210\u4eba\u304c\u7f79\u60a3\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u307e\u3059\u3002 2045\u5e74\u307e\u3067\u306b\u30017\u51048,300\u4e07\u4eba\uff088\u4eba\u306b1\u4eba\uff09\u306e\u6210\u4eba\u304c\u7cd6\u5c3f\u75c5\u306b\u7f79\u60a3\u3059\u308b\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u307e\u30591<\/sup>\u3002<\/p> \n \n

\u8fd1\u5e74\u3001\u65e5\u672c\u3067\u306f\u7cd6\u5c3f\u75c5\u304c\u6025\u901f\u306b\u5897\u52a0\u3057\u3066\u3044\u307e\u3059\u3002 IDF\u306e2021\u5e74\u306e\u63a8\u5b9a\u306b\u3088\u308b\u3068\u3001\u65e5\u672c\u306e\u6210\u4eba1,100\u4e07\u4eba\u304c\u7cd6\u5c3f\u75c5\u306b\u7f79\u60a3\u3057\u3066\u3044\u307e\u3059\u3002 \u7cd6\u5c3f\u75c5\u306e\u6709\u75c5\u7387\u306e\u9ad8\u3055\u306f\u3001\u8457\u3057\u3044\u7d4c\u6e08\u7684\u8ca0\u62c5\u3092\u62db\u3044\u3066\u304a\u308a\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u5909\u5316\u3068\u5bff\u547d\u306e\u5ef6\u4f38\u306b\u8d77\u56e0\u3059\u308b\u3082\u306e\u3060\u3068\u8a00\u3048\u307e\u30592,3<\/sup>\u3002<\/p> \n \n

\u3053\u306e\u8a18\u4e8b\u3067\u306f\u3001\u65e5\u672c\u306e\u95a2\u6771\u52b4\u707d\u75c5\u9662\u306e\u7cd6\u5c3f\u75c5\u5c02\u9580\u533b\u3067\u3042\u308b\u6d5c\u91ce \u4e45\u7f8e\u5b50\u5148\u751f\u306b\u3088\u308b\u3001\u3088\u308a\u826f\u3044\u8ee2\u5e30\u306e\u305f\u3081\u306b\u60a3\u8005\u3068\u81e8\u5e8a\u533b\u304c\u5354\u529b\u3057\u3066\u679c\u305f\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u5f79\u5272\u306b\u95a2\u3059\u308b\u898b\u8b58\u3068\u3068\u3082\u306b\u3001\u65e5\u672c\u306e\u7cd6\u5c3f\u75c5\u306e\u73fe\u6642\u70b9\u3067\u306e\u30b7\u30ca\u30ea\u30aa\u3092\u6d6e\u304d\u5f6b\u308a\u306b\u3057\u307e\u3059\u3002<\/p> \n \n

\u65e5\u672c\u306b\u304a\u3051\u308b\u7cd6\u5c3f\u75c5 \u2013 \u73fe\u72b6\u3092\u8a55\u4fa1\u3059\u308b<\/h3> \n \n

\u65e5\u672c\u3067\u306f\u3001\u9ad8\u9f62\u5316\u304a\u3088\u3073\u80a5\u6e80\u304c\u7cd6\u5c3f\u75c5\u306e\u6709\u75c5\u7387\u4e0a\u6607\u306e\u4e00\u56e0\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002 \u306a\u304b\u3067\u3082\u3001\u6025\u901f\u306a\u4eba\u53e3\u306e\u9ad8\u9f62\u5316\u306f\u91cd\u5927\u306a\u61f8\u5ff5\u4e8b\u9805\u3067\u3042\u308a\u3001\u75be\u75c5\u7ba1\u7406\u3092\u96e3\u3057\u3044\u3082\u306e\u306b\u3057\u3066\u3044\u307e\u30594<\/sup> \u3002<\/p> \n \n

