{"id":78592,"date":"2018-03-16T16:00:14","date_gmt":"2018-03-16T07:00:14","guid":{"rendered":"https:\/\/www.ishamachi.com\/?p=78592"},"modified":"2019-05-27T17:01:47","modified_gmt":"2019-05-27T08:01:47","slug":"%e7%b3%96%e5%b0%bf%e7%97%85%e8%96%ac%e7%89%a9%e6%b2%bb%e7%99%82%e3%81%ae%e3%82%a2%e3%83%83%e3%83%97%e3%83%87%e3%83%bc%e3%83%88%e3%80%81%e7%b1%b3%e5%9b%bd%e7%b3%96%e5%b0%bf%e7%97%85%e5%ad%a6%e4%bc%9a","status":"publish","type":"post","link":"https:\/\/www.ishamachi.com\/?p=78592","title":{"rendered":"\u7cd6\u5c3f\u75c5\u85ac\u7269\u6cbb\u7642\u306e\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8\u3001\u7c73\u56fd\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff082018\u5e74\u7248\uff09\u3088\u308a"},"content":{"rendered":"<h2>Standards of Medical Care in Diabetes 2018\u3063\u3066\u306a\u306b\uff1f<\/h2>\n<p>\u73fe\u5728\u3001\u65e5\u672c\u56fd\u5185\u306e\u75c5\u9662\u3067\u306f\u3001\u300e\u7cd6\u5c3f\u75c5\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\uff08\u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a\uff09\u300f\u306e\u60c5\u5831\u306a\u3069\u3092\u3082\u3068\u306b\u3001\u60a3\u8005\u3055\u3093\u306e\u72b6\u614b\u306b\u3042\u308f\u305b\u306a\u304c\u3089\u6709\u52b9\u6027\u30fb\u5b89\u5168\u6027\u306e\u78ba\u8a8d\u3055\u308c\u305f\u6cbb\u7642\u6cd5\u304c\u63d0\u4f9b\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u306f\u533b\u5e2b\u3084\u770b\u8b77\u5e2b\u306a\u3069\u306e\u533b\u7642\u8005\u306e\u305f\u3081\u306e\u8cc7\u6599\u3068\u601d\u308f\u308c\u304c\u3061\u3067\u3059\u304c\u3001\u672c\u6765\u306f<strong>\u533b\u7642\u8005\u30fb\u60a3\u8005\u3055\u3093\u53cc\u65b9\u3078\u306e\u652f\u63f4\u3092\u76ee\u6307\u3057\u3001\u60a3\u8005\u3055\u3093\u306b\u3068\u3063\u3066\u6700\u5584\u306e\u9078\u629e\u304c\u3067\u304d\u308b\u3088\u3046\u60c5\u5831\u63d0\u4f9b\u3092\u3057\u3066\u304f\u308c\u308b\u3082\u306e<\/strong>\u3067\u3059\uff08<a href=\"https:\/\/minds.jcqhc.or.jp\/s\/about_us_overview\">Minds\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u30e9\u30a4\u30d6\u30e9\u30ea<\/a>\u3088\u308a\uff09\u3002<\/p>\n<p>\u5192\u982d\u3067\u3082\u8ff0\u3079\u305f\u3068\u304a\u308a\u30012018\u5e741\u6708\u306b\u7c73\u56fd\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u306b\u3088\u308b<strong>\u300eStandards of Medical Care in Diabetes 2018\u300f<\/strong>\u3068\u3044\u3046\u52e7\u544a\u96c6\u304c\u767a\u8868\u3055\u308c\u3001\u7279\u306b2\u578b\u7cd6\u5c3f\u75c5\u306e\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u85ac\u306e\u9078\u629e\u65b9\u6cd5\u306b\u95a2\u3059\u308b\u60c5\u5831\u304c\u5927\u304d\u304f\u6539\u8a02\u3055\u308c\u307e\u3057\u305f\u3002\u300eStandards of Medical Care in Diabetes 2018\u300f\u3067\u306f\u3001\u4f53\u91cd\u6e1b\u5c11\u52b9\u679c\u304c\u3042\u308a\u3001\u4f4e\u8840\u7cd6\u30ea\u30b9\u30af\u304c\u5c0f\u3055\u304f\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\uff08\u5fc3\u7b4b\u6897\u585e\u3084\u8133\u5352\u4e2d\uff09\u306b\u95a2\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\uff08\u79d1\u5b66\u7684\u6839\u62e0\uff09\u304c\u3042\u308b\u304a\u85ac\u3092\u512a\u5148\u5ea6\u306e\u9ad8\u3044\u3082\u306e\u3068\u3057\u3066\u8a18\u8f09\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u4eca\u56de\u306f\u3001\u7c73\u56fd\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u306eStandards of Medical Care in Diabetes 