당뇨캠프에 참석한 당뇨병환아의 자기간호수행에 관한 조사연구

한경자,최명애,강창희,구미옥 서울대학교 간호대학 간호과학연구소 1995 간호학 논문집 Vol.9 No.1

The purpose of this study was to identify the degrees of performing self-care activities, knowledge about juvenile diabetes mellitus and symptom experience, and to investigate the performance of self-care activities by general characteristics, knowledge, symptom experience. The ultimate aim was to provide a basic data in developing nursing intervention for the children with diabetes mellitus. The subjects of this study were 42 juvenile diabetic children aged between 8 and 18 who had participated in a diabetes mellitus camp for diabetic children from July 7 to 10,1990. The subjects filled out questionnaires with knowledge about diabetes mellitus, symptom experience of diabetes mellitus, performance of self-care activities during the last 2 days of the camp. Four nursing students who had experienced with nursing care of diabetic children explained the content of the questionnaires ot the subjects. The results were as follows: 1. Mean score of performing self-care activities was 52.95, that of self-care about diet 15.68, that of self-care about blood glucose control 25.69, and that of self-care about general care 11.59. That is, 75.6% of the subjects performed self-care activities, 62.7% self-care about diet, 85.6% self-care about blood glucose control, and 77.3% self-care about general care. 2. Fifteen subjects (65.7%)scored 12 to 14, 10(23.8%) scored 10 to 11,and 7(16.7%) scored 7 to 9 in the total of 14 questions of the knowledge of diabetes mellitus. Mean score of it was 0.79 on a 0-1 point scale. 3. Of the subjects, 22 (52,4%) experienced 4 to 6 symptoms, 14 subjects 1 to 3 symptoms, and the rest 7 to 9 symptoms. Twenty-five subjects (59.5%) had no complication of diabetes mellitus, while 9(21.4%) experienced 1 complication. 4. Mean score of performing self-care about diet in diabetic children aged between 8 and 12 was significantly higher than that of those aged between 13 and 18 (P=0.0026). 5. Mean score of performing self-care about diet in primary school children was significantly greater than that of high school adolescents(P=0.003). 6. There was no significant difference in performing self-care activities, self-care activities about diet, blood glucose control, and general care by gender, religion, duration of illness, experience of hospitalization, number of participation of diabetes mellitus camp, and family history of diabetes mellitus. 7. No significant difference was observed in performing self-care activities and self-care activities about diet, blood glucose control and general care by the level of knowledge about diabetes mellitus. 8. There was no significant difference in performing self-care activities, self-care activities about diet, blood glucose control, and general care by the degree of symptom experience. These results suggest that the age is an important variable in self-care activities of diabetic children. Nursing intervention might be essential to reinforce the self-care activities for high school adolescents and to maintain the self-care activities for primary school children. And the content of existing diabetes mellitus camp program may be revised or added by the age in order to promote the practice of self-care activities of diabetic children.

당뇨병 환자에서의 사망원인에 관한 고찰

김병준,우정택,김성운,양인명,김진우,김영설,최영길 경희대학교 1997 慶熙醫學 Vol.13 No.4

우리나라 임상간호사의 당뇨병 지식 및 지식 확산도 조사연구

홍명희,유주화,김순애,이정림,노나리,박정은,구미옥 병원간호사회 2009 임상간호연구 Vol.15 No.3

Purpose: In order to increase the quality of nursing care for patients with diabetes mellitus, it is important for clinical nurses to accept changes in diabetes knowledge and correct their approach immediately. This approach will also contribute to effective nursing practice. Methods: The study was designed to investigate the level of knowledge and diffusion of knowledge for nursing care of patients with diabetes mellitus among clinical nurses. It was conducted with nurses from 29 general hospitals in Korea from November 3 to December 5, 2008. The questionnaire consisted of 129 items and it was sent to the participants by mail. Of the 1,060 questionnaires returned, only 930 were valid for use in the statistical analysis. Results: 1) The average score for clinical nurses' knowledge of diabetes mellitus was 0.67 out of 1.0. 2) The level of persuasion of knowledge for nursing care of patients with diabetes mellitus averaged 0.64 out of 1.0 3) The level of practical application of knowledge for nursing care of patients with diabetes mellitus averaged 1.05 out of 2.0, indicating that they applied their knowledge sometimes . 4) The level of diffusion of knowledge for nursing care of patients with diabetes mellitus was 2.37 out of 4.0 and level was estimated as the stage of persuasion . 5) There were significant differences in nursing knowledge of diabetes mellitus, according to experience in practical education for diabetes mellitus. Conclusion: The results indicate that nurses with a lower level of knowledge of diabetes mellitus have a lower level of persuasion of knowledge for nursing care of patients with diabetes mellitus and lower practical application. To improve the level of nurses' knowledge of diabetes mellitus, practical training programs are needed for areas in which knowledge level is low, such as diagnosis and management of diabetes mellitus , oral diabetes medication , and glucose control in special conditions .