\u75be\u75c5\u7ba1\u7406\u3092\u9664\u3044\u3066\u3082\u3001\u65e5\u672c\u3067\u7cd6\u5c3f\u75c5\u304c\u3082\u305f\u3089\u3059\u7d4c\u6e08\u7684\u5f71\u97ff\u306f\u5927\u304d\u304f\u3001<\/em>2018\u5e74\u5ea6\u306b\u306f\u3001\u7cd6\u5c3f\u75c5\u306e\u533b\u7642\u8cbb\u304c\u65e5\u672c\u306e\u7dcf\u533b\u7642\u8cbb\u306e2.8%\u306b\u76f8\u5f53\u3059\u308b1.21\u5146\u5186\u306b\u9054\u3057\u307e\u3057\u305f\u3002 \u672a\u6cbb\u7642\u306e\u60a3\u8005\u3001\u6cbb\u7642\u8131\u843d\u4f8b\u3001\u7cd6\u5c3f\u75c5\u306e\u5408\u4f75\u75c7\u306e\u6cbb\u7642\u8cbb\u304c\u3001\u533b\u7642\u8cbb\u306e\u5897\u52a0\u306e\u4e00\u56e0\u3068\u306a\u3063\u3066\u3044\u307e\u30595<\/sup> \u3002<\/p> \n \n

\u65e5\u672c\u3067\u7cd6\u5c3f\u75c5\u306b\u3088\u308b\u8ca0\u62c5\u304c\u5897\u3057\u3066\u3044\u308b\u7406\u7531\u306f\u4f55\u304b\uff1f<\/h3> \n \n

A westernized diet is touted to be a major reason making Japanese people more prone to developing type 2 diabetes<\/a>. Traditional Japanese food includes low fat and calorie content, but a shift in people\u2019s preference for processed food especially food high in animal fat and calories is reported to have increased abdominal adiposity, eventually resulting in type 2 diabetes.4<\/sup><\/p> \n \n

\u7cd6\u5c3f\u75c5\u3067\u306f\u4e00\u822c\u306e\u4eba\u306e\u8a8d\u77e5\u3068\u6559\u80b2\u304c\u91cd\u8981\u3067\u3042\u308b\u3082\u306e\u306e\u3001\u65e5\u672c\u306e\u7cd6\u5c3f\u75c5\u60a3\u8005\u5411\u3051\u306e\u6a19\u6e96\u7684\u306a\u7cd6\u5c3f\u75c5\u6559\u80b2\u652f\u63f4\u30c4\u30fc\u30eb\u306f\u4e0d\u8db3\u3057\u3066\u3044\u307e\u3059\u3002 \u3053\u308c\u3068\u4e26\u3093\u3067\u3001\u4e00\u822c\u306e\u4eba\u3005\u306f\u6642\u9593\u304c\u7121\u304f\u3001\u5f37\u3044\u95a2\u5fc3\u3092\u6301\u3063\u3066\u3044\u306a\u3044\u3053\u3068\u3084\u3001\u3053\u306e\u75be\u60a3\u306b\u4f34\u3046\u30b9\u30c6\u30a3\u30b0\u30de\u304c\u3055\u3089\u306a\u308b\u969c\u58c1\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002 \u4f1a\u793e\u54e1\u3084\u5730\u57df\u4f4f\u6c11\u3092\u5bfe\u8c61\u3068\u3059\u308b\u7cd6\u5c3f\u75c5\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u691c\u67fb\u304c\u65e5\u672c\u3067\u306f\u5b9a\u671f\u7684\u306b\u5b9f\u65bd\u3055\u308c\u3066\u3044\u308b\u4e00\u65b9\u3001\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u5f8c\u3059\u3050\u306b\u6cbb\u7642\u3059\u308b\u305f\u3081\u306e\u30b7\u30b9\u30c6\u30e0\u304c\u307e\u3060\u6574\u5099\u3055\u308c\u3066\u3044\u306a\u3044\u305f\u3081\u3001\u6700\u3082\u91cd\u8981\u306a\u6642\u671f\u306b\u6cbb\u7642\u3092\u63d0\u4f9b\u3067\u304d\u305a\u3001\u5408\u4f75\u75c7\u304c\u8d77\u304d\u3066\u3044\u307e\u30596,7<\/sup> \u3002<\/p> \n \n

\u65e5\u672c\u306b\u304a\u3051\u308b\u7cd6\u5c3f\u75c5\u7ba1\u7406 \u2013 \u30a2\u30f3\u30e1\u30c3\u30c8\u30cb\u30fc\u30ba<\/h3> \n \n