2018\u306e\u5185\u5bb9\u3092\u53c2\u7167\u3057\u306a\u304c\u3089\u3001\u60a3\u8005\u3055\u3093\u30fb\u3054\u5bb6\u65cf\u306e\u65b9\u304c\u77e5\u3063\u3066\u304a\u304d\u305f\u3044\u304a\u85ac\u306e\u4f7f\u3044\u65b9\u306b\u3064\u3044\u3066\u304a\u8a71\u3057\u307e\u3059\u3002<\/p>\n<h2>\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u306e\u7a2e\u985e<\/h2>\n<p>2018\u5e741\u6708\u73fe\u5728\u3001\u7cd6\u5c3f\u75c5\u6cbb\u7642\u306b\u4f7f\u7528\u3059\u308b\u304a\u85ac\u306f\u3001<strong>\u5185\u670d\u85ac7\u7a2e\u985e\uff08\u914d\u5408\u5264\u9664\u304f\uff09\u3001\u6ce8\u5c04\u85ac2\u7a2e\u985e<\/strong>\u3067\u3059<sup>[2]<\/sup>\u3002<\/p>\n<h3>7\u7a2e\u985e\u306e\u5185\u670d\u85ac<\/h3>\n<table>\n<tbody>\n<tr>\n<td style=\"background-color: #b1e0d9;\"><strong>\u5206\u985e<\/strong><\/td>\n<td style=\"background-color: #b1e0d9;\"><strong>\u7a2e\u985e<\/strong><\/td>\n<td style=\"background-color: #b1e0d9;\"><strong>\u4f5c\u7528<\/strong><\/td>\n<td style=\"background-color: #b1e0d9;\"><strong>\u4e3b\u306a\u526f\u4f5c\u7528<\/strong><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"2\" width=\"181\"><span style=\"font-size: 10pt;\"><strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u6539\u5584\u85ac<\/strong><strong>\u00a0<\/strong><\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u30e1\u30c8\u30db\u30eb\u30df\u30f3<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u809d\u81d3\u3067\u306e\u7cd6\u65b0\u751f\u3092\u6291\u3048\u308b<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u7b4b\u8089\u3067\u306e\u7cd6\u53d6\u308a\u8fbc\u307f\u3092\u5897\u3084\u3059<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u4e0b\u75e2<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u30d3\u30bf\u30df\u30f3B12\u6b20\u4e4f<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u4e73\u9178\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9<\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u30c1\u30a2\u30be\u30ea\u30b8\u30f3\u85ac\uff08\u30d4\u30aa\u30b0\u30ea\u30bf\u30be\u30f3\uff09<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u809d\u81d3\u30fb\u7b4b\u8089\u3067\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u52b9\u304d\u3092\u826f\u304f\u3059\u308b<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u6d6e\u816b\u307f<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u9aa8\u6298\u30ea\u30b9\u30af\u306e\u4e0a\u6607<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u8180\u80f1\u304c\u3093\u306e\u30ea\u30b9\u30af\u4e0a\u6607\uff08\u5426\u5b9a\u7684\u306a\u610f\u898b\u3042\u308a\uff09<\/span><\/td>\n<\/tr>\n<tr>\n<td rowspan=\"3\" width=\"181\"><span style=\"font-size: 10pt;\"><strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u4fc3\u9032\u85ac<\/strong><strong>\u00a0\u00a0<\/strong><\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u30b9\u30eb\u30db\u30cb\u30eb\u30a6\u30ec\u30a2\u5264<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u5f37\u529b\u306b\u9ad8\u3081\u308b\uff08\u9577\u6642\u9593\uff09<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u4f4e\u8840\u7cd6<\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u30b0\u30ea\u30cb\u30c9<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u98df\u5f8c\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u9ad8\u3081\u308b\uff08\u77ed\u6642\u9593\uff09<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u4f4e\u8840\u7cd6<\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"181\"><span style=\"font-size: 