{"id":28183,"date":"2024-11-25T08:47:50","date_gmt":"2024-11-24T23:47:50","guid":{"rendered":"https:\/\/promea2014.com\/blog\/?p=28183"},"modified":"2024-11-25T08:47:50","modified_gmt":"2024-11-24T23:47:50","slug":"%e7%b3%96%e8%b3%aa%e5%88%b6%e9%99%905%e5%b9%b4%e9%96%93%e3%81%ae%e7%b5%90%e6%9e%9c%e3%80%80%e3%81%a1%e3%82%87%e3%81%a3%e3%81%a8%e6%ae%8b%e5%bf%b5%e3%81%a0%e3%81%91%e3%81%a9%e6%a8%99%e6%ba%96%e6%b2%bb","status":"publish","type":"post","link":"https:\/\/promea2014.com\/blog\/?p=28183","title":{"rendered":"\u7cd6\u8cea\u5236\u96505\u5e74\u9593\u306e\u7d50\u679c\u3000\u3061\u3087\u3063\u3068\u6b8b\u5ff5\u3060\u3051\u3069\u6a19\u6e96\u6cbb\u7642\u3088\u308a\u306f\u65ad\u7136\u826f\u3044"},"content":{"rendered":"

\u4ee5\u524d\u306e\u8a18\u4e8b\u300c\u7cd6\u8cea\u5236\u96505\u5e74\u9593\u306e\u6b8b\u5ff5\u306a\u7d50\u679c<\/a>\u300d\u3067\u53d6\u308a\u4e0a\u3052\u305f\u5b66\u4f1a\u767a\u8868\u306e\u5185\u5bb9\u304c\u8ad6\u6587\u5316\u3055\u308c\u307e\u3057\u305f\u3002\u4ee5\u524d\u306e\u8a18\u4e8b\u300c\u7cd6\u5c3f\u75c5\u306b\u5bfe\u3059\u308b1\u5e74\u9593\u306e\u98df\u4e8b\u306b\u3088\u308b\u751f\u7406\u7684\u30b1\u30c8\u30fc\u30b7\u30b9\u306e\u30d1\u30ef\u30fc<\/a>\u300d\u300c2\u578b\u7cd6\u5c3f\u75c5\u306b\u5bfe\u3059\u308b\u7cd6\u8cea\u5236\u9650\u306e\u9577\u671f\u7684\u52b9\u679c\u30002\u5e74\u9593\u3067\u3082\u5727\u5012\u7684\uff01\u3000\u305d\u306e1<\/a>\u300d\u300c\u305d\u306e2<\/a>\u300d\u300c2\u578b\u7cd6\u5c3f\u75c5\u306b\u5bfe\u3059\u308b\u7cd6\u8cea\u5236\u9650\u306e\u9577\u671f\u7684\u52b9\u679c\u30003.5\u5e74\u306e\u30a8\u30d3\u30c7\u30f3\u30b9<\/a>\u300d\u3067\u66f8\u3044\u305f\u7814\u7a76\u306e\u305d\u306e\u5f8c5\u5e74\u307e\u3067\u5ef6\u9577\u3057\u305f\u7814\u7a76\u3067\u3059\u3002<\/p>\n

2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u306f\u3001\u30ea\u30e2\u30fc\u30c8\u3067\u306e\u7d99\u7d9a\u7684\u30b1\u30a2\u4ecb\u5165\uff08CCI\uff09\u3068\u901a\u5e38\u6cbb\u7642 (UC) \u3092\u6bd4\u8f03\u3059\u308b 2 \u5e74\u9593\u306e\u7814\u7a76\u5f8c\u3001262 \u4eba\u306e CCI\u53c2\u52a0\u8005\u306e\u3046\u3061194\u4eba\u304c3\u5e74\u9593\u306e\u5ef6\u9577\u3092\u7533\u3057\u51fa\u3066\u3001\u3053\u306e\u3046\u3061169\u4eba\u304c\u540c\u610f\u3057\u3001\u6700\u7d42\u7684\u306b\u306f122\u4eba\u304c5\u5e74\u9593\u8a66\u9a13\u306b\u53c2\u52a0\u3057\u7d9a\u3051\u307e\u3057\u305f\u3002\u4e3b\u8981\u8a55\u4fa1\u9805\u76ee\u306f\u3001\u7cd6\u5c3f\u75c5\u72b6\u614b\u306e\u5909\u5316\u3067\u30015\u5e74\u6642\u70b9\u3067\u306e\u5bdb\u89e3\u304a\u3088\u3073\u8840\u7cd6\u964d\u4e0b\u85ac\u306a\u3057\u307e\u305f\u306f\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u306e\u307f\u3067\u306eHbA1c 6.5%\u672a\u6e80\u306a\u3069\u3067\u3059\u3002\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u304b\u30895\u5e74\u307e\u3067\u306e\u4f53\u91cd\u3001\u8840\u7cd6\u5024\u3001\u304a\u3088\u3073\u5fc3\u81d3\u4ee3\u8b1d\u30de\u30fc\u30ab\u30fc\u306e\u5909\u5316\u3082\u8a55\u4fa1\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n

