{"id":12838,"date":"2020-05-25T09:07:53","date_gmt":"2020-05-25T00:07:53","guid":{"rendered":"http:\/\/promea2014.com\/blog\/?p=12838"},"modified":"2020-05-25T09:07:53","modified_gmt":"2020-05-25T00:07:53","slug":"post-12838","status":"publish","type":"post","link":"https:\/\/promea2014.com\/blog\/?p=12838","title":{"rendered":"\u30ab\u30ca\u30c0\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u3082\u7cd6\u8cea\u5236\u9650\u3078"},"content":{"rendered":"

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1\u578b\u7cd6\u5c3f\u75c5\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u3067\u306f\u3001\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u91cf\u304c\u6e1b\u5c11\u3057\u3001HbA1c\u3082\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u8d85\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u3067\u3082\u3001HbA1c\u304c\u4f4e\u4e0b\u3057\u3001\u8840\u7cd6\u5909\u52d5\u3082\u4f4e\u4e0b\u3057\u3001\u4f4e\u8840\u7cd6\u306e\u767a\u751f\u3082\u4f4e\u4e0b\u3059\u308b\u306a\u3069\u306e\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

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1\u578b\u7cd6\u5c3f\u75c5\u306e\u5834\u5408\uff1a<\/span>
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2\u578b\u7cd6\u5c3f\u75c5\u306e\u5834\u5408\uff1a<\/span><\/p>\n

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\n\u30fb\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3001\u4f53\u91cd\u3092\u6539\u5584\u3059\u308b\u305f\u3081\u306b\u3001\u8d85\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u304c\u9ad8\u70ad\u6c34\u5316\u7269\u306e\u98df\u4e8b\u3088\u308a\u3082\u512a\u308c\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u77ed\u671f\uff08\u6700\u592712\u304b\u6708\uff09\u306e\u6295\u85ac\u306e\u5fc5\u8981\u6027\u3092\u6e1b\u3089\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u304c\u3001\u9577\u671f\u7684\u306a\u5229\u76ca\u306b\u95a2\u3059\u308b\u8a3c\u62e0\u306f\u9650\u3089\u308c\u3066\u3044\u308b\u3002<\/span><\/p>\n

\u30fb\u73fe\u5728\u306e\u30c7\u30fc\u30bf\u3067\u306f\u3001\u8d85\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u306e\u98df\u4e8b\u7642\u6cd5\u306e\u6e1b\u91cf\u3068HbA1c\u306b\u95a2\u3059\u308b\u5229\u70b9\u304c\u3001\u4e3b\u8981\u6804\u990a\u7d20\u306e\u7d44\u6210\u3001\u307e\u305f\u306f\u30ab\u30ed\u30ea\u30fc\u6442\u53d6\u91cf\u306e\u95a2\u9023\u3059\u308b\u9055\u3044\u306b\u56fa\u6709\u306e\u3082\u306e\u3067\u3042\u308b\u304b\u3069\u3046\u304b\u3092\u5224\u65ad\u3067\u304d\u306a\u3044\u3002<\/span>
\n\u30fb\u3053\u308c\u307e\u3067\u306b\u767a\u8868\u3055\u308c\u305f\u6587\u732e\u306b\u306f\u3001\u89b3\u5bdf\u7814\u7a76\u306b\u304a\u3051\u308b\u4ea4\u7d61\u56e0\u5b50\u306e\u975e\u8abf\u6574\u3001\u5c0f\u898f\u6a21RCT\u306e\u77ed\u671f\u30d5\u30a9\u30ed\u30fc\u30a2\u30c3\u30d7\u3001\u5272\u308a\u5f53\u3066\u3089\u308c\u305f\u98df\u4e8b\u7642\u6cd5\u3078\u306e\u6301\u7d9a\u6027\u304c\u6bd4\u8f03\u7684\u9ad8\u3044\u4e0d\u826f\u7387\u306a\u3069\u3001\u3044\u304f\u3064\u304b\u306e\u65b9\u6cd5\u8ad6\u4e0a\u306e\u5236\u9650\u304c\u5b58\u5728\u3059\u308b\u3002<\/span><\/p>\n

\u3064\u307e\u308a\u3001\u533b\u7642\u63d0\u4f9b\u8005\u306f\u3001\u7cd6\u5c3f\u75c5\u3068\u80a5\u6e80\u306e\u8907\u96d1\u306a\u8ab2\u984c\u306b\u5bfe\u51e6\u3059\u308b\u306b\u306f\u591a\u69d8\u306a\u30a2\u30d7\u30ed\u30fc\u30c1\u304c\u5fc5\u8981\u3067\u3042\u308b\u3053\u3068\u3092\u8a8d\u8b58\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u3001\u5171\u6709\u306e\u610f\u601d\u6c7a\u5b9a\u3092\u5c0a\u91cd\u3059\u308b\u652f\u6301\u7684\u306a\u95a2\u4fc2\u3067\u60a3\u8005\u3068\u95a2\u308f\u308a\u5408\u3046\u3088\u3046\u52aa\u3081\u308b\u3079\u304d\u3067\u3001\u3082\u3063\u3068\u7814\u7a76\u3059\u3079\u304d\u3068\u306e\u7acb\u5834\u3067\u3059\u3002<\/p>\n