10pt;\">DPP\uff0d4\u963b\u5bb3\u85ac<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u8840\u7cd6\u304c\u9ad8\u3044\u3068\u304d\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u4fc3\u9032\u3059\u308b<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u30a4\u30f3\u30b9\u30ea\u30f3\u3068\u53cd\u5bfe\u306b\u50cd\u304f\u30b0\u30eb\u30ab\u30b4\u30f3\u306e\u5206\u6ccc\u3092\u6291\u3048\u308b<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u95a2\u7bc0\u75db<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u6025\u6027\u81b5\u708e\u306e\u6f5c\u5728\u7684\u30ea\u30b9\u30af<\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"181\"><span style=\"font-size: 10pt;\"><strong>\u7cd6\u5438\u53ce\uff08\u8178\uff09\u963b\u5bb3\u85ac<\/strong><\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u03b1\u30b0\u30eb\u30b3\u30b7\u30c0\u30fc\u30bc\u963b\u5bb3\u85ac<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u5c0f\u8178\u304b\u3089\u7cd6\u304c\u5438\u53ce\u3055\u308c\u308b\u306e\u3092\u9045\u3089\u305b\u308b<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u4e0b\u75e2\u30fb\u304a\u306a\u3089\u306e\u5897\u52a0<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u8179\u90e8\u81a8\u6e80\u611f<\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"181\"><span style=\"font-size: 10pt;\"><strong>\u7cd6\u6392\u6cc4\uff08\u814e\u81d3\uff09\u4fc3\u9032\u85ac<\/strong><\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">SGLT2\u963b\u5bb3\u85ac<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u814e\u81d3\u304b\u3089\u7cd6\u304c\u518d\u5438\u53ce\u3055\u308c\u308b\u306e\u3092\u963b\u5bb3\u3057\u6392\u6cc4\u3059\u308b<\/span><\/td>\n<td width=\"181\"><span style=\"font-size: 10pt;\">\u8131\u6c34<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u4f4e\u8840\u5727<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u5c3f\u8def\u30fb\u6027\u5668\u611f\u67d3\u75c7<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u76ae\u75b9<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u307e\u305a\u3001\u5185\u670d\u85ac\u306f\u305d\u306e\u4f5c\u7528\u306e\u4ed5\u65b9\u304b\u3089\u5927\u304d\u304f3\u3064\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u3002<strong>\u00a0<\/strong><\/p>\n<ul>\n<li><strong>\u81b5\u81d3\u304b\u3089\u5206\u6ccc\u3055\u308c\u308b\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u52b9\u304d\uff08\u8840\u7cd6\u964d\u4e0b\u4f5c\u7528\uff09\u3092\u826f\u304f\u3059\u308b\u85ac\uff08\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u6539\u5584\u85ac\uff09<\/strong><\/li>\n<li><strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u5206\u6ccc\u3092\u5897\u3084\u3059\u85ac\uff08\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u4fc3\u9032\u85ac\uff09<\/strong><\/li>\n<li><strong>\u7cd6\u306e\u8178\u304b\u3089\u306e\u5438\u53ce\u30fb\u814e\u81d3\u304b\u3089\u306e\u6392\u6cc4\u3092\u8abf\u6574\u3059\u308b\u85ac<\/strong><\/li>\n<\/ul>\n<p>\u306e3\u3064\u3067\u3059\u3002<\/p>\n<h3>2\u7a2e\u985e\u306e\u6ce8\u5c04\u85ac<\/h3>\n<table>\n<tbody>\n<tr>\n<td style=\"background-color: #b1e0d9;\"><strong>\u7a2e\u985e<\/strong><\/td>\n<td style=\"background-color: #b1e0d9;\"><strong>\u4f5c\u7528<\/strong><\/td>\n<td style=\"background-color: #b1e0d9;\"><strong>\u4e3b\u306a\u526f\u4f5c\u7528<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"243\"><span style=\"font-size: 10pt;\"><strong>GLP<\/strong><strong>\uff0d1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac<\/strong><\/span><\/td>\n<td width=\"243\"><span