\u4e0b\u306e\u8868\u306f\u7d99\u7d9a\u7684\u30b1\u30a2\u4ecb\u5165\u53c2\u52a0\u8005\u306b\u304a\u3051\u308b5\u5e74\u9593\u306e\u7cd6\u5c3f\u75c5\u5bdb\u89e3\u7387\u304a\u3088\u3073\u305d\u306e\u4ed6\u306e\u8840\u7cd6\u76ee\u6a19\u9054\u6210\u7387\u3067\u3059\u3002\u7cd6\u5c3f\u75c5\u5bdb\u89e3\u306e\u56fd\u969b\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u57fa\u6e96\u306f\u300cHbA1c\u304c6.5%\u672a\u6e80\u3067\u3001\u81ea\u7136\u306b\u767a\u751f\u3059\u308b\u304b\u4ecb\u5165\u5f8c\u306b\u767a\u751f\u3057\u3001\u901a\u5e38\u306e\u8840\u7cd6\u964d\u4e0b\u85ac\u7269\u7642\u6cd5\u3092\u884c\u308f\u305a\u306b 3 \u304b\u6708\u4ee5\u4e0a\u6301\u7d9a\u3059\u308b\u300d\u3082\u306e\u3068\u5b9a\u7fa9\u3057\u3066\u3044\u307e\u3059\u3002\uff08\u56f3\u306f\u539f\u6587\u3088\u308a\u3001\u8868\u306f\u539f\u6587\u3088\u308a\u6539\u5909\uff09<\/span><\/div>\n\n\n\n\n\n\n\n\n
<\/th>\n\u5b8c\u4e86\u8005\u306e\u307f<\/strong>
\nn = 120<\/strong><\/th>\n<\/tr>\n
\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong>
\nn (%)<\/strong><\/th>\n		1\u5e74<\/strong>
\nn (%)<\/strong><\/th>\n		2\u5e74<\/strong>
\nn (%)<\/strong><\/th>\n		5\u5e74<\/strong>n
\n(%)<\/th>\n<\/tr>\n<\/thead>\n
\u5bdb\u89e3: HbA1c < 6.5%\u30013\u304b\u6708\u4ee5\u4e0a\u306e\u8840\u7cd6\u964d\u4e0b\u7642\u6cd5\u306a\u3057<\/strong><\/td>\n0 (0.0)<\/td>\n31 (25.8)<\/td>\n33 (27.5)<\/td>\n24 (20.0)<\/td>\n<\/tr>\n
\u5b8c\u5168\u5bdb\u89e3:\u200b\u200b HbA1c < 5.7%\u30013\u304b\u6708\u4ee5\u4e0a\u306e\u8840\u7cd6\u964d\u4e0b\u7642\u6cd5\u306a\u3057<\/strong><\/td>\n0 (0.0)<\/td>\n16 (13.3)<\/td>\n17 (14.2)<\/td>\n8 (6.7)<\/td>\n<\/tr>\n
HbA1c < 6.5%\u3001\u8840\u7cd6\u964d\u4e0b\u7642\u6cd5\u306a\u3057\u3001\u307e\u305f\u306f\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u306e\u307f<\/strong><\/td>\n14 (11.7)<\/td>\n76 (64.4)<\/td>\n69 (58.5)<\/td>\n39 (32.5)<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n
\n
<\/div>\n<\/div>\n
\u30c7\u30fc\u30bf\u306e\u3042\u308b5\u5e74\u9593\u306e\u5b8c\u4e86\u8005\u306e\u3046\u306120\uff05\u304c\u7cd6\u5c3f\u75c5\u5bdb\u89e3\u306e\u56fd\u969b\u30b3\u30f3\u30bb\u30f3\u30b5\u30b9\u57fa\u6e96\u3092\u6e80\u305f\u3057\u307e\u3057\u305f\u3002\u5b8c\u4e86\u8005\u306e15.8\uff05\u3067\u306f3\u5e74\u9593\uff082\u5e74\u76ee\u304b\u30895\u5e74\u76ee\uff09\u306e\u5bdb\u89e3\u304c\u300112.5\uff05\u3067\u306f4\u5e74\u9593\uff081\u5e74\u76ee\u304b\u30895\u5e74\u76ee\uff09\u306e\u5bdb\u89e3\u304c\u89b3\u5bdf\u3055\u308c\u307e\u3057\u305f\u3002\u85ac\u7269\u7642\u6cd5\u306a\u3057\u307e\u305f\u306f\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u306e\u307f\u3067HbA1c < 6.5\uff05\u3078\u9006\u8ee2\u3057\u305f\u306e\u306f\u30015\u5e74\u9593\u306e\u5b8c\u4e86\u8005\u306e32.5\uff05\u3067\u3057\u305f\u30022\u5e74\u76ee\u306b\u5bdb\u89e3\u3057\u305f\u53c2\u52a0\u8005\u306e\u4e2d\u3067\u30015 \u5e74\u9593\u8ffd\u8de1\u8abf\u67fb\u3092\u53d7\u3051\u305f33\u4eba\u306e\u3046\u306119\u4eba\uff0857.6 %\uff09\u304c\u5bdb\u89e3\u3092\u7dad\u6301\u3057\u3066\u3044\u307e\u3057\u305f\u3002<\/div>\n
<\/div>\n
\"\"<\/a><\/div>\n