\u7cd6\u5c3f\u75c5\u306e\u521d\u671f\u306f\u7121\u75c7\u72b6\u3067\u3042\u308a\u3001\u4eba\u3005\u306f\u591a\u304f\u306e\u5834\u5408\u3001\u5b9a\u671f\u5065\u8a3a\u3092\u53d7\u3051\u3088\u3046\u3068\u3057\u307e\u305b\u3093\u3002 \u305d\u306e\u7d50\u679c\u3001\u65e5\u672c\u3067\u306f\u3001\u4e2d\u5e74\u671f\u306e\u4eba\u3005\u306b\u8a3a\u65ad\u304c\u4e0b\u3055\u308c\u3001\u7d50\u679c\u3068\u3057\u3066\u6cbb\u7642\u304c\u9045\u308c\u308b\u3053\u3068\u3068\u306a\u308a\u307e\u3059\u3002<\/p> \n \n

2\u3064\u76ee\u306e\u554f\u984c\u306f\u4eba\u53e3\u306e\u9ad8\u9f62\u5316\u3067\u3059\u3002 \u9ad8\u9f62\u5316\u306e\u52a0\u901f\u306b\u4f34\u3044\u3001\u65e5\u672c\u3067\u306f\u9ad8\u9f62\u8005\u3067\u3042\u308b\u7cd6\u5c3f\u75c5\u60a3\u8005\u306e\u6570\u304c\u5897\u52a0\u3057\u7d9a\u3051\u3066\u3044\u307e\u3059\u3002 \u9ad8\u9f62\u4eba\u53e3\u3067\u306f\u3001\u75be\u60a3\u304c\u9032\u884c\u3057\u3066\u304a\u308a\u3001\u6cbb\u7642\u306b\u3088\u308a\u901a\u5e38\u306f\u5341\u5206\u306a\u52b9\u679c\u304c\u5f97\u3089\u308c\u307e\u305b\u3093\u3002 \u9ad8\u9f62\u8005\u306f\u3001\u7cd6\u5c3f\u75c5\u4ee5\u5916\u306b\u3082\u8907\u6570\u306e\u5065\u5eb7\u4e0a\u306e\u554f\u984c\u3092\u62b1\u3048\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u307b\u304b\u3001\u8a8d\u77e5\u6a5f\u80fd\u3092\u4f4e\u4e0b\u3055\u305b\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u304b\u306d\u306a\u3044\u91cd\u5ea6\u306e\u4f4e\u8840\u7cd6\u306b\u3082\u306a\u308a\u3084\u3059\u3044\u3067\u30598<\/sup> \u3002<\/p> \n \n

Polypharmacy is another problem. Management of diabetes and its complications can lead to the addition of several medications to the drug regimen, contributing to polypharmacy. In Japan, around 65% of hospitalized patients with type 2 diabetes report using six or more medications. Polypharmacy is associated with a higher risk of drug interactions, adverse events, and non-adherence, all of which can negatively impair the person\u2019s quality of life.9<\/sup><\/p> \n \n

\u7cd6\u5c3f\u75c5\u306b\u5bfe\u3059\u308b\u60a3\u8005\u4e2d\u5fc3\u306e\u30b1\u30a2\u306b\u3064\u3044\u3066\u8a00\u3048\u3070\u3001\u3055\u3089\u306b\u591a\u304f\u306e\u3053\u3068\u3092\u884c\u3046\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002 \u6d5c\u91ce\u5148\u751f\u306b\u3088\u308b\u3068\u3001\u65e5\u672c\u3067\u306f\u3001\u8a3a\u7642\u6240\u306f\u901a\u5e38\u591a\u5fd9\u3067\u3042\u308a\u3001\u60a3\u8005\u3054\u3068\u306e\u554f\u8a3a\u3068\u3055\u307e\u3056\u307e\u306a\u8eab\u4f53\u691c\u67fb\u306b\u5341\u5206\u306a\u6642\u9593\u304c\u5272\u308a\u5f53\u3066\u3089\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/p> \n \n

\u73fe\u72b6\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306e\u6226\u7565<\/h3> \n \n