style=\"font-size: 10pt;\">GLP\uff0d1\uff08\u5c0f\u8178\u304b\u3089\u5206\u6ccc\u3055\u308c\u308b\u30db\u30eb\u30e2\u30f3\uff09\u306b\u3088\u308a\u8840\u7cd6\u304c\u9ad8\u3044\u3068\u304d\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u5897\u3084\u3059<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u98df\u6b32\u3092\u6291\u3048\u308b<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u80a5\u6e80\u306e\u6539\u5584<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u5fc3\u81d3\u3084\u814e\u81d3\u306e\u4fdd\u8b77\u4f5c\u7528\u306a\u3069<\/span><\/td>\n<td width=\"244\"><span style=\"font-size: 10pt;\">\u5614\u6c17\u30fb\u5614\u5410<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u4e0b\u75e2\u30fb\u4fbf\u79d8<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u6ce8\u5c04\u90e8\u4f4d\u306e\u76ae\u819a\u53cd\u5fdc\uff08\u786c\u7d50\u3084\u51fa\u8840\uff09<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u6025\u6027\u81b5\u708e\u306e\u30ea\u30b9\u30af\uff08\u7591\u3044\uff09<\/span><\/td>\n<\/tr>\n<tr>\n<td width=\"243\"><span style=\"font-size: 10pt;\"><strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264<\/strong><\/span><\/td>\n<td width=\"243\"><span style=\"font-size: 10pt;\">\u4e0d\u8db3\u3057\u3066\u3044\u308b\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u6ce8\u5c04\u306b\u3088\u3063\u3066\u88dc\u3046<\/span><\/td>\n<td width=\"244\"><span style=\"font-size: 10pt;\">\u4f4e\u8840\u7cd6<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u30a4\u30f3\u30b9\u30ea\u30f3\u30a2\u30ec\u30eb\u30ae\u30fc<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u30a4\u30f3\u30b9\u30ea\u30f3\u6297\u4f53\u306e\u751f\u6210<\/span><br \/>\n<span style=\"font-size: 10pt;\"> \u6ce8\u5c04\u90e8\u4f4d\u306e\u76ae\u819a\u53cd\u5fdc\uff08\u786c\u7d50\u3084\u51fa\u8840\uff09<\/span><\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u6b21\u306b\u3001\u6ce8\u5c04\u85ac\u3067\u3059\u304c\u3001<strong>\u00a0<\/strong><\/p>\n<ul>\n<li><strong>GLP-1<\/strong><strong>\uff08Glucagon-like peptide-1\uff09\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac<\/strong><\/li>\n<li><strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264<\/strong><\/li>\n<\/ul>\n<p>\u306e2\u7a2e\u985e\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u6700\u8fd1\u3067\u306f\u5f8c\u767a\u54c1\u3092\u4f7f\u7528\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u3082\u591a\u304f\u3001\u304a\u85ac\u306e\u540d\u524d\u3092\u899a\u3048\u308b\u306e\u3082\u4e00\u82e6\u52b4\u3060\u3068\u601d\u3044\u307e\u3059\u304c\u3001\u3054\u81ea\u5206\u304c\u3069\u306e\u3088\u3046\u306a\u85ac\u3092\u98f2\u3093\u3067\u3044\u308b\u304b\u533b\u5e2b\u30fb\u85ac\u5264\u5e2b\u306b\u805e\u3044\u3066\u78ba\u8a8d\u3057\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<p><strong>\u6b21\u306e\u30da\u30fc\u30b8\uff1a<a href=\"\/?p=78592&amp;page=2\">1\u578b\u7cd6\u5c3f\u75c5\u306e\u85ac\u7269\u7642\u6cd5<\/a><\/strong><\/p>\n<p><!