\u4e0a\u306e\u56f3\u306f2\u5e74\u76ee\u304b\u3089\u6301\u7d9a\u5bdb\u89e3\u3057\u3066\u3044\u305f\u4eba\uff08\u9752\uff09\u3068\u3001\u5bdb\u89e3\u3092\u7dad\u6301\u3067\u304d\u306a\u304b\u3063\u305f\u4eba\uff08\u9ed2\uff09\u306e\u8840\u4e2d\u306e\u30b1\u30c8\u30f3\u4f53\u3067\u3042\u308b\u03b2\u30d2\u30c9\u30ed\u30ad\u30b7\u916a\u9178\u306e\u63a8\u79fb\u3067\u3059\u3002\u5bdb\u89e3\u3092\u7dad\u6301\u3067\u304d\u3066\u3044\u305f\u4eba\u306e\u65b9\u304c\u7814\u7a76\u671f\u9593\u5168\u4f53\u3092\u901a\u3058\u3066\u5e73\u5747\u306e\u03b2\u30d2\u30c9\u30ed\u30ad\u30b7\u916a\u9178\u5024\u304c\u9ad8\u304f\u306a\u308b\u50be\u5411\u304c\u3042\u308a\u307e\u3057\u305f\u3002\u7cd6\u5c3f\u75c5\u671f\u9593\u304c\u77ed\u3044\u3053\u3068\u3001\u7a7a\u8179\u6642\u30a4\u30f3\u30b9\u30ea\u30f3\u5024\u304c\u4f4e\u3044\u3053\u3068\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u3067\u306e\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u306e\u52b9\u529b\u304c\u4f4e\u3044\u3053\u3068\u3001\u304a\u3088\u3073\u6cbb\u7642\u306e\u9075\u5b88\u3068\u6cbb\u7642\u3067\u9054\u6210\u3055\u308c\u305f\u4f53\u91cd\u6e1b\u5c11\u306e\u7a0b\u5ea6\u306f\u30015\u5e74\u9593\u306e\u5bdb\u89e3\u306b\u95a2\u9023\u3059\u308b\u8981\u56e0\u3067\u3057\u305f \u3002<\/p>\n

\"\"<\/a><\/p>\n

\"\"<\/a><\/p>\n

\u4e0a\u306e\u56f3\u306f1\u5e74\u304b\u30895\u5e74\u307e\u3067\u306e\u69d8\u3005\u306a\u30d1\u30e9\u30e1\u30fc\u30bf\u306e\u5e73\u5747\u5909\u5316\u3067\u3001A\u306fHbA1c\u3001B\u306f\u4f53\u91cd\u3001C\u304cLDL \u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3001D\u304c\u4e2d\u6027\u8102\u80aa\u3001E\u306fHDL \u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3001F\u304c\u30a2\u30dd\u30ea\u30dd\u30bf\u30f3\u30d1\u30af\u8ceaA-1\u3001G\u304chs CRP\u3001H\u306f\u767d\u8840\u7403\u3067\u3059\u3002<\/p>\n

