新潟大学医学部付属病院における血糖コントロールの実態調査 : HbA1cによる断面調査

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Purpose : We investigated the level of HbA1c for diabetes mellitus in Niigata University Hospital. Methods : We monitored 3,885 eligible subjects for one year culminating in December 2000,patients who were diagnosed or suspected of having contracted diabetes mellitus at Niigata University Hospital, and were measured HbA1c. patients, whose HbA1c was 6.5% or lower, were defined as having a good rate of control. Results : The ratio of the patients, who belonged to the group designated as having good control, was 71%. Particularly, the best control group was the obstetrics division (n=102,94%), the next best control group was the dermatology division (n=153,93%), and the third best control group was the neurology division (n=322,92%). The first division of internal medicine (n=1,460; 37.6%), second division of internal medicine (n=798; 20.5%), and ophthalmology division (n=126; 3.2%) include the diabetic division. And the rate of patients in each division, who belong to the good control group was 61%, 65% and 50%, respectively. The ophthalmology division group had significantly worse HbA1c than the first and second division of internal medicine's group, respectively (P<0.01,P<0.01). The older the age is, the worse the rate of the patients, who belong to the good control group, being (P<0.001). Females have a significantly better rate than that of males (P<0.05). Inpatients have a significantly better rate of that than of outpatients (P<0.001). Conclusion : Recently, we are able to utilize the database in the hospital information system, therefore epidemiologic studies can be performed more effectively. This time, we investigated diabetics in our hospital and how they control their plasma glucose. The different HbA1c levels among divisions would reflect of their different clinical backgrounds.
2002-04-10

新潟大学医学部付属病院における血糖コントロールの実態調査 : HbA1cによる断面調査

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