당뇨병 환자의 건강정보이해능력과 복약 순응도 및 자가 관리와의 관계

윤수지 ( Yoon Suji ) 이화간호과학연구소 2017 Health & Nursing Vol.29 No.1

Purpose: This study was to identify the relationships of health literacy, medication adherence and self-care performance for patients with diabetes mellitus. Method: 110 Patients with diabetes mellitus were recruited from one hospital in Seoul, using Korean Health Literacy Assessment Tool for health literacy, Korean version of Morisky Medication Adherence Scale for medication adherence, and Korean version of Summary of Diabetes Self-Care Activities Questionnaire for self-care performance. The collected data were analyzed using SPSS version 22.0 the mean, standard deviation, t-test, ANOVA, Scheffe test, and multiple linear regression. Results: Other medical history of chronic disease(B=2.085, p<.05), time since diabetes mellitus diagnosis(B=-.631, p<.001), complications associated with diabetes mellitus(B=-3.119, p<.05), and health literacy(B=1.132, p<.01), each found to affect self-care performance and time sincce diabetes mellitus has the largest effect (B=-.631, p<.001). Model`s R<sup>2</sup> is 0.592. Conclusion: Self care performance of patients with diabetes mellitus was affected by other medical history of chronic disease, diabetes mellitus diagnosis duration, complications associated with diabetes mellitus and health literacy. Among these factors, diabetes mellitus diagnosis duration had the largest effect. Therefore, to improve diabetes mellitus patients`s self-care performance, an integrative approach should be pursued considering patient`s diabetes mellitus diagnosis duration, complications associated with diabetes mellitus and health literacy.

Osteoporosis and Fracture among Patients with Type 1 and Type 2 Diabetes

홍서유,박은주 대한골다공증학회 2010 Osteoporosis and Sarcopenia Vol.8 No.1

Diabetes mellitus is a major risk factor for osteoporotic fractures. The occurrence of Osteoporosis among patients who have diabetes mellitus further increases both economically and physically their burden of disease. Nevertheless, osteoporotic screening or prophylactic treatment for all patients with type 1 and type 2 diabetes mellitus is not being recommended at present. The reason is that neither the relationship between diabetes and osteoporosis and nor differences between type 1 and type 2 diabetes mellitus are clear. At present, while low bone mineral density (BMD) is consistently observed in type 1 diabetes mellitus, the relationship is less clear for type 2 diabetes mellitus, with some studies reporting modestly increased or an unchanged BMD. Both type 1 and type 2 diabetes mellitus have been associated with a higher risk of fractures. The presence of micro- and macro-vascular diabetic complications as a result of long standing poor glycemic control, rather than long duration predict low BMD in patients with type 1 diabetes mellitus. In type 2 diabetes mellitus patients, obesity protects bone loss and increases BMD. Nevertheless, hypoglycemic episodes under insulin therapy with commonly established risk factors of falls such as advanced age, impaired balance, a history of coronary heart disease or arthritis and peripheral neuropathy may have contributed to the increased risk for falls and result in fractures. We suggest that osteoporosis screening and prophylactic treatment for all patients with type 1 and 2 diabetes mellitus needs to be recommended along with considerations of each individual’s risk profile for osteoporotic fractures.