\u7cd6\u5c3f\u75c5\u306e\u6709\u75c5\u7387\u306e\u4e0a\u6607\u3092\u6291\u5236\u3059\u308b\u306b\u306f\u3001\u52b9\u679c\u7684\u306a\u4e88\u9632\u6226\u7565\u3092\u5b9f\u65bd\u3059\u308b\u3053\u3068\u3001\u4e3b\u3068\u3057\u3066\u7cd6\u5c3f\u75c5\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u60a3\u8005\u3092\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3059\u308b\u3053\u3068\u3001\u8a8d\u77e5\u5ea6\u3092\u9ad8\u3081\u308b\u3053\u3068\u3001\u305d\u3057\u3066\u5065\u5eb7\u7684\u306a\u751f\u6d3b\u7fd2\u6163\u3092\u4fc3\u9032\u3059\u308b\u3053\u3068\u304c\u5fc5\u8981\u3067\u3059\u3002<\/p> \n \n

\u7cd6\u5c3f\u75c5\u3092\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u3059\u308b\u305f\u3081\u306e\u653f\u5e9c\u306e\u53d6\u308a\u7d44\u307f<\/h3> \n \n

2008\u5e744\u6708\u3001\u65e5\u672c\u306e\u539a\u751f\u52b4\u50cd\u7701\u306f\u3001\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u30b7\u30f3\u30c9\u30ed\u30fc\u30e0\u3092\u7279\u5b9a\u306e\u5bfe\u8c61\u3068\u3059\u308b\u5168\u56fd\u7684\u306a\u5065\u5eb7\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0\u304a\u3088\u3073\u4ecb\u5165\u30d7\u30ed\u30b0\u30e9\u30e0\u3092\u5c0e\u5165\u3057\u307e\u3057\u305f\u3002 \u3053\u306e\u30d7\u30ed\u30b0\u30e9\u30e0\u306b\u306f\u300140\uff5e74\u6b73\u306e\u672c\u4eba\u307e\u305f\u306f\u305d\u306e\u5bb6\u65cf\u3092\u5bfe\u8c61\u3068\u3057\u305f\u3001\u8179\u90e8\u80a5\u6e80\u304a\u3088\u3073\u5fc3\u8840\u7ba1\u4ee3\u8b1d\u30ea\u30b9\u30af\u56e0\u5b50\u306b\u7740\u76ee\u3057\u305f\u5e74\u6b21\u5065\u8a3a\uff08\u5065\u5eb7\u4fdd\u967a\u5236\u5ea6\u4e0b\u3067\u53d7\u3051\u3089\u308c\u308b\u4e3b\u306a\u8a3a\u7642\u3068\u3057\u3066\u4fdd\u967a\u9069\u7528\u3068\u306a\u308b\u3082\u306e\uff09\u304c\u542b\u307e\u308c\u3066\u3044\u307e\u305910<\/sup> \u3002<\/p> \n \n

The program resulted in a substantial and sustained improvement in abdominal obesity and reversal of metabolic syndrome, however, as per Dr. Hamano, such national programs are not sufficient to decrease or prevent type 2 diabetes because people are not motivated to prevent diabetes.11<\/sup><\/p> \n \n

\u60a3\u8005\u306e\u5f79\u5272\u306b\u95a2\u3059\u308b\u8a55\u4fa1<\/h3> \n \n

\u7cd6\u5c3f\u75c5\u306f\u751f\u6d3b\u7fd2\u6163\u306b\u95a2\u9023\u3059\u308b\u75be\u60a3\u3067\u3042\u308b\u305f\u3081\u3001\u6559\u80b2\u304c\u91cd\u8981\u3067\u3059\u3002 \u7cd6\u5c3f\u75c5\u60a3\u8005\u304c\u3001\u672c\u75be\u60a3\u306e\u6027\u8cea\u3001\u6cbb\u7642\u3001\u30ea\u30b9\u30af\u56e0\u5b50\u3001\u5408\u4f75\u75c7\u306b\u3064\u3044\u3066\u77e5\u308b\u3053\u3068\u306f\u6975\u3081\u3066\u91cd\u8981\u3067\u3059\u3002 \u9069\u5207\u306a\u30bf\u30a4\u30df\u30f3\u30b0\u3067\u7cd6\u5c3f\u75c5\u3092\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3059\u308b\u305f\u3081\u306e\u7cd6\u5c3f\u75c5\u306b\u5bfe\u3059\u308b\u6559\u80b2\u3068\u77e5\u8b58\u306b\u3088\u308a\u3001\u5408\u4f75\u75c7\u306e\u53ef\u80fd\u6027\u3092\u6700\u5c0f\u9650\u306b\u6291\u3048\u3001\u7f79\u60a3\u7387\u3068\u6b7b\u4ea1\u7387\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u305912<\/sup> \u3002<\/p> \n \n