5\u5e74\u5f8c\u3001\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u306f\u6e1b\u5c11\u3057\u305f\u3068\u3044\u3046\u72b6\u6cc1\u306b\u304a\u3044\u3066\u3082\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u304b\u3089HbA1c\u306e\u7d76\u5bfe\u50240.3\uff05\u6e1b\u5c11\u3001\u4f53\u91cd\u306f7.6\uff05\u6e1b\u5c11\u3001\u7a7a\u8179\u6642\u30a4\u30f3\u30b9\u30ea\u30f3\u306f30.6\uff05\u6e1b\u5c11\u3001HOMA-IR\u306f23.6\uff05\u6e1b\u5c11\u304c\u6301\u7d9a\u3057\u3066\u3044\u307e\u3057\u305f\u30025\u5e74\u9593\u6cbb\u7642\u3092\u5b8c\u4e86\u3057\u305f\u53c2\u52a0\u8005\u306e\u3046\u3061\u300161.3\uff05\u306839.5\uff05\u304c5\uff05\u306810\uff05\u306e\u4f53\u91cd\u6e1b\u5c11\u3092\u7dad\u6301\u3057\u307e\u3057\u305f\u3002<\/p>\n

\u305d\u3057\u3066\u3001\u4e0a\u306e\u56f3\u306f\u5bdb\u89e3\u3057\u305f\u4eba\u3082\u3057\u3066\u3044\u306a\u3044\u4eba\u3082\u5408\u308f\u305b\u305f\u56f3\u3067\u3059\u3002\u3069\u3046\u3057\u3066\u3082\u30015\u5e74\u9593\u306e\u9593\u306b\u5c11\u3057\u305a\u3064\u6570\u5024\u304c\u623b\u3063\u3066\u304d\u3066\u3057\u307e\u3063\u3066\u3044\u308b\u3088\u3046\u306b\u898b\u3048\u307e\u3059\u3002\u5bdb\u89e3\u3057\u305f\u4eba\u3068\u3057\u3066\u3044\u306a\u3044\u4eba\u3092\u5206\u3051\u3066\u307f\u308b\u3068\u3001\u6b21\u306e\u8868\u306e\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n\n
\u5909\u6570<\/strong><\/td>\n\u00a0<\/strong><\/td>\n\u5bdb\u89e3(n = 24)<\/strong><\/td>\n\u5bdb\u89e3\u3057\u3066\u3044\u306a\u3044(n = 96)<\/strong><\/td>\n\u30b0\u30eb\u30fc\u30d7\u9593\u5dee(p\u5024)<\/strong><\/td>\n<\/tr>\n
\u4f53\u91cd(kg)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n128.7 \u00b1 4.6<\/td>\n115.3 \u00b1 2.3<\/td>\n0.01<\/strong><\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n113.6\u00b14.6<\/td>\n106.3 \u00b1 2.3<\/td>\n0.16<\/td>\n<\/tr>\n
HbA1c(%)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n7.0 \u00b1 0.2<\/td>\n7.6 \u00b1 0.1<\/td>\n0.01<\/strong><\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n5.9 \u00b1 0.2<\/td>\n7.4 \u00b1 0.1<\/td>\n<0.001<\/strong><\/td>\n<\/tr>\n
\u7a7a\u8179\u6642\u8840\u7cd6\u5024 (mg\/dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n139.7 \u00b1 9.0<\/td>\n165.0 \u00b1 4.4<\/td>\n\u00a00.01<\/strong><\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n112.6 \u00b1 9.0<\/td>\n159.8\u00b1 4.4<\/td>\n\u00a0<0.001<\/strong><\/td>\n<\/tr>\n
\u7a7a\u8179\u6642\u30a4\u30f3\u30b9\u30ea\u30f3(mIU\/L)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n23.5 \u00b1 2.6<\/td>\n24.4 \u00b1 1.3<\/td>\n\u00a00.74<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n15.5 \u00b1 2.6<\/td>\n17.2 \u00b1 1.3<\/td>\n\u00a00.54<\/td>\n<\/tr>\n
HOMA-IR<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n7.9 \u00b1 0.9<\/td>\n8.3 \u00b1 0.4<\/td>\n\u00a00.70<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n4.5 \u00b1 0.9<\/td>\n6.8 \u00b1 0.4<\/td>\n\u00a00.01<\/strong><\/td>\n<\/tr>\n
\u7dcf\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb(mg \/ dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n177.4 \u00b1 8.6<\/td>\n184.2\u00b14.2<\/td>\n0.48<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n191.3 \u00b1 8.4<\/td>\n178.8 \u00b1 4.1<\/td>\n0.19<\/td>\n<\/tr>\n
LDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb(mg \/ dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n101.3 \u00b1 7.7<\/td>\n107.1 \u00b1 3.8<\/td>\n0.50<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n115.4 \u00b1 7.6<\/td>\n99.9 \u00b1 3.7<\/td>\n0.07<\/td>\n<\/tr>\n
HDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb(mg \/ dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n47.0 \u00b1 2.7<\/td>\n41.9 \u00b1 1.3<\/td>\n0.10<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n56.5 \u00b1 2.7<\/td>\n49.0 \u00b1 1.3<\/td>\n0.01<\/strong><\/td>\n<\/tr>\n
\u975eHDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb(mg \/ dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n130.4 \u00b1 8.4<\/td>\n142.3 \u00b1 4.1<\/td>\n0.20<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n134.8 \u00b1 8.2<\/td>\n129.9 \u00b1 4.0<\/td>\n0.59<\/td>\n<\/tr>\n
\u4e2d\u6027\u8102\u80aa(mg \/ dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n164.4 \u00b1 17.4<\/td>\n189.1 \u00b1 8.5<\/td>\n0.21<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n107.9 \u00b1 17.0<\/td>\n169.8 \u00b1 8.3<\/td>\n0.001<\/strong><\/td>\n<\/tr>\n
\u7dcfApoA1(mg \/ dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n155.2 \u00b1 6.1<\/td>\n145.8 \u00b1 3.0<\/td>\n0.17<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n160.8 \u00b1 6.1<\/td>\n151.9 \u00b1 3.0<\/td>\n0.20<\/td>\n<\/tr>\n
\u7dcfApoB(mg \/ dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n100.4 \u00b1 5.8<\/td>\n104.4 \u00b1 2.8<\/td>\n0.54<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n102.9 \u00b1 5.8<\/td>\n101.2 \u00b1 2.8<\/td>\n0.79<\/td>\n<\/tr>\n
ALT(U \/ L)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n30.6 \u00b1 2.4<\/td>\n26.7 \u00b1 1.2<\/td>\n0.15<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n22.4 \u00b1 2.4<\/td>\n29.3 \u00b1 1.2<\/td>\n0.01<\/strong><\/td>\n<\/tr>\n
AST (U\/L)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n23.0 \u00b1 1.8<\/td>\n21.3 \u00b1 0.8<\/td>\n0.38<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n20.2\u00b1 1.7<\/td>\n23.4 \u00b1 0.8<\/td>\n0.10<\/td>\n<\/tr>\n
\u30a2\u30eb\u30ab\u30ea\u30db\u30b9\u30d5\u30a1\u30bf\u30fc\u30bc(U \/ L)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n75.3 \u00b1 4.1<\/td>\n72.9 \u00b1 2.0<\/td>\n0.61<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n72.1 \u00b1 4.1<\/td>\n81.3 \u00b1 2.0<\/td>\n0.05<\/td>\n<\/tr>\n
\u30d3\u30ea\u30eb\u30d3\u30f3(mg \/ dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n0.58 \u00b1 0.05<\/td>\n0.57 \u00b1 0.03<\/td>\n0.90<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n0.44 \u00b1 0.05<\/td>\n0.47 \u00b1 0.03<\/td>\n0.59<\/td>\n<\/tr>\n
BUN(mg \/ dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n14.9 \u00b1 1.1<\/td>\n17.2 \u00b1 0.5<\/td>\n0.05<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n15.6 \u00b1 1.1<\/td>\n17.4 \u00b1 0.5<\/td>\n0.15<\/td>\n<\/tr>\n
\u30af\u30ec\u30a2\u30c1\u30cb\u30f3 (mg\/dL)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n0.83 \u00b1 0.04<\/td>\n0.89\u00b10.02<\/td>\n0.24<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n0.83 \u00b1 0.04<\/td>\n0.87\u00b10.02<\/td>\n0.32<\/td>\n<\/tr>\n
eGFR(mL\/\u5206\/1.73m2)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n93.3 \u00b1 3.1<\/td>\n89.1 \u00b1 1.5<\/td>\n0.23<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n91.7 \u00b1 3.1<\/td>\n86.6 \u00b1 1.5<\/td>\n0.14<\/td>\n<\/tr>\n
hs CRP (nmol\/L)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n7.3 \u00b1 1.3<\/td>\n7.6 \u00b1 0.6<\/td>\n0.87<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n3.3 \u00b1 1.4<\/td>\n4.5 \u00b1 0.6<\/td>\n0.42<\/td>\n<\/tr>\n
\u767d\u8840\u7403(k\/cummm)<\/strong><\/td>\n\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3<\/strong><\/td>\n7.0 \u00b1 0.4<\/td>\n7.1 \u00b1 0.2<\/td>\n0.82<\/td>\n<\/tr>\n
5\u5e74\u9593<\/strong><\/td>\n5.4 \u00b1 0.4<\/td>\n6.6 \u00b1 0.2<\/td>\n0.004<\/strong><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