\u305d\u3057\u3066\u3001\u6700\u7d42\u7684\u306a\u63a8\u5968\u4e8b\u9805\u306f\u6b21\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n

1.\u7cd6\u5c3f\u75c5\u60a3\u8005\u306f\u3001\u500b\u4eba\u306e\u4fa1\u5024\u89b3\u3001\u76ee\u6a19\u3001\u597d\u307f\u3068\u4e00\u81f4\u3059\u308b\u5065\u5eb7\u7684\u306a\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u3092\u9078\u629e\u3067\u304d\u308b\u3088\u3046\u306b\u30b5\u30dd\u30fc\u30c8\u3055\u308c\u308b\u3079\u304d\u3067\u3042\u308b\u3002<\/span>
\n2.\u5065\u5eb7\u7684\u306a\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u307e\u305f\u306f\u8d85\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u306f\u30011\u578b\u304a\u3088\u30732\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u306e\u6e1b\u91cf\u3001\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u6539\u5584\u3001\u304a\u3088\u3073\/\u307e\u305f\u306f\u7cd6\u5c3f\u75c5\u85ac\u6cbb\u7642\u306e\u5fc5\u8981\u6027\u306e\u4f4e\u6e1b\u306e\u305f\u3081\u306e\u5065\u5eb7\u7684\u306a\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u3068\u898b\u306a\u3059\u3053\u3068\u304c\u3067\u304d\u308b<\/span>\u3002\u305d\u308c\u305e\u308c\u306e\u4eba\u306f\u3001\u533b\u7642\u63d0\u4f9b\u8005\u306b\u76f8\u8ac7\u3057\u3066\u76ee\u6a19\u3092\u5b9a\u7fa9\u3057\u3001\u60aa\u5f71\u97ff\u306e\u53ef\u80fd\u6027\u3092\u6e1b\u3089\u3059\u5fc5\u8981\u304c\u3042\u308b\u3002<\/span>
\n3.\u533b\u7642\u63d0\u4f9b\u8005\u306f\u3001\u5f37\u5316\u3055\u308c\u305f\u8840\u7cd6\u5024\u306e\u30e2\u30cb\u30bf\u30ea\u30f3\u30b0\u3092\u63a8\u5968\u3057\u305f\u308a\u3001\u4f4e\u8840\u7cd6\u3092\u5f15\u304d\u8d77\u3053\u3059\u53ef\u80fd\u6027\u306e\u3042\u308b\u85ac\u7269\u7642\u6cd5\uff08\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u85ac\u3084\u30a4\u30f3\u30b9\u30ea\u30f3\uff09\u3001\u7cd6\u5c3f\u75c5<\/em>\u30b1\u30c8\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\uff08SGLT2\u963b\u5bb3\u5264\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u6b20\u4e4f\u306e\u4eba\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\uff09\u306e\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\u85ac\u7269\u7642\u6cd5\u3092\u8abf\u6574\u3057\u305f\u308a\u3001\u98df\u7269\u7e4a\u7dad\u3068\u6804\u990a\u7d20\u306e\u9069\u5207\u306a\u6442\u53d6\u3092\u78ba\u5b9f\u306b\u3059\u308b\u305f\u3081\u306b\u3001\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u3092\u5e0c\u671b\u3059\u308b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3092\u30b5\u30dd\u30fc\u30c8\u3067\u304d\u308b\u3002<\/span><\/p>\n

