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안유헌 한양대학교 의과대학 1997 한양의대 학술지 Vol.17 No.1
Diabetes mellitus is one of the major causes of morbidity and mortality in Korea. Recent advances in understanding the pathogenesis of the various types of diabetes mellitus and the mechanisms by which complications occur permit us to more effectively provide preventive and restorative strategy. The ideal management of an individual with diabetes would provide for the following; Ⅰ) no symptoms attributable to diabetes, ⅱ) prevention of acute complications, ⅲ) prevention of microvascular, neuropathic, and macrovascular disease and iv) life expectancy equal to nondiabetic individuals. Ideal management is currently unattainable, but we do strive to achieve management goals that provide for minimal morbidity and mortality for all diabetic patients. This review incorporates the advances that are germaine to treatment. This review also focuses on the treatment of problems that are of importance in the management of patients with diabetes mellitus.
안유헌 한양대학교 의과대학 2002 한양의대 학술지 Vol.22 No.2
Stress is a potential conrtibutor to chronic hyperglycemia in diabetes. The experience of stress is associated with the release of counter-regulatory hormones and energy mobilization, often resulting in elevated glucose levels. In diabetes, as a result of the relative or absolute lack of insulin, stress-induced increases in glucose cannot be metabolized properly. Furthermore, regulation of these stress hormones may be abnormal in diabetes. Stress management training includes progressive muscle relaxation, biofeedback, mental imagery, diaphragmatic breathing, and instructions on how to modify the physiologic cognitive and behavioral responses to stress. Therefore, Stress management can result in clinically significant benefits for patients with diabetes.