--nextpage--><\/p>\n<h2>1\u578b\u7cd6\u5c3f\u75c5\u306e\u85ac\u7269\u7642\u6cd5<\/h2>\n<p><a href=\"\/?p=7749\">\u7cd6\u5c3f\u75c5<\/a>\u306f\u3001\u5927\u304d\u304f1\u578b\u7cd6\u5c3f\u75c5\u30682\u578b\u7cd6\u5c3f\u75c5\u306e2\u3064\u306b\u5206\u985e\u3055\u308c\u307e\u3059\u30021\u578b\u7cd6\u5c3f\u75c5\u306f\u4e3b\u306b<strong>\u81ea\u5df1\u514d\u75ab\u306e\u50cd\u304d\u304c\u539f\u56e0\u3067\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u5206\u6ccc\u3059\u308b\u81b5\u81d3\u306e\u7d30\u80de\u304c\u58ca\u3055\u308c\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u304c\u8457\u3057\u304f\u4e0d\u8db3\u3057\u3066\u3057\u307e\u3046\u75c5\u614b<\/strong>\u3067\u3059\u3002<\/p>\n<p>2018\u5e74\u306e\u52e7\u544a\u96c6\u306b\u304a\u3044\u3066\u30011\u578b\u7cd6\u5c3f\u75c5\u306e\u6cbb\u7642\u6cd5\u306b\u95a2\u3059\u308b\u60c5\u5831\u306f2017\u5e74\u306e\u52e7\u544a\u96c6\u306e\u5185\u5bb9\u3092\u5f15\u304d\u7d99\u3050\u304b\u305f\u3061\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u4ee5\u4e0b\u3001\u52e7\u544a\u96c6\u306b\u66f8\u304b\u308c\u305f\u5185\u5bb9\u3092\u3001\u57fa\u672c\u7684\u306a\u6cbb\u7642\u6cd5\u3068\u305d\u306e\u4ed6\u306e\u5834\u5408\u306b\u5206\u3051\u3066\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n<h3>\u57fa\u672c\u7684\u306a\u6cbb\u7642\u6cd5<\/h3>\n<div style=\"max-width: 400px; margin: 1rem; text-align: center;\"><a href=\"\/wp-content\/uploads\/2018\/03\/180307-type1-diabetes.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" style=\"width: 100%; height: auto;\" src=\"\/wp-content\/uploads\/2018\/03\/180307-type1-diabetes.jpg\" alt=\"1\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u306e\u6cbb\u7642\" width=\"800\" height=\"1689\" \/><\/a><\/div>\n<p>\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u306b\u306f\u3001\u98df\u4e8b\u6442\u53d6\u306b\u5fdc\u3058\u305f<strong>\u8ffd\u52a0\u5206\u6ccc<\/strong>\u3068\u3001\u98df\u4e8b\u306b\u3088\u3089\u305a\u8840\u7cd6\u3068\u4f53\u304c\u5fc5\u8981\u3068\u3059\u308b\u30a8\u30cd\u30eb\u30ae\u30fc\u306e\u30d0\u30e9\u30f3\u30b9\u3092\u3068\u308b\u305f\u3081\u306e<strong>\u57fa\u790e\u5206\u6ccc<\/strong>\u304c\u3042\u308a\u307e\u3059\u30021\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306f\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u91cf\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u305f\u3081\u3001<strong>\u30a4\u30f3\u30b9\u30ea\u30f3\u983b\u56de\u6ce8\u5c04\uff08\u3042\u308b\u3044\u306f\u30a4\u30f3\u30b9\u30ea\u30f3\u30dd\u30f3\u30d7\u7642\u6cd5\uff09<\/strong>\u304c\u6cbb\u7642\u306e\u539f\u5247\u3067\u3059\u3002<\/p>\n<p>\u30a4\u30f3\u30b9\u30ea\u30f3\u983b\u56de\u6ce8\u5c04\u3068\u306f\u3001\u3053\u306e<strong>\u751f\u7406\u7684\u306a\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u6ce8\u5c04\u306b\u3088\u3063\u3066\u88dc\u3046\u6cbb\u7642\u6cd5<\/strong>\u3067\u3059\u3002\u4e00\u822c\u7684\u306b\u306f\u671d\u663c\u5915\u98df\u524d\u306b\u8d85\u901f\u52b9\u578b\u3042\u308b\u3044\u306f\u901f\u52b9\u578b\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\uff08\u8ffd\u52a0\u5206\u6ccc\u306b\u3042\u305f\u308b\uff09\u30923\u56de\u6253\u3061\u3001\u6bce\u65e5\u307b\u307c\u4e00\u5b9a\u306e\u6642\u9593\u5e2f\u306b\u6301\u52b9\u578b\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\uff08\u57fa\u790e\u5206\u6ccc\u306b\u3042\u305f\u308b\uff09\u30921\u56de\u6253\u3064\u3053\u3068\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u60a3\u8005\u3055\u3093\u306b\u3088\u3063\u3066\u306f<strong>\u98df\u4e8b\u4e2d\u306b\u542b\u307e\u308c\u308b\u70ad\u6c34\u5316\u7269\u91cf\u3084\u98df\u524d\u306e\u8840\u7cd6\u5024\u306b\u5fdc\u3058\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u6ce8\u5c04\u91cf\u3092\u8abf\u6574\u3059\u308b\u65b9\u6cd5<\/strong>\u304c\u53d6\u3089\u308c\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002\u307e\u305f\u3001\u666e\u6bb5\u3068\u7570\u306a\u308b\u8eab\u4f53\u6d3b\u52d5\uff08\u4f8b\u3048\u3070\u4f59\u6687\u306b\