\u6d5c\u91ce\u5148\u751f\u306b\u3088\u308b\u3068\u3001\u6559\u80b2\u306f\u5b66\u6821\u3067\u304b\u306a\u308a\u65e9\u3044\u6642\u671f\u306b\u59cb\u3081\u308b\u5fc5\u8981\u304c\u3042\u308b\u3068\u306e\u3053\u3068\u3067\u3059\u3002 \u98df\u4e8b\u306e\u5909\u5316\u3001\u6804\u990a\u3001\u304a\u3088\u3073\u8eab\u4f53\u6d3b\u52d5\u306b\u95a2\u3059\u308b\u65e5\u672c\u306e\u82e5\u8005\u3092\u5bfe\u8c61\u3068\u3057\u305f\u6559\u80b2\u7684\u53d6\u308a\u7d44\u307f\u304c\u512a\u5148\u3055\u308c\u308b\u3079\u304d\u3067\u3059\u3002<\/p> \n \n

\u60a3\u8005\u3082\u3001\u81ea\u8eab\u306e\u7cd6\u5c3f\u75c5\u306e\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u306b\u304a\u3044\u3066\u91cd\u8981\u306a\u5f79\u5272\u3092\u62c5\u3063\u3066\u3044\u307e\u3059\u3002 \u7cd6\u5c3f\u75c5\u306e\u81ea\u5df1\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u306f\u3001\u7cd6\u5c3f\u75c5\u7ba1\u7406\u3001\u7279\u306b\u6162\u6027\u5408\u4f75\u75c7\u306e\u4e88\u9632\u306b\u6709\u7528\u3068\u306a\u308a\u307e\u3059\u3002 \u3057\u304b\u3057\u3001\u65e5\u672c\u3067\u306f\u8840\u7cd6\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3078\u306e\u30a2\u30af\u30bb\u30b9\u306b\u554f\u984c\u304c\u3042\u308a\u3001\u3059\u306a\u308f\u3061\u3001\u8840\u7cd6\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u306e\u307b\u3068\u3093\u3069\u306f\u4fdd\u967a\u8a3a\u7642\u306e\u7bc4\u56f2\u306e\u307f\u3067\u5b9f\u65bd\u3055\u308c\u3066\u3044\u308b\u3068\u6d5c\u91ce\u5148\u751f\u306f\u3044\u3044\u307e\u3059\u3002 \u305d\u306e\u305f\u3081\u3001\u60a3\u8005\u306f\u81ea\u8eab\u306e\u75be\u60a3\u3092\u7ba1\u7406\u3059\u308b\u305f\u3081\u306e\u30ea\u30bd\u30fc\u30b9\u304c\u975e\u5e38\u306b\u9650\u3089\u308c\u3066\u3044\u307e\u305913<\/sup> \u3002<\/p> \n \n

\u554f\u984c\u3092\u3055\u3089\u306b\u8907\u96d1\u306b\u3057\u3066\u3044\u308b\u306e\u306f\u3001\u65e5\u672c\u306e\u60a3\u8005\u304c\u610f\u601d\u6c7a\u5b9a\u30d7\u30ed\u30bb\u30b9\u306b\u307b\u3068\u3093\u3069\u95a2\u4e0e\u3057\u3066\u3044\u306a\u3044\u3053\u3068\u3067\u3059\u3002 \u81ea\u8eab\u306e\u75be\u60a3\u306b\u95a2\u3059\u308b\u79d1\u5b66\u7684\u77e5\u8b58\u306e\u4e0d\u8db3\u306b\u3088\u308a\u3001\u591a\u304f\u306e\u5834\u5408\u306b\u60a3\u8005\u306f\u6709\u5bb3\u306b\u306a\u308a\u304b\u306d\u306a\u3044\u8aa4\u3063\u305f\u5224\u65ad\u3092\u4e0b\u3057\u3066\u3057\u307e\u3046\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002 \u75be\u75c5\u7ba1\u7406\u3078\u306e\u60a3\u8005\u306e\u95a2\u4e0e\u3092\u6df1\u3081\u308b\u3053\u3068\u304c\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002<\/p> \n \n