Diabetes Fact Sheet in Korea 2021

배재현,한경도,고승현,양예슬,최종한,최경묵,권혁상,원규장 대한당뇨병학회 2022 Diabetes and Metabolism Journal Vol.46 No.3

Background: This study aimed to investigate the prevalence and management of diabetes mellitus, risk-factor control, and comorbidities among Korean adults.Methods: We conducted a cross-sectional analysis of data from the Korea National Health and Nutrition Examination Survey to assess the prevalence, treatment, risk factors, comorbidities, and self-management behaviors of diabetes mellitus from 2019 to 2020. We also analyzed data from the Korean National Health Insurance Service to evaluate the use of antidiabetic medications in people with diabetes mellitus from 2002 through 2018.Results: Among Korean adults aged 30 years or older, the estimated prevalence of diabetes mellitus was 16.7% in 2020. From 2019 through 2020, 65.8% of adults with diabetes mellitus were aware of the disease and treated with antidiabetic medications. The percentage of adults with diabetes mellitus who achieved glycosylated hemoglobin (HbA1c) <6.5% was 24.5% despite the increased use of new antidiabetic medications. We found that adults with diabetes mellitus who achieved all three goals of HbA1c <6.5%, blood pressure (BP) <140/85 mm Hg, and low-density lipoprotein cholesterol <100 mg/dL were 9.7%. The percentage of self-management behaviors was lower in men than women. Excess energy intake was observed in 16.7% of adults with diabetes mellitus.Conclusion: The prevalence of diabetes mellitus among Korean adults remained high. Only 9.7% of adults with diabetes mellitus achieved all glycemic, BP, and lipid controls from 2019 to 2020. Continuous evaluation of national diabetes statistics and a national effort to increase awareness of diabetes mellitus and improve comprehensive diabetes care are needed.

당뇨1호방의 약침 및 구강투여가 Streptozotocin에 의한 흰쥐의 당뇨병성 신증에 미치는 영향

나건호,조수인,조명래 대한침구의학회 2005 대한침구의학회지 Vol.22 No.5

Objectives : The present study was carried out to investigate the preventive effect of Anti-diabetic prescription 1(AD-1) on streptozotocin(STZ)-induced diabetic nephropathy. Methods : AD-1 consists of eleven herbs that have an effect on diabetes mellitus. AD-1 was given to rats with the combination of oral administration and herbal-acupuncture stimulation. The experimental animals were divided into 3 groups : normal group of rats, control group of STZ-induced diabetic rats, sample group with AD-1 treatment. Experimental diabetes was induced by the injection of STZ(60㎎/㎏) to the rat via the peritoneum. The effect of AD-1 on STZ-induced diabetic nephropathy was observed by measuring the serum level of creatinine and BUN. Urine secretion of albumin for 24 hours and urine level of glucose measures too. Anti-oxidative stress of AD-1 administration in living body was estimated by measuring lipid peroxide and GSH content in cortex of kidneys. Results : STZ induced increase of serum creatinine, BUN and albumin secretion were lowered by AD-1 treatment. Conclusion : The AD-1 treatment showed protective effect on rat diabetic nephropathy model, and action mechanism of the effect was thought to be concerned with anti-oxidative stress.

The Influence of Type-1 Diabetes Mellitus on Dentition and Oral Health in Children and Adolescents

Recep Orbak,Sera Simsek,Zerrin Orbak,Fahri Kavrut,Meltem Colak 연세대학교의과대학 2008 Yonsei medical journal Vol.49 No.3

Purpose: The present study is to investigate the effects of type 1 diabetes mellitus on dentition and oral health for children and adolescents. Materials and Methods: The investigation was carried out on 100 subjects. The first group consisted of 50 subjects with type 1 diabetes mellitus (21 females, 29 males), age 9±0.14 years; In the second group, there were 50 healthy subjects who did not suffer from any systemic disease (25 females, 25 males), age 9±0.11 years. The subjects were evaluated and divided into two groups of 5-9 years old, and 10-14 years old. The dentition of all participants was examined. Besides, the DFS/dfs index, oral hygiene conditions were evaluated, as well as the plaque index (PI), gingival index (GI) and calculus index (CI). The data obtained from each group were compared statistically. Results: When compared to the non-diabetic group, we observed that dental development was accelerated until the age of 10 in the diabetic group, and there was a delay after the age of 10. The edentulous interval was longer in the group with type 1 diabetes mellitus. This was accompanied by a high ratio of gingival inflammation. Gingival inflammation was 69.7% in the group of 5-9 year-old, and 83.7% in the group of 10-14 year-old with type 1 diabetes mellitus. Though there was a greater loss of teeth in the group with type 1 diabetes mellitus, there were more caries in the control group. The PI, GI and CI values showed an increase with aging in favor of the group with type 1 diabetes mellitus. There was statistically significant difference in PI, GI and CI between the control and type 1 diabetes mellitus groups for 10-14 year-old patients (p<0.001). Conclusion: The findings we obtained showed that type 1 diabetes mellitus plays an important part in the dentition and oral health of children and adolescents.

