糖尿病

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  • Diabetes mellitus
  • トウニョウビョウ

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Diabetic mortality rate in Tokushima Prefecture have been at the top on all prefectures of Japan for these９years. The surveillance of health and nutrition in Tokushima showed that the number of fatty or over-weighted people is higher, and that Tokushima people do not exercise enough. Even though, the estimated numbers of diabetic patients or candidate patients are almost the average of Japanese. The characteristics of people in Tokushima are reported that A. the number of people who are examined for diabetes is smaller, B. the number of people who are suspected to be diabetes and take further examination in clinic is smaller, C. the number of patients who continue to visit clinic and to take care is smaller, D, the number of patients who do not change the bad life style is larger, and that E, the number of patients who have diabetic complications is larger compared to the Japanese average. A to E could explain the high mortality rate. Cardiac stroke is most important cause of diabetic patient’s death. To prevent from cardiac stroke, not only the glucose control in diabetic patients but also the interference to life style of impaired glucose tolerance is important. To find IGT, glucose tolerance test should be tried to those whose fasting glucose levels and HbA１c are in reference range. I propose to organize a new surveillance of health, nutrition and diabetic treatment which is reliable stastically and scientifically. It is essential to decrease diabetic mortality rate in Tokushima and promote people’s good quality of life. I anticipate the collaboration of Tokushima prefecture, medical doctors, co-medical workers and patients.

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