\u7cd6\u5c3f\u75c5\u306e\u7ba1\u7406\u306b\u304a\u3051\u308b\u81e8\u5e8a\u533b\u306e\u5f79\u5272<\/h3> \n \n

2\u578b\u7cd6\u5c3f\u75c5\u306b\u304a\u3044\u3066\u30d0\u30a4\u30aa\u30de\u30fc\u30ab\u30fc\u304c\u5fc3\u8840\u7ba1\u75be\u60a3\u7ba1\u7406\u306b\u679c\u305f\u3059\u5f79\u5272<\/h4> \n \n

Individuals with type 2 diabetes have a significantly elevated risk of developing cardiovascular disease<\/a>. Cardiovascular biomarkers are useful tools for determining patient prognosis in type 2 diabetes and may inform therapeutic mechanisms of action.<\/p> \n \n

In type 2 diabetes, N-terminal (NT)-pro hormone BNP (NT-proBNP<\/a>), released from stressed cardiomyocytes is strongly associated with heart failure<\/a> diagnosis and adverse cardiovascular events. The CANVAS study<\/a> highlights the use of NT-proBNP for identifying the risk of developing cardiovascular diseases in type 2 diabetes patients. Patients with type 2 diabetes mellitus are at high risk for cardiovascular events including heart failure, especially when blood levels of NT-proBNP are elevated, but treatment with canagliflozin reduces this risk. The PONTIAC study concluded that NT-proBNP is an excellent marker to select diabetic patients at risk of cardiac events. Patient pre-selection using NT-proBNP concentration may also help identify diabetes patients who can benefit from intensified multifactorial intervention.14,15<\/sup><\/p> \n \n

The 2021 joint Consensus Statement<\/a> from the Japanese Circulation Society<\/a> and the Japan Diabetes Society<\/a> also emphasizes the importance of biomarker measurement in the diagnosis of cardiovascular diseases in people with type 2 diabetes.16<\/sup><\/p> \n \n

NT-proBNP\u3092\u7528\u3044\u305f2\u578b\u7cd6\u5c3f\u75c5\u306e\u5fc3\u8840\u7ba1\u75be\u60a3\u30ea\u30b9\u30af\u306e\u7279\u5b9a \u2013 \u6d5c\u91ce\u5148\u751f\u306e\u81e8\u5e8a\u8a3a\u7642<\/h4> \n \n

Heart failure symptoms are masked in the early phase of the disease – patients usually present with subjective complaints that may be confused with aging or just fatigue. Hence, diagnosis of heart failure in the early stage is often delayed. Biomarkers<\/a> such as natriuretic peptides have high sensitivity and specificity and measuring these biomarkers can help differentiate heart failure from other conditions. Dr. Hamano has been using NT-proBNP measurement for routine practice since 2007. She measures NT-proBNP in type 2 diabetic patients, mainly those who have more than 10 years of the disease and established cardiovascular risks<\/a>.<\/p> \n \n

As per Dr. Hamano, starting early routine check-ups of NT-proBNP can help prevent cardiovascular disease more effectively. It should be measured at least once when diagnosed with type 2 diabetes because they possibly may be having diabetes long before being diagnosed with type 2 diabetes<\/a>.<\/p> \n \n

Measuring NT-proBNP in routine clinical practice can also help detect silent ischemia and save lives. As per Dr. Hamano, measurement of NT-proBNP<\/a> has been instrumental in identifying high-risk patients such as those with triple vessel disease and referral to cardiologists at the appropriate time has saved many lives.<\/p> \n \n

\u8a3a\u65ad\u6cd5\u306e\u9769\u65b0\u306b\u3088\u308a\u3001\u60a3\u8005\u3092\u533b\u7642\u306e\u4e2d\u5fc3\u3078\u5c0e\u304f\u3053\u3068\u304c\u53ef\u80fd<\/h3> \n \n

