{"id":18861,"date":"2022-05-11T13:36:58","date_gmt":"2022-05-11T04:36:58","guid":{"rendered":"https:\/\/promea2014.com\/blog\/?p=18861"},"modified":"2022-05-11T13:36:58","modified_gmt":"2022-05-11T04:36:58","slug":"post-18861","status":"publish","type":"post","link":"https:\/\/promea2014.com\/blog\/?p=18861","title":{"rendered":"\u7d4c\u53e3\u30d6\u30c9\u30a6\u7cd6\u8ca0\u8377\u8a66\u9a13\uff08OGTT\uff09\u524d\u306e\u70ad\u6c34\u5316\u7269\uff08\u7cd6\u8cea\uff09\u6442\u53d6\u91cf"},"content":{"rendered":"

\u3044\u307e\u3060\u306b\u4e16\u306e\u4e2d\u3067\u306f\u7cd6\u8cea\u904e\u5270\u6442\u53d6\u304c\u666e\u901a\u306e\u98df\u4e8b\u3067\u3059\u3002\u4e00\u65b9\u3001\u7cd6\u5c3f\u75c5\u306e\u8a3a\u65ad\u306b\u884c\u3046OGTT\uff08\u7d4c\u53e3\u30d6\u30c9\u30a6\u7cd6\u8ca0\u8377\u8a66\u9a13\uff09\u306f\u7cd6\u8cea\u904e\u5270\u6442\u53d6\u304c\u524d\u63d0\u306e\u691c\u67fb\u3067\u3059\u3002\u3060\u304b\u3089\u3001\u7cd6\u8cea\u5236\u9650\u3092\u3057\u3066\u3044\u308b\u4eba\u304c\u6025\u306b\u3053\u306e\u691c\u67fb\u3092\u53d7\u3051\u308b\u3068\u6050\u3089\u304f\u591a\u304f\u306e\u4eba\u304c\u7cd6\u5c3f\u75c5\u3068\u8a3a\u65ad\u3055\u308c\u3066\u3057\u307e\u3046\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n

\u691c\u67fb\u524d\u306b\u9577\u671f\u306b\u7cd6\u8cea\u6442\u53d6\u304c\u5c11\u306a\u3044\u3068\u3001\u8ca0\u8377\u5f8c\u8840\u7cd6\u304c\u9ad8\u5024\u3068\u306a\u308b\u305f\u3081\u691c\u67fb\u5b9f\u65bd\u524d\u306e\uff13\u65e5\u9593\u306f\u70ad\u6c34\u5316\u7269\u3092150g\u4ee5\u4e0a\u542b\u3080\u98df\u4e8b\u3092\u6442\u308b\u3053\u3068\u304c\u5fc5\u8981\u3060\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u5b9f\u969b\u306b\u306f1\u65e5\u306e\u70ad\u6c34\u5316\u7269\u91cf\u3060\u3051\u3067\u306f\u306a\u304f\u3001\u524d\u65e5\u306e\u691c\u67fb\u524d\u6700\u5f8c\u306e\u98df\u4e8b\u3067\u306e\u7cd6\u8cea\u91cf\u3082\u5927\u304d\u304f\u5f71\u97ff\u3059\u308b\u3088\u3046\u3067\u3059\u3002<\/p>\n

\u4eca\u56de\u306f\u75c7\u4f8b\u5831\u544a\u3067\u3059\u3002<\/p>\n

20\u6b73\u306e\u5065\u5eb7\u306a\u5973\u6027\u3067\u3001\u8eab\u4f53\u7684\u306b\u6d3b\u767a\u306a\u5927\u5b66\u751f\u3067\u3042\u308b\u30dc\u30e9\u30f3\u30c6\u30a3\u30a2\u3001BMI\u304c20.7 \u3001\u7cd6\u5c3f\u75c5\u306e\u500b\u4eba\u7684\u304a\u3088\u3073\u5bb6\u65cf\u7684\u306a\u75c5\u6b74\u306f\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u300212\u6642\u9593\u306e\u7d76\u98df\u5f8c\u3001\u7a7a\u8179\u6642\u8840\u7cd6\u5024\u306f60mg\/dL\u3067\u3057\u305f\u300275g\u306eOGTT\u3067\u30d6\u30c9\u30a6\u7cd6\u8ca0\u8377\u306e1\u6642\u9593\u5f8c\u8840\u7cd6\u5024\u306f153mg\/dL\u30012\u6642\u9593\u5024\u306f200mg\/dL\u3067\u3057\u305f\u3002<\/p>\n