5\u5e74\u76ee\u306b\u5bdb\u89e3\u306b\u81f3\u3089\u306a\u304b\u3063\u305f\u4eba\u306f\u3001\u7cd6\u5c3f\u75c5\u85ac\u306e\u4f7f\u7528\u91cf\u3092\u6e1b\u3089\u3057\u3066\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u7dad\u6301\u3057\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u3001\u708e\u75c7\u3001\u5fc3\u8840\u7ba1\u30ea\u30b9\u30af\u306e\u30de\u30fc\u30ab\u30fc\u306e\u6539\u5584\u3068\u540c\u6642\u306b7.8%\u306e\u4f53\u91cd\u6e1b\u5c11\u3092\u7dad\u6301\u3057\u307e\u3057\u305f\u3002\u3057\u304b\u3057\u3001\u5bdb\u89e3\u3057\u305f\u4eba\u306e\u65b9\u304c\u5f53\u7136\u6539\u5584\u306f\u5927\u304d\u304f\u3001\u4f53\u91cd\u306f11.7\uff05\u6e1b\u5c11\u3057\u3066\u3044\u307e\u3057\u305f\u3002HbA1c\u30821.1\uff05\u6e1b\u5c11\u3057\u3001\u7a7a\u8179\u6642\u8840\u7cd6\u5024\u3084HOMA-IR\u3082\u5927\u304d\u304f\u4f4e\u4e0b\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u5bdb\u89e3\u3057\u305f\u4eba\u306e\u65b9\u304cLDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3084HDL\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u306f\u5897\u52a0\u3057\u3001\u4e2d\u6027\u8102\u80aa\u306f\u4f4e\u4e0b\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u809d\u6a5f\u80fd\u306e\u6539\u5584\u3082\u5927\u304d\u304f\u306a\u3063\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n

\"\"<\/a><\/p>\n

\u4e0a\u306e\u56f3\u306f\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u306e\u7a2e\u985e\u5225\u306b\u898b\u305f\u85ac\u5264\u6295\u4e0e\u91cf\u3068\u4f7f\u7528\u983b\u5ea6\u306e\u5909\u5316\u3067\u3059\u3002\u51e1\u4f8b\u306f\u4e0a\u304b\u3089\u65b0\u898f\u8ffd\u52a0\u3001\u5897\u52a0\u3001\u4e0d\u5909\u3001\u6e1b\u91cf\u3001\u4e2d\u6b62\u3067\u3059\u3002\u85ac\u306e\u7a2e\u985e\u306f\u5de6\u304b\u3089\u30b9\u30eb\u30db\u30cb\u30eb\u30a6\u30ec\u30a2\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u3001SGLT-2\u963b\u5bb3\u85ac\u3001\u30c1\u30a2\u30be\u30ea\u30b8\u30f3\u85ac\u3001DPP-4\u963b\u5bb3\u85ac\u3001GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u3001\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u3067\u3059\u3002\u975e\u5e38\u306b\u591a\u304f\u306e\u85ac\u304c\u4e2d\u6b62\u3055\u308c\u3066\u3044\u308b\u306e\u304c\u308f\u304b\u308a\u307e\u3059\u3002\u6d41\u884c\u308a\u306eGLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u304c\u65b0\u898f\u3067\u8ffd\u52a0\u3055\u308c\u305f\u306e\u304c\u591a\u3044\u3067\u3059\u304c\u3001\u305d\u308c\u4ee5\u5916\u3067\u306f\u65b0\u898f\u8ffd\u52a0\u306f\u5c11\u306a\u3044\u3067\u3059\u3002<\/p>\n