\u8a3a\u65ad\u6cd5\u306e\u9769\u65b0\u306b\u3088\u308a\u3001\u60a3\u8005\u3092\u533b\u7642\u306e\u4e2d\u5fc3\u306b\u5c0e\u304f\u3053\u3068\u304c\u3067\u304d\u3001\u7cd6\u5c3f\u75c5\u306a\u3069\u306e\u75be\u60a3\u3092\u62b1\u3048\u3066\u751f\u304d\u308b\u4eba\u3005\u306e\u81e8\u5e8a\u8ee2\u5e30\u3092\u6539\u5584\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002 \u3053\u3046\u3057\u305f\u9769\u65b0\u306f\u3001\u82e5\u5e74\u4e16\u4ee3\u306b\u6709\u7528\u3067\u3042\u308a\u3001\u5c06\u6765\u306f\u4e3b\u6d41\u3068\u306a\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002 \u7cd6\u5c3f\u75c5\u3092\u7ba1\u7406\u3059\u308b\u969b\u306f\u3001\u60a3\u8005\u30b1\u30a2\u306e\u500b\u5225\u5316\u304c\u91cd\u8981\u3067\u3059\u3002\u3059\u306a\u308f\u3061\u3001\u60a3\u8005\u306e\u751f\u6d3b\u7fd2\u6163\u3001\u5fc3\u7406\u72b6\u614b\u3001\u6559\u80b2\u3001\u7d4c\u6e08\u7684\u6c34\u6e96\u3001\u304a\u3088\u3073\u793e\u4f1a\u7684\u80cc\u666f\u3092\u5e38\u306b\u8003\u616e\u3057\u306a\u3051\u308c\u3070\u306a\u308a\u307e\u305b\u3093\u3002<\/p> \n\r\n

<\/div>\r\n","protected":false},"excerpt":{"rendered":"