u697d\u3057\u3080\u30b9\u30dd\u30fc\u30c4\u3084\u8089\u4f53\u52b4\u50cd\uff09\u306e\u524d\u306b\u88dc\u98df\u304c\u52e7\u3081\u3089\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u3044\u305a\u308c\u306b\u3057\u3066\u3082\u3001<strong>\u4f4e\u8840\u7cd6\u3068\u9ad8\u8840\u7cd6\u3092\u3067\u304d\u308b\u3060\u3051\u907f\u3051\u3001\u751f\u7406\u7684\u3067\u5909\u52d5\u306e\u5c0f\u3055\u306a\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb<\/strong>\u3092\u76ee\u6a19\u3068\u3057\u307e\u3059\u3002<\/p>\n<h3>\u305d\u306e\u4ed6<\/h3>\n<h4>\u73fe\u5728\u3067\u306f\u4fdd\u967a\u8a3a\u7642\u9069\u5fdc\u5916\u306e\u85ac\u3082\u4eca\u5f8c\u8a73\u3057\u3044\u8abf\u67fb\u3092<\/h4>\n<p>FDA\uff08\u7c73\u56fd\u98df\u54c1\u533b\u85ac\u54c1\u5c40\uff09\u304b\u3089\u8a8d\u53ef\u3055\u308c\u305f\u6cbb\u7642\u6cd5\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u30011\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306b2\u578b\u7cd6\u5c3f\u75c5\u306e\u6cbb\u7642\u85ac\u3067\u3042\u308b<strong>\u30e1\u30c8\u30db\u30eb\u30df\u30f3<\/strong>\u3092\u4f7f\u7528\u3057\u305f\u3068\u3053\u308d\u3001\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306f\u6539\u5584\u3057\u306a\u304b\u3063\u305f\u3082\u306e\u306e\u4f53\u91cd\u3068LDL\uff08\u60aa\u7389\uff09\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u304c\u5c11\u3057\u4e0b\u304c\u3063\u305f\u3068\u3044\u3046\u5831\u544a\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u540c\u69d8\u306b\u3001<strong>DPP-4\u963b\u5bb3\u85ac<\/strong>\u3084<strong>GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac<\/strong>\u3001<strong>SGLT2\u963b\u5bb3\u85ac<\/strong>\u306b\u3064\u3044\u3066\u30821\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306b\u5bfe\u3059\u308b\u4f7f\u7528\u306f\u8a8d\u53ef\u3055\u308c\u3066\u304a\u308a\u307e\u305b\u3093\u304c\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u6ce8\u5c04\u306e\u4f7f\u7528\u91cf\u304c\u6e1b\u308b\u306a\u3069\u6709\u52b9\u6027\u306e\u5831\u544a\u306f\u898b\u3089\u308c\u308b\u3088\u3046\u3067\u3059\u3002<strong>\u4eca\u5f8c\u306e\u8a73\u3057\u3044\u8abf\u67fb\u304c\u5fc5\u8981\u3067\u3057\u3087\u3046\u3002<\/strong><\/p>\n<p>\u306a\u304a\u30011\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u3078\u306e<strong>\u3053\u308c\u3089\u306e\u304a\u85ac\u306e\u6295\u4e0e\u306f\u65e5\u672c\u306e\u4fdd\u967a\u8a3a\u7642\u3067\u3082\u8a8d\u3081\u3089\u308c\u3066\u3044\u307e\u305b\u3093\u3002<\/strong><\/p>\n<ul>\n<li><strong>FDA<\/strong><strong>\uff08\u7c73\u56fd\u98df\u54c1\u533b\u85ac\u54c1\u5c40\uff09<\/strong>\uff1d\u30a2\u30e1\u30ea\u30ab\u306e\u653f\u5e9c\u6a5f\u95a2\u3002\u6cd5\u5f8b\u306b\u5f93\u3044\u533b\u85ac\u54c1\u898f\u5236\u30fb\u98df\u54c1\u5b89\u5168\u306e\u4fdd\u5b88\u306e\u305f\u3081\u53d6\u308a\u7de0\u307e\u308a\u306a\u3069\u3092\u884c\u3063\u3066\u3044\u308b\u3002<\/li>\n<\/ul>\n<h4>\u81ea\u5bb6\u81b5\u5cf6\u79fb\u690d<\/h4>\n<p><strong>\u7cd6\u5c3f\u75c5\u6027\u30b1\u30c8\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9<\/strong>\u306a\u3069\u91cd\u5ea6\u306e\u9ad8\u8840\u7cd6\u7dca\u6025\u75c7\u3092\u7e70\u308a\u8fd4\u3059\u60a3\u8005\u3055\u3093\u306b\u304a\u3044\u3066\u306f\u3001<strong>\u81b5\u81d3\u79fb\u690d\u30fb\u81b5\u5cf6\u79fb\u690d<\/strong>\u3068\u3044\u3063\u305f\u5148\u9032\u7684\u6cbb\u7642\u304c\u691c\u8a0e\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>1\u578b\u7cd6\u5c3f\u75c5\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u304