2\u6642\u9593\u5024\u304c200\u306a\u306e\u3067\u7cd6\u5c3f\u75c5\u3068\u8a3a\u65ad\u3055\u308c\u308b\u61f8\u5ff5\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u524d\u65e5\u306e\u98df\u4e8b\u306f\u3001\u30d5\u30e9\u30a4\u30c9\u30dd\u30c6\u30c8\u3092\u542b\u3080\u30d5\u30a1\u30fc\u30b9\u30c8\u30d5\u30fc\u30c9\u30ec\u30b9\u30c8\u30e9\u30f3\u3067\u9ad8\u70ad\u6c34\u5316\u7269\u306e\u671d\u98df\u3068\u663c\u98df\u3092\u98df\u3079\u305f\u3068\u5831\u544a\u3057\u307e\u3057\u305f\u3002\u5915\u98df\u306f\u3001\u5375\u3001\u4e03\u9762\u9ce5\u306e\u30d9\u30fc\u30b3\u30f3\u3001\u30c8\u30fc\u30b9\u30c8\u306b\u306e\u305b\u305f\u30a2\u30dc\u30ab\u30c9\u30018\u30aa\u30f3\u30b9\u306e\u30aa\u30ec\u30f3\u30b8\u30b8\u30e5\u30fc\u30b9\uff08\u6b63\u5473\u70ad\u6c34\u5316\u726950\u30b0\u30e9\u30e0\u672a\u6e80\uff09\u3067\u3057\u305f\u3002<\/p>\n

\u7570\u5e38\u306aOGTT\u306e\u4e00\u9031\u9593\u5f8c\u3001\u3082\u3046\u4e00\u5ea6OGTT\u3092\u53d7\u3051\u307e\u3057\u305f\u3002OGTT\u524d\u306b3\u65e5\u9593\u3001\u6700\u4f4e150g\u306e\u70ad\u6c34\u5316\u7269\u3092\u98df\u3079\u308b\u3088\u3046\u306b\u6307\u793a\u3055\u308c\u307e\u3057\u305f\u30021\u56de\u306e\u98df\u4e8b\u3042\u305f\u308a50g\u3092\u8d85\u3048\u308b\u70ad\u6c34\u5316\u7269\u6442\u53d6\u3092\u78ba\u8a8d\u3057\u307e\u3057\u305f\u3002\u305d\u3046\u3059\u308b\u3068\u7a7a\u8179\u6642\u306771mg\/dL\u3067\u3042\u308aOGTT2\u6642\u9593\u5024\u306f75mg\/dL\u3001HbA1c\u306f5.0\u3067\u3057\u305f\u3002GAD65\u6297\u4f53\u306f\u9670\u6027\u3067\u3057\u305f\u3002<\/p>\n

\u53e4\u3044\u7814\u7a76\u3067\u306f\u3001\u70ad\u6c34\u5316\u7269\u30925\u65e5\u959320g\u306b\u5236\u9650\u3059\u308b\u3068\u8010\u7cd6\u80fd\u304c\u4f4e\u4e0b\u3059\u308b\u3053\u3068\u304c\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u3055\u3089\u306b\u30011\u65e5\u306e\u70ad\u6c34\u5316\u7269\u91cf\u304c150g\u3092\u8d85\u3048\u3066\u3044\u3066\u3082\u3001\u76f4\u524d\u306e\u98df\u4e8b\u306e\u70ad\u6c34\u5316\u7269\u91cf\u304c\u5c11\u306a\u3044\u3068\u3001\u30d6\u30c9\u30a6\u7cd6\u8ca0\u8377\u5f8c\u306e\u8840\u7cd6\u5024\u304c\u5927\u304d\u304f\u4e0a\u6607\u3059\u308b\u3053\u3068\u3082\u78ba\u304b\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002\uff08\u3053\u3053<\/a>\u53c2\u7167\uff09\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u7d76\u5bfe\u91cf\u304c\u4f4e\u4e0b\u3059\u308b\u308f\u3051\u3067\u306f\u306a\u304f\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u304c\u5897\u52a0\u3059\u308b\u3053\u3068\u306b\u3088\u308b\u3082\u306e\u3060\u3068\u601d\u3044\u307e\u3059\u3002<\/p>\n