\u7cd6\u5c3f\u75c5\u306f\u3001\u4f55\u767e\u4e07\u4eba\u3082\u306e\u4eba\u304c\u7f79\u60a3\u3057\u3066\u3044\u308b\u4e16\u754c\u7684\u306a\u5065\u5eb7\u554f\u984c\u3067\u3059\u3002 2021\u5e74\u306e\u56fd\u969b\u7cd6\u5c3f\u75c5\u9023\u5408\uff08IDF\uff09\u306e\u5831\u544a\u3067\u306f\u3001\u7cd6\u5c3f\u75c5\u306e\u6709\u75c5\u7387\u304c\u6025\u901f\u306b\u4e0a\u6607\u3057\u3066\u304a\u308a\u3001\u4e16\u754c\u4e2d\u30675\u51043,700\u4e07\u4eba\uff0810\u4eba\u306b1\u4eba\uff09\u306e\u6210\u4eba\u304c\u7f79\u60a3\u3057\u3066\u3044\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u307e\u3059\u3002 2045\u5e74\u307e\u3067\u306b\u30017\u51048,300\u4e07\u4eba\uff088\u4eba\u306b1\u4eba\uff09\u306e\u6210\u4eba\u304c\u7cd6\u5c3f\u75c5\u306b\u7f79\u60a3\u3059\u308b\u3068\u63a8\u5b9a\u3055\u308c\u3066\u3044\u307e\u30591\u3002 \u8fd1\u5e74\u3001\u65e5\u672c\u3067\u306f\u7cd6\u5c3f\u75c5\u304c\u6025\u901f\u306b\u5897\u52a0\u3057\u3066\u3044\u307e\u3059\u3002 IDF\u306e2021\u5e74\u306e\u63a8\u5b9a\u306b\u3088\u308b\u3068\u3001\u65e5\u672c\u306e\u6210\u4eba1,100\u4e07\u4eba\u304c\u7cd6\u5c3f\u75c5\u306b\u7f79\u60a3\u3057\u3066\u3044\u307e\u3059\u3002 \u7cd6\u5c3f\u75c5\u306e\u6709\u75c5\u7387\u306e\u9ad8\u3055\u306f\u3001\u8457\u3057\u3044\u7d4c\u6e08\u7684\u8ca0\u62c5\u3092\u62db\u3044\u3066\u304a\u308a\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u5909\u5316\u3068\u5bff\u547d\u306e\u5ef6\u4f38\u306b\u8d77\u56e0\u3059\u308b\u3082\u306e\u3060\u3068\u8a00\u3048\u307e\u30592,3\u3002 \u3053\u306e\u8a18\u4e8b\u3067\u306f\u3001\u65e5\u672c\u306e\u95a2\u6771\u52b4\u707d\u75c5\u9662\u306e\u7cd6\u5c3f\u75c5\u5c02\u9580\u533b\u3067\u3042\u308b\u6d5c\u91ce \u4e45\u7f8e\u5b50\u5148\u751f\u306b\u3088\u308b\u3001\u3088\u308a\u826f\u3044\u8ee2\u5e30\u306e\u305f\u3081\u306b\u60a3\u8005\u3068\u81e8\u5e8a\u533b\u304c\u5354\u529b\u3057\u3066\u679c\u305f\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u5f79\u5272\u306b\u95a2\u3059\u308b\u898b\u8b58\u3068\u3068\u3082\u306b\u3001\u65e5\u672c\u306e\u7cd6\u5c3f\u75c5\u306e\u73fe\u6642\u70b9\u3067\u306e\u30b7\u30ca\u30ea\u30aa\u3092\u6d6e\u304d\u5f6b\u308a\u306b\u3057\u307e\u3059\u3002 \u65e5\u672c\u306b\u304a\u3051\u308b\u7cd6\u5c3f\u75c5 \u2013 \u73fe\u72b6\u3092\u8a55\u4fa1\u3059\u308b \u65e5\u672c\u3067\u306f\u3001\u9ad8\u9f62\u5316\u304a\u3088\u3073\u80a5\u6e80\u304c\u7cd6\u5c3f\u75c5\u306e\u6709\u75c5\u7387\u4e0a\u6607\u306e\u4e00\u56e0\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002 \u306a\u304b\u3067\u3082\u3001\u6025\u901f\u306a\u4eba\u53e3\u306e\u9ad8\u9f62\u5316\u306f\u91cd\u5927\u306a\u61f8\u5ff5\u4e8b\u9805\u3067\u3042\u308a\u3001\u75be\u75c5\u7ba1\u7406\u3092\u96e3\u3057\u3044\u3082\u306e\u306b\u3057\u3066\u3044\u307e\u30594 \u3002 \u75be\u75c5\u7ba1\u7406\u3092\u9664\u3044\u3066\u3082\u3001\u65e5\u672c\u3067\u7cd6\u5c3f\u75c5\u304c\u3082\u305f\u3089\u3059\u7d4c\u6e08\u7684\u5f71\u97ff\u306f\u5927\u304d\u304f\u30012018\u5e74\u5ea6\u306b\u306f\u3001\u7cd6\u5c3f\u75c5\u306e\u533b\u7642\u8cbb\u304c\u65e5\u672c\u306e\u7dcf\u533b\u7642\u8cbb\u306e2.8%\u306b\u76f8\u5f53\u3059\u308b1.21\u5146\u5186\u306b\u9054\u3057\u307e\u3057\u305f\u3002 \u672a\u6cbb\u7642\u306e\u60a3\u8005\u3001\u6cbb\u7642\u8131\u843d\u4f8b\u3001\u7cd6\u5c3f\u75c5\u306e\u5408\u4f75\u75c7\u306e\u6cbb\u7642\u8cbb\u304c\u3001\u533b\u7642\u8cbb\u306e\u5897\u52a0\u306e\u4e00\u56e0\u3068\u306a\u3063\u3066\u3044\u307e\u30595 \u3002 \u65e5\u672c\u3067\u7cd6\u5c3f\u75c5\u306b\u3088\u308b\u8ca0\u62c5\u304c\u5897\u3057\u3066\u3044\u308b\u7406\u7531\u306f\u4f55\u304b\uff1f A westernized diet is touted to be a major reason making Japanese people more prone to developing type 2 diabetes. Traditional Japanese […]<\/p>\n

Read More…<\/a><\/p>\n","protected":false},"author":13,"featured_media":4754,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[244],"tags":[269,634,270,271,633,632],"specialty":[691],"class_list":["post-6228","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-local-stories","tag-269","tag-2-ja","tag-nt-probnp-ja","tag-271","tag-633","tag-632","specialty-cardiometabolic-ja"],"acf":[],"_links":{"self":[{"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/posts\/6228","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/users\/13"}],"replies":[{"embeddable":true,"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/comments?post=6228"}],"version-history":[{"count":4,"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/posts\/6228\/revisions"}],"predecessor-version":[{"id":9732,"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/posts\/6228\/revisions\/9732"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/media\/4754"}],"wp:attachment":[{"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/media?parent=6228"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/categories?post=6228"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/tags?post=6228"},{"taxonomy":"specialty","embeddable":true,"href":"https:\/\/cardiothinklab.com\/ja\/wp-json\/wp\/v2\/specialty?post=6228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}