\u5168\u4f53\u3068\u3057\u3066\u3001\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u3092\u670d\u7528\u3057\u3066\u3044\u308b\u5272\u5408\u306f\u3001\u30d9\u30fc\u30b9\u30e9\u30a4\u30f3\u304b\u30895\u5e74\u306785.2% \u304b\u308971.3% \u306b\u5927\u5e45\u306b\u6e1b\u5c11\u3057\u307e\u3057\u305f\u3002\u4e00\u65b9\u3001\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u4ee5\u5916\u306e\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u3092\u670d\u7528\u3057\u3066\u3044\u308b\u5272\u5408\u308255.7% \u304b\u308932.8% \u306b\u5927\u5e45\u306b\u6e1b\u5c11\u3057\u307e\u3057\u305f\u3002\u3053\u308c\u3089\u306e\u5927\u304d\u306a\u5909\u5316\u306f\u3001\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u306f27.0% \u304b\u30894.9%\u306b\u306a\u308a\u3001SGLT2\u963b\u5bb3\u85ac\u306f10.7%\u304b\u30892.5%\u306b\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u306f26.2%\u304b\u308913.1 %\u306b\u306a\u308a\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u4eba\u3067\u3082\u305d\u306e\u6295\u4e0e\u91cf\u306f\u5927\u5e45\u306b\u6e1b\u91cf\u3057\u307e\u3057\u305f\u3002<\/p>\n

\u5b9f\u969b\u306e\u3068\u3053\u308d\u3001\u3082\u3046\u5c11\u3057\u826f\u3044\u7d50\u679c\u3092\u671f\u5f85\u3057\u3066\u3044\u307e\u3057\u305f\u306e\u3067\u3001\u6b8b\u5ff5\u306a\u5370\u8c61\u3067\u3059\u3002\u4f53\u91cd\u304c120kg\u524d\u5f8c\u306e\u4eba\u304c5\u5e74\u9593\u306710\uff5e15kg\u3057\u304b\u4f53\u91cd\u304c\u6e1b\u3063\u3066\u3044\u307e\u305b\u3093\u3002\u3082\u3061\u308d\u3093\u305d\u308c\u3067\u308210\uff05\u524d\u5f8c\u306e\u4f53\u91cd\u6e1b\u5c11\u3067\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u3082\u3046\u5c11\u3057\u6e1b\u91cf\u3067\u304d\u305f\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u601d\u3044\u307e\u3059\u3002\u30b1\u30c8\u30f3\u4f53\u306f\u51fa\u3066\u3044\u308b\u306e\u3067\u3001\u3042\u308b\u7a0b\u5ea6\u3061\u3083\u3093\u3068\u7cd6\u8cea\u5236\u9650\u3092\u3057\u3066\u3044\u305f\u3068\u306f\u601d\u3044\u307e\u3059\u304c\u3001\u6e2c\u5b9a\u306e\u524d\u3060\u3051\u3057\u3063\u304b\u308a\u3084\u3063\u3066\u3001\u305d\u308c\u4ee5\u5916\u306f\u3061\u3087\u3063\u3068\u7de9\u3081\u3066\u3044\u305f\u306e\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u30b1\u30c8\u30f3\u4f53\u306e\u6570\u5024\u304c\u5bdb\u89e3\u3092\u7dad\u6301\u3067\u304d\u305f\u4eba\u306e\u65b9\u304c\u3001\u7dad\u6301\u3067\u304d\u306a\u304b\u3063\u305f\u4eba\u3088\u308a\u3082\u9ad8\u3044\u3053\u3068\u304c\u305d\u308c\u3092\u793a\u5506\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

\u305d\u308c\u306b\u3057\u3066\u3082\u30015\u5e74\u9593\u306720\uff05\u306e\u4eba\u304c\u5bdb\u89e3\u3057\u30016.7\uff05\u306e\u4eba\u304c\u5b8c\u5168\u5bdb\u89e3\u3068\u3044\u3046\u306e\u306f\u3053\u308c\u307e\u3067\u306e\u7814\u7a76\u304b\u3089\u8003\u3048\u308b\u3068\u3001\u3082\u306e\u3059\u3054\u304f\u3044\u3044\u6570\u5b57\u3067\u3057\u3087\u3046\u3002\u305d\u3057\u3066\u3001\u3053\u308c\u3060\u3051\u306e\u85ac\u306e\u4e2d\u6b62\u3084\u6e1b\u91cf\u304c\u3067\u304d\u308b\u306e\u3082\u7d20\u6674\u3089\u3057\u3044\u7d50\u679c\u3067\u3057\u3087\u3046\u3002<\/p>\n