75gOGTT\u3092\u65bd\u884c\u3057\u3001\u8ca0\u8377\u5f8c30\u5206\u306e\u8840\u4e2d\u30a4\u30f3\u30b9\u30ea\u30f3\u5897\u52a0\u91cf\u3092\u3001\u8840\u7cd6\u5024\u306e\u5897\u52a0\u91cf\u3067\u9664\u3057\u305f\u5024\u3067\u3042\u308binsulinogenic index\uff08\u30a4\u30f3\u30b9\u30ea\u30f3\u30a4\u30f3\u30c7\u30c3\u30af\u30b9\uff09\u306f\u3001\u98df\u5f8c\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u8ffd\u52a0\u5206\u6ccc\u306e\u521d\u671f\u5206\u6ccc\u80fd\u306e\u6307\u6a19\u3068\u306a\u308a\u307e\u3059\u3002\u76f4\u524d\u306e\u70ad\u6c34\u5316\u7269\u91cf\u304c\u5c11\u306a\u3044\u3068\u3001\u3053\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u30a4\u30f3\u30c7\u30c3\u30af\u30b9\u304c\u4f4e\u4e0b\u3057\u307e\u3059\u3002\u7d76\u98df\u5f8c\u3001\u3059\u3044\u81d3\u306f\u6025\u6fc0\u306b\u5897\u52a0\u3057\u305f\u7cd6\u8cea\u91cf\u306b\u5bfe\u3057\u30661\u56de\u76ee\u306f\u305d\u306e\u8840\u7cd6\u5024\u306e\u5897\u52a0\u306b\u898b\u5408\u3063\u305f\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u3057\u3066\u3044\u308b\u3064\u3082\u308a\u3067\u3082\u3001\u52b9\u304d\u76ee\u304c\u60aa\u3044\u3001\u3064\u307e\u308a\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u304c\u5897\u52a0\u3057\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u3068\u601d\u308f\u308c\u307e\u3059\u3002<\/p>\n

\u3053\u308c\u306f\u3044\u308f\u3086\u308b\u300c\u30bb\u30ab\u30f3\u30c9\u30df\u30fc\u30eb\u73fe\u8c61\u300d\u3068\u540c\u69d8\u3067\u3059\u3002\u7d76\u98df\u5f8c\u306f\u8010\u7cd6\u80fd\u304c\u60aa\u304f\u3001\u305d\u306e\u6b21\u306e\u98df\u4e8b\u3067\u306f\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u52b9\u304d\u76ee\u304c\u826f\u304f\u306a\u308b\u306e\u306f\u5f53\u7136\u306e\u751f\u7406\u73fe\u8c61\u306a\u306e\u3067\u3057\u3087\u3046\u3002<\/p>\n

\u598a\u5a66\u3055\u3093\u306eOGTT\u3067\u3082\u540c\u69d8\u306b\u3001\u76f4\u524d\u306e\u98df\u4e8b\u304c\u5f71\u97ff\u3059\u308b\u3068\u3044\u3046\u5831\u544a\u304c\u3042\u308a\u3001\u76f4\u524d\u306e\u7cd6\u8cea\u91cf\u3092\u6e1b\u3089\u3057\u3066\u3057\u307e\u3046\u3068\u8aa4\u8a3a\u3092\u62db\u304f\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\uff08\u3053\u3053<\/a>\u53c2\u7167\uff09<\/p>\n

\u3067\u306f\u76f4\u524d\u306b\u7cd6\u8cea\u3092\u3057\u3063\u304b\u308a\u3068\u6442\u53d6\u3057\u305f\u3068\u304d\u306eOGTT\u3068\u7cd6\u8cea\u5236\u9650\u3092\u3057\u305f\u3068\u304d\u306eOGTT\u306f\u3069\u3061\u3089\u304c\u672c\u5f53\u306a\u3093\u3067\u3057\u3087\u3046\u3002\u3069\u3061\u3089\u3082\u4eba\u9593\u306e\u751f\u7406\u7684\u306a\u53cd\u5fdc\u306a\u306e\u3067\u3069\u3061\u3089\u3082\u672c\u5f53\u3067\u3059\u304c\u3001\u610f\u5473\u3092\u8003\u3048\u308b\u5fc5\u8981\u304c\u3042\u308b\u3067\u3057\u3087\u3046\u3002<\/p>\n

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 <\/p>\n

\u300cCarbohydrate Intake Prior to Oral Glucose Tolerance Testing\u300d<\/span><\/p>\n

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