再び糖尿病の統計について:殊に老人性 (初老後) 糖尿病の観点より

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We had reported the statistic observation on diabetes mellitus of the period 1946 to 1955. This time, we report the same observation especially from the view point of senile diabetes mellitus adding the cases till 1957. 1) Chronological order of percentage of diabetic onset were 50-59 years old, 40-49 years old, 60-69 years old, 30-39 years old, 20-29 years old, over 70 years old and 10-19 years old. 2) Diabetic subjective symptoms, such as thirst, polyuria, exhaustion of whole body, emaceration and polyphagia were decreased at the aged men over 40 years old. 3) Order of the diabetic complication were hypertension (28.0%), disease of the kidney (14.0%), arteriosclerosis (10.5%), tuberculosis (9.0%), disease of the liver and billiary duct (7.3%), and diabetic coma (1.6%). 4) Hypertension, arteriosclerosis and disease of kidney were increasing at the aged men, but tuberculosis, disease of liver and so on were not changed. 5) Obesity was found in 29.4% in all diabetics, and over 40 years old in 33.9%. 6) Fasted blood sugar level of the juvenile diabetes were generally higher than that of aged men over 40 years old. Amount of daily urinal sugar discharge, the same inclination was observed. 7) Acetonuria were observed 9 cases (2.9%) in 314 cases, and as chronological, more cases in juvenile diabetes than aged. 8) Sugar discharge level of the kidney had increasing tendency compared with healthy men generally, and over 190mg/dl were 47 in 124 cases. 9) So called narrow meaning latente diabetes mellitus which did not show the glycosuria were 6.6% in our observation, and all of them arised after 40 years old ; blood sugar level were comparatively low and blood sugar level of 120mg/dl to 150mg/dl were 42.8%. Order of subjective symptoms were thrist, polyphagia, exhaustion of whole body, feeling of itch, disturbance of vision and emaceration. But patients who did not complain of such subjective symptoms were 19.0%. 10) So called wide meaning latente diabetes mellitus (Tateishi) which had no such symptoms as diabetes mellitus itself, and found out accidentaly by doctor or diagnosed as diabetes by senile symptoms or changings, were 46 cases in 314 cases, and such cases showed remarkable increareasing tendecny in over 40 years old. Blood sugar level and urinal glucose. quantity were comparatively low (under 200mg/dl, 80.49%, under 40g/day, 76.1%). Order of chief complains in such patients were exhaustion of whole body, neuralgia, heavy feeling of head, disturbance of vision, feeling of itch, harding of shoulder, palpitation, fruncle, vulvitis and so on. But the patients who visited our clinic complaing only glycosuria were 27 cases of 46 latente diabetic patients. 11) Hypertension as diabetic complication was 28.0% and its chronological order were 50-59 years old, 60-69 years old, and over 70 years old. 12) Albuminuria as diabetic complication were 40 cases in 314 cases (12.7%) and it arised after 30 years old, then got maximum at 60-69 years old as 17.1%. 13) Among 55 cases of the senile diabetic patients over 40 years old, 20% of hyperthyroidism, 17.3% of hypophysis-adrenal hyperfunction and 18.2% which considered to sexual hypofunction Were observed. Our thanks are due to late Prof. S. Tateishi who had passed away on the 6 of May 1958 for his advice in the preparation of this paper and his help during our statistic work.
日本内分泌学会の論文

再び糖尿病の統計について:殊に老人性 (初老後) 糖尿病の観点より

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