\u5bdb\u89e3\u3067\u304d\u305f\u4eba\u3068\u3067\u304d\u306a\u304b\u3063\u305f\u4eba\u306e\u9055\u3044\u304c\u30e1\u30ab\u30cb\u30ba\u30e0\u7684\u306b\u3069\u3053\u306b\u3042\u308b\u306e\u304b\u3001\u305f\u3060\u5358\u306b\u7cd6\u8cea\u6442\u53d6\u91cf\u3060\u3051\u306a\u306e\u304b\u3001\u305d\u308c\u3068\u3082\u9577\u5e74\u306e\u4ee3\u8b1d\u969c\u5bb3\u304c\u7d9a\u3044\u305f\u3053\u3068\u3067\u3001\u5bdb\u89e3\u3067\u304d\u306a\u3044\u4eba\u3067\u306f\u4e0d\u53ef\u9006\u7684\u306a\u5909\u5316\u304c\u8d77\u304d\u3066\u3044\u308b\u306e\u304b\u3001\u307e\u3060\u308f\u304b\u3089\u306a\u3044\u3053\u3068\u306f\u591a\u3044\u3067\u3059\u3002<\/p>\n

\u5bdb\u89e3\u3057\u305f\u4eba\u3067\u3082\u3001\u4f4e\u4e0b\u3057\u305f\u3068\u306f\u3044\u3048\u3001\u307e\u3060\u307e\u3060\u7a7a\u8179\u6642\u30a4\u30f3\u30b9\u30ea\u30f3\u5024\u3082HOMA-IR\u3082\u9ad8\u3044\u3067\u3059\u3002\u7a7a\u8179\u6642\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u304c15\u3082\u3042\u308c\u3070\u3001\u7a7a\u8179\u6642\u3067\u3082\u306a\u304b\u306a\u304b\u8102\u80aa\u304c\u30a8\u30cd\u30eb\u30ae\u30fc\u306b\u306a\u308a\u306b\u304f\u3044\u72b6\u614b\u3067\u3057\u3087\u3046\u304b\u3089\u3001\u4f53\u91cd\u6e1b\u5c11\u91cf\u3082\u5c11\u306a\u3044\u306e\u3067\u3057\u3087\u3046\u3002\u53c2\u52a0\u8005\u304c\u904b\u52d5\u3092\u884c\u3063\u3066\u3044\u305f\u304b\u3069\u3046\u304b\u304c\u308f\u304b\u308a\u307e\u305b\u3093\u304c\u3001\u904b\u52d5\u306b\u3088\u3063\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u611f\u53d7\u6027\u3092\u4e0a\u3052\u308b\u3068\u3001\u3082\u3046\u5c11\u3057\u9055\u3044\u304c\u51fa\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002<\/p>\n

\u3044\u305a\u308c\u306b\u3057\u3066\u3082\u3001\u3053\u3053\u307e\u3067\u306e\u6210\u7e3e\u306f\u3001\u7cd6\u5c3f\u75c5\u306e\u6a19\u6e96\u6cbb\u7642\u3067\u306f\u3067\u304d\u307e\u305b\u3093\u3057\u3001\u7cd6\u5c3f\u75c5\u306e\u98df\u4e8b\u7642\u6cd5\u306e\u30a8\u30cd\u30eb\u30ae\u30fc\uff08\u30ab\u30ed\u30ea\u30fc\uff09\u5236\u9650\u3067\u3082\u96e3\u3057\u3044\u3067\u3057\u3087\u3046\u3002\u305d\u3057\u30665\u5e74\u9593\u3082\u7d9a\u3051\u3089\u308c\u308b\u98df\u4e8b\u3067\u3042\u308a\u3001\u30a8\u30cd\u30eb\u30ae\u30fc\u5236\u9650\u3067\u306f\u305d\u3053\u307e\u3067\u7d9a\u3051\u3089\u308c\u306a\u3044\u3067\u3057\u3087\u3046\u3002\u3082\u3061\u308d\u3093\u3001\u7cd6\u8cea\u5236\u9650\u306f\u4e00\u751f\u7d9a\u3051\u3089\u308c\u307e\u3059\u3051\u3069\u3002<\/p>\n

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\u300c5-Year effects of a novel continuous remote care model with carbohydrate-restricted nutrition therapy including nutritional ketosis in type 2 diabetes: An extension study\u300d<\/span><\/p>\n

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