Causes of Death in Diabetics
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概要
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The causes of death in diabetic patients were studied with regard to the age, known duration of diabetes, complication and treatment.<BR>During 10 years from 1961 to 1970, 510 patients with primary diabetes had been admitted to the First Department of Internal Medicine, Kanazawa University Hospital. Among them, 31 had died during their stay in the hospital, 15 of whom had been autopsied. The remaining 479 patients were followed up using the questionnaire, and 36 of them were known to be dead after they had been discharged from the hospital. Of these 67 patients who died, 50 were males and 17 females. The causes of the death were determined based on the autopsy finding, clinical evidence, or both. Sudden death without any evidence of involvements of other systems was judged to be the cardiac death.<BR>Results are summarized as follows:<BR>1) The leading causes of death were cardiac disease (14 cases; 21%), neoplasm (12; 18%) and diabetic nephropathy (11; 16%), followed by liver disease (7; 10%) and cerebrovascular accident (5; 8%); of 5 cerebrovascular accident, 4 were cerebral thrombosis. Therefore, the deaths from the cardiovascular disease including cardiac disease, nephropathy and cerebrovascular accident made up about a half (45%) of deaths among the diabetics.<BR>2) The deaths from cardiac disease and cerebrovascular accident occurred only in patients with adult type diabetes and none in those with juvenile type.<BR>3) The death from diabetic nephropathy was more frequently observed among the diabetics with juvenile onset, compaired with those with adult onset.<BR>4) The deaths from neoplasm occurred in patients after fifty were one years of age. These neoplasms included 4 gastric, 3 pulmonary, 2 pancreatic cancers and 1 each of hepatic, biliary and metastatic pleural cancer.<BR>5) Most of the patients with long diabetic history died of neoplasm or cerebrovascular accident.<BR>6) There was no significant difference in the frequency of complications, such as hypertension, diabetic nephropathy, retinopathy and neuropathy, between each group of the death cause.<BR>7) The use of oral hypoglycemic agents or insulin did not appear to be related to the cause of death.
- 一般社団法人 日本糖尿病学会の論文
一般社団法人 日本糖尿病学会 | 論文
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