Trial for the Standardization of Diabetes Treatment With the Kagoshima Method and Preparation of "SDM-customized Kagoshima"

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  • Koriyama Nobuyuki
    Department of Diabetes and Endocrine Medicine Department of Diabetes and Endocrine Medicine, National Hospital Organization Kagoshima Medical Center
  • Kamada Tetsuro
    Department of Diabetes and Endocrine Medicine Diabetes Center, Idzuro-Imamura Hospital
  • Deguchi Takahisa
    Department of Diabetes and Endocrine Medicine Department of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Science
  • Nishio Yoshihiko
    Department of Diabetes and Endocrine Medicine Department of Diabetes and Endocrine Medicine, Kagoshima University Graduate School of Medical and Dental Science

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  • 鹿児島方式による糖尿病治療の標準化の試みと『SDMカスタマイズド鹿児島』の作成

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<p>Diabetes treatment is part of primary medical care, and standardized treatment is not only useful for general practitioners (GPs) but also important for cooperative patient care with diabetologist (DTs). The Diabetes Measures Promotion Council in Kagoshima performed five consecutive seminars for GPs and their staff concerning standardized diabetes treatment in four different secondary medical areas of Kagoshima Prefecture, Japan. We assessed the outcome of the seminars based on the change in average HbA1c levels in two areas and a questionnaire administered to the participants. The effectiveness of the seminars was not proven based on the changes in HbA1c values due to methodological limitations. However, many participants stated that a flowchart concerning the standardized use of oral hypoglycemics, namely the "SDM customized Kagoshima" presented in the seminars, played a major role in the improvement of. This flowchart has been revised several times to address problems in diabetes care in Kagoshima Prefecture and is now used to facilitate cooperative patient care between GPs and diabetologist in Kagoshima City.</p>

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