폐경 여성에서 출산 횟수와 당뇨병의 관련성과 모유수유 기간과의 상호작용

이선아 ( Seonah Lee ),최병호 ( Byongho Tchoe ),제세영 ( Sae Young Jae ),박상신 ( Sangshin Park ) 한국보건정보통계학회 2020 보건정보통계학회지 Vol.45 No.3

Objectives: This study aimed to determine the relationship between parity and diabetes mellitus and to examine the interaction effect of the breastfeeding period and parity on diabetes mellitus among postmenopausal women. Methods: The study was conducted on 4,053 women aged 50 or older who participated in the 5th Korea National Health and Nutrition Survey from 2010 to 2012. The parity was divided into two groups and the duration of breastfeeding was divided into three groups to be analyzed. Diabetes mellitus was defined according to a fasting blood glucose level (blood glucose level ≥126 mg/dL) or use of an anti-hypoglycemic agent or insulin. A logistic regression analysis was conducted to assess the relationship between parity and diabetes mellitus and the interaction effect of the breastfeeding period and parity on diabetes mellitus. The sociodemographic factors and health-related indicators, and women’s reproduction factors were adjusted to the model as confounding variables. Results: The relationship between parity and diabetes mellitus was statistically significant without adjusting for confounding variables (odds ratio, OR=1.73, 95% confidence interval, 95% CI=1.40-2.13, p<0.001). However, adjusting for confounding factors revealed that the relationship was not statistically significant (OR=1.08, 95% CI=0.79-1.48, p=0.633). As a result of analyzing the interaction terms between parity and breastfeeding period, the main effect of parity was statistically significant (p=0.034); but, the main effect of the breastfeeding period was not. The interaction term of the breastfeeding period and parity was statistically significant (p=0.042). Among women who breastfed for 0-6 months, those who had delivered 4-12 children had 5.56 times increased risk of diabetes mellitus compared with those who delivered 1-3 children. Conclusions: The association between parity and diabetes mellitus and the interaction between breastfeeding period and parity were statistically significant. Among women with short breastfeeding periods, the one who delivered more children had a higher risk of diabetes mellitus.

Probiotic supplements alleviate gestational diabetes mellitus by restoring the diversity of gut microbiota: a study based on 16S rRNA sequencing

Zheng Qing-Xiang,Jiang Xiu-Min,Wang Hai-Wei,Ge Li,Lai Yu-Ting,Jiang Xin-Yong,Chen Fan,Huang Ping-Ping 한국미생물학회 2021 The journal of microbiology Vol.59 No.9

Probiotics effectively prevent and improve metabolic diseases such as diabetes by regulating the intestinal microenvironment and gut microbiota. However, the effects of probiotics in gestational diabetes mellitus are not clear. Here, we showed that probiotic supplements significantly improved fasting blood glucose in a gestational diabetes mellitus rat model. To further understand the mechanisms of probiotics in gestational diabetes mellitus, the gut microbiota were analyzed via 16S rRNA sequencing. We found that compared with the normal pregnant group, the gestational diabetes mellitus rats had decreased diversity of gut microbiota. Moreover, probiotic supplementation restored the diversity of the gut microbiota in gestational diabetes mellitus rats, and the gut microbiota structure tended to be similar to that of normal pregnant rats. In particular, compared with gestational diabetes mellitus rats, the abundance of Firmicutes and Actinobacteria was higher after probiotic supplementation. Furthermore, activating carbohydrate metabolism and membrane transport pathways may be involved in the potential mechanisms by which probiotic supplements alleviate gestational diabetes mellitus. Overall, our results suggested that probiotic supplementation might be a novel approach to restore the gut microbiota of gestational diabetes mellitus rats and provided an experimental evidence for the use of probiotic supplements to treat gestational diabetes melitus.