4.\u500b\u4eba\u3068\u305d\u306e\u533b\u7642\u63d0\u4f9b\u8005\u306f\u3001SGLT2\u963b\u5bb3\u5264\u3068\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u3092\u4f7f\u7528\u3057\u306a\u304c\u3089\u3001\u6b63\u5e38\u8840\u7cd6\u7cd6\u5c3f\u75c5<\/em>\u30b1\u30c8\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u306e\u30ea\u30b9\u30af\u306b\u3064\u3044\u3066\u6559\u80b2\u3092\u53d7\u3051\u3001\u3055\u3089\u306b\u3053\u306e\u30ea\u30b9\u30af\u3092\u8efd\u6e1b\u3059\u308b\u305f\u3081\u306e\u6226\u7565\u306b\u3064\u3044\u3066\u6559\u80b2\u3092\u53d7\u3051\u308b\u3079\u304d\u3067\u3042\u308b\u3002<\/span>
\n5.\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u3092\u958b\u59cb\u3059\u308b\u7cd6\u5c3f\u75c5\u60a3\u8005\u306f\u3001\u6587\u5316\u7684\u306b\u9069\u5207\u3067\u697d\u3057\u304f\u6301\u7d9a\u53ef\u80fd\u306a\u8a08\u753b\u306e\u4f5c\u6210\u3092\u652f\u63f4\u3067\u304d\u308b\u6804\u990a\u58eb\u304b\u3089\u306e\u652f\u63f4\u3092\u6c42\u3081\u308b\u5fc5\u8981\u304c\u3042\u308b\u3002\u6804\u990a\u58eb\u306f<\/span>\u3001\u4eba\u3005\u304c\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u306e\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u306b\u79fb\u884c\u3057\u305f\u308a\u3001\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u306e\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u304b\u3089\u79fb\u884c\u3057\u305f\u308a\u3059\u308b\u3068\u304d\u306b\u3001\u500b\u4eba\u306e\u4fa1\u5024\u89b3\u3001\u597d\u307f\u3001\u30cb\u30fc\u30ba\u3001\u6cbb\u7642\u76ee\u6a19\u306b<\/span>\u6700\u3082\u3088\u304f\u9069\u5408\u3059\u308b\u70ad\u6c34\u5316\u7269\u6442\u53d6\u91cf\u3092\u5909\u66f4\u3059\u308b\u65b9\u6cd5\u3092\u63d0\u6848\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044<\/span>\u3002<\/span><\/p>\n

 <\/p>\n

\u7cd6\u5c3f\u75c5\u30ab\u30ca\u30c0\uff08\u30ab\u30ca\u30c0\u7cd6\u5c3f\u75c5\u5b66\u4f1a\uff09\u306f\u3001\u5b8c\u5168\u3068\u306f\u8a00\u3048\u306a\u3044\u307e\u3067\u3082\u3001\u304b\u306a\u308a\u7cd6\u8cea\u5236\u9650\u5bb9\u8a8d\u306e\u65b9\u5411\u306b\u5411\u3044\u305f\u3068\u8a00\u3048\u307e\u3059\u3002\u7279\u306b\u6700\u5f8c\u306e\u63a8\u5968\u4e8b\u9805\u306e2\u3067\u306f\u3001\u300c\u5065\u5eb7\u7684\u306a\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u307e\u305f\u306f\u8d85\u4f4e\u70ad\u6c34\u5316\u7269\u98df\u306f\u30011\u578b\u304a\u3088\u30732\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u306e\u6e1b\u91cf\u3001\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u6539\u5584\u3001\u304a\u3088\u3073\/\u307e\u305f\u306f\u7cd6\u5c3f\u75c5\u85ac\u6cbb\u7642\u306e\u5fc5\u8981\u6027\u306e\u4f4e\u6e1b\u306e\u305f\u3081\u306e\u5065\u5eb7\u7684\u306a\u98df\u4e8b\u30d1\u30bf\u30fc\u30f3\u3068\u898b\u306a\u3059\u3053\u3068\u304c\u3067\u304d\u308b\u3002\u300d\u3068\u307e\u3067\u8a00\u3063\u3066\u3044\u307e\u3059\u3002\u65e5\u672c\u306e\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u306e\u6d88\u6975\u7684\u306a\u59ff\u52e2\u3068\u306f\u5168\u304f\u7570\u306a\u308a\u307e\u3059\u3002<\/p>\n

\u65b0\u578b\u30b3\u30ed\u30ca\u30a6\u30a4\u30eb\u30b9\u3067\u7cd6\u5c3f\u75c5\u3001\u9ad8\u8840\u7cd6\u3001\u80a5\u6e80\u306e\u91cd\u75c7\u5316\u30ea\u30b9\u30af\u304c\u5224\u660e\u3057\u3066\u3044\u307e\u3059\u3002\u305d\u306e\u30ea\u30b9\u30af\u56e0\u5b50\u306e\u307b\u3068\u3093\u3069\u3059\u3079\u3066\u304c\u7cd6\u8cea\u904e\u5270\u6442\u53d6\u306b\u7d50\u3073\u3064\u3044\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u3001\u65e5\u672c\u306f\u6b7b\u8005\u6570\u304c\u5c11\u306a\u3044\u304b\u3089\u3001\u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u306f\u7cd6\u8cea\u5236\u9650\u306e\u91cd\u8981\u6027\u306b\u307e\u3060\u307e\u3060\u6c17\u304c\u4ed8\u304b\u306a\u3044\u3067\u3057\u3087\u3046\u306d\uff1f\u305d\u308c\u3068\u3082\u6c17\u304c\u4ed8\u3044\u3066\u3044\u3066\u3082\u6c17\u304c\u4ed8\u3044\u3066\u3044\u306a\u3044\u3075\u308a\u3067\u3057\u3087\u3046\u304b\u306d\uff1f<\/p>\n

 <\/p>\n

\u300cDiabetes Canada Position Statement on Low Carbohydrate Diets for Adults with Diabetes: A Rapid Review\u300d<\/span><\/p>\n

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