c\u3001\u91cd\u75c7\u306e\u6162\u6027\u81b5\u708e\u306e\u305f\u3081\u81b5\u81d3\u3092\u5207\u9664\u3057\u306a\u304f\u3066\u306f\u306a\u3089\u306a\u3044\u3088\u3046\u306a\u60a3\u8005\u3055\u3093\u306f\u591a\u304f\u306e\u65b9\u304c\u91cd\u3044\u7cd6\u5c3f\u75c5\u306b\u306a\u3063\u3066\u3057\u307e\u3044\u307e\u3059\u3002\u305d\u306e\u3088\u3046\u306a\u60a3\u8005\u3055\u3093\u3092\u5bfe\u8c61\u306b\u81ea\u5bb6\u81b5\u5cf6\u79fb\u690d\u3092\u884c\u3046\u65bd\u8a2d\u3082\u3042\u308a\u307e\u3059<sup>[3]<\/sup>\u3002<\/p>\n<ul>\n<li><strong>\u7cd6\u5c3f\u75c5\u6027\u30b1\u30c8\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9<\/strong>\uff1d\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u7d76\u5bfe\u7684\u306a\u4e0d\u8db3\u306b\u3088\u3063\u3066\u3001\u8840\u7cd6\u3092\u30a8\u30cd\u30eb\u30ae\u30fc\u6e90\u3068\u3057\u3066\u4f7f\u7528\u3067\u304d\u305a\u8102\u80aa\u304c\u5206\u89e3\u3055\u308c\u3001\u8840\u6db2\u304c\u9178\u6027\u306b\u50be\u3044\u305f\u72b6\u614b\uff1d\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u3002\u9ad8\u5ea6\u306e\u8131\u6c34\u72b6\u614b\u3067\u3001\u660f\u7761\u30fb\u6b7b\u4ea1\u306e\u304a\u305d\u308c\u3082\u3042\u308b\u305f\u3081\u7dca\u6025\u306e\u5bfe\u5fdc\u304c\u5fc5\u8981<\/li>\n<\/ul>\n<p><strong>\u6b21\u306e\u30da\u30fc\u30b8\uff1a<a href=\"\/?p=78592&amp;page=3\">2\u578b\u7cd6\u5c3f\u75c5\u306e\u85ac\u7269\u7642\u6cd5\uff08\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u9664\u304f\uff09<\/a><\/strong><\/p>\n<p><!--nextpage--><\/p>\n<h2>2\u578b\u7cd6\u5c3f\u75c5\u306e\u85ac\u7269\u7642\u6cd5\uff08\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u9664\u304f\uff09<\/h2>\n<p>2\u578b\u7cd6\u5c3f\u75c5\u3068\u306f\u3001<strong>\u907a\u4f1d\u7684\u306a\u4f53\u8cea\u3084\u751f\u6d3b\u7fd2\u6163\u304c\u539f\u56e0\u3068\u306a\u308a\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u5206\u6ccc\u304c\u5c11\u306a\u304f\u306a\u3063\u305f\u308a\u52b9\u304d\u304c\u60aa\u304f\u306a\u3063\u305f\u308a\u3059\u308b\u3082\u306e<\/strong>\u3067\u3059\u3002\u307e\u305a\u306f\u3001<strong>\u98df\u4e8b\u30fb\u904b\u52d5\u7642\u6cd5<\/strong>\u306b\u3088\u308a\u751f\u6d3b\u7fd2\u6163\u306e\u898b\u76f4\u3057\u3092\u884c\u3044\u307e\u3059\u304c\u3001\u6539\u5584\u304c\u898b\u3089\u308c\u306a\u3044\u5834\u5408\u306b\u306f<strong>\u85ac\u7269\u7642\u6cd5<\/strong>\u304c\u691c\u8a0e\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>2\u578b\u7cd6\u5c3f\u75c5\u306e\u85ac\u7269\u6cbb\u7642\u3067\u306f\u3001<strong>\u60a3\u8005\u3055\u3093\u306e\u72b6\u614b\u306b\u3042\u308f\u305b\u3066\u6570\u7a2e\u985e\u306e\u304a\u85ac\u3092\u7d44\u307f\u5408\u308f\u305b\u308b<\/strong>\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002\u3069\u306e\u3088\u3046\u306b\u3057\u3066\u304a\u85ac\u304c\u9078\u3070\u308c\u3066\u3044\u308b\u306e\u3067\u3057\u3087\u3046\u304b\uff1f<\/p>\n<h3>\u57fa\u672c\u7684\u306a\u6cbb\u7642\u6cd5<\/h3>\n<div style=\"max-width: 400px; margin: 1rem; text-align: center;\"><a href=\"\/wp-content\/uploads\/2018\/03\/180307-type2-diabetes.jpg\"><img loading=\"lazy\" decoding=\"async\" class=\"alignnone\" style=\"width: 100%; height: auto;\" src=\"\/wp-content\/uploads\/2018\/03\/180307-type2-diabetes.jpg\" alt=\"2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u306e\u6cbb\u7642\" width=\"800\" height=\"1500\" \/><\/a><\/div>\n<p>\u57fa\u672c\u7684\u306b\u306f<strong>\u7981\u5fcc\u304c\u306a\u3044\u9650\u308a\u3001\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u3092\u30d9\u30fc\u30b9\u306b\u304a\u85ac\u3092\u8ffd\u52a0<\/strong>\u3057\u3066\u85ac\u7269\u7642\u6cd5\u3092\u7d44\u307f\u7acb\u3066\u3066\u3044\u304f\u308f\u3051\u3067\u3059\u304c\u3001<strong>\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u767a\u75c7\u3084\u6b7b\u4ea1\u306e\u30ea\u30b9\u30af\u3092\u4e0b\u3052\u308b\u3068\u3044\u3046\u79d1\u5b66\u7684\u6839\u62e0\uff08\u30a8\u30d3\u30c7\u30f3\u30b9\uff09\u306e\u3042\u308b\u304a\u85ac\u304b\u3089\u8ffd\u52a0\u3059\u308b\u3079\u304d<\/strong>\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4f55\u7a2e\u985e\u3082\u306e\u304a\u85ac\u304c\u3042\u308b\u306e\u3067\u3072\u3068\u3064\u305a\u3064\u898b\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n<h4>\u30e1\u30c8\u30db\u30eb\u30df\u30f3<\/h4>\n<p>\u98df\u4e8b\u30fb\u904b\u52d5\u7642\u6cd5\u3067\u5341\u5206\u306a\u6539\u5584\u3092\u898b\u306a\u3044\u5834\u5408\u3001\u6700\u521d\u306b\u691c\u8a0e\u3055\u308c\u308b\u306e\u306f<strong>\u30e1\u30c8\u30db\u30eb\u30df\u30f3<\/strong>\u3067\u3059\u3002<strong>\u814e\u6a5f\u80fd\u969c\u5bb3<\/strong>\u304c\u3042\u308b\u60a3\u8005\u3055\u3093\u3084<strong>75\u6b73\u4ee5\u4e0a\u306e\u9ad8\u9f62<\/strong>\u306e\u60a3\u8005\u3055\u3093\u3067\u306f\u614e\u91cd\u306b\u9069\u5fdc\u3092\u8003\u3048\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u304a\u85ac\u306e\u526f\u4f5c\u7528\u7b49\u306a\u3051\u308c\u3070\u7b2c\u4e00\u9078\u629e\u85ac\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<p>\u7279\u306b<strong>\u80a5\u6e80\u306e\u3042\u308b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306b\u306f\u6709\u52b9<\/strong>\u3067\u3001\u4f53\u91cd\u6e1b\u5c11\u52b9\u679c\u3082\u3044\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u5fc3\u7b4b\u6897\u585e\u3084\u8133\u5352\u4e2d\u306a\u3069\u306e<strong>\u5927\u304d\u306a\u8840\u7ba1\u306e\u5408\u4f75\u75c7\uff08\u5fc3\u8840\u7ba1\u75be\u60a3\uff09\u306e\u767a\u75c7\u3084\u6b7b\u4ea1\u306e\u30ea\u30b9\u30af\u3082\u4e0b\u3052\u308b\u53ef\u80fd\u6027<\/strong>\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u85ac\u4fa1\u30821\u9320\u7d0410\u5186\u3068\u30b3\u30b9\u30c8\u30d9\u30cd\u30d5\u30a3\u30c3\u30c8\u306b\u512a\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u4e00\u65b9\u3001<strong>\u814e\u4e0d\u5168\u306e\u60a3\u8005\u3055\u3093\u3067\u306f\u7981\u5fcc<\/strong>\u3067\u3059\u3002\u9577\u671f\u9593\u5185\u670d\u7d99\u7d9a\u4e2d\u306e\u60a3\u8005\u3055\u3093\u306f<strong>\u30d3\u30bf\u30df\u30f3B12\u6b20\u4e4f<\/strong>\u304c\u8d77\u3053\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002\u8ca7\u8840\u3084\u672b\u68a2\u795e\u7d4c\u969c\u5bb3\u304c\u3042\u308b\u60a3\u8005\u3055\u3093\u306f\u30d3\u30bf\u30df\u30f3B12\u6b20\u4e4f\u304c\u306a\u3044\u304b\u8abf\u3079\u308b\u5fc5\u8981\u304c\u3042\u308b\u3067\u3057\u3087\u3046\u3002<\/p>\n<p>\u4e0b\u75e2\u3084\u5410\u304d\u6c17\u306a\u3069\u306e\u526f\u4f5c\u7528\u304c\u751f\u3058\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u304c\u3001\u6700\u3082\u6ce8\u610f\u3092\u3057\u306a\u3051\u308c\u3070\u306a\u3089\u306a\u3044\u526f\u4f5c\u7528\u306f<a href=\"https:\/\/www.nittokyo.or.jp\/modules\/information\/index.php?content_id=23\"><strong>\u4e73\u9178\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9<\/strong><\/a>\u3067\u3059<sup>[4]<\/sup>\u3002\u4e73\u9178\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u3068\u306f\u3001<strong>\u8840\u4e2d\u4e73\u9178\u5024\u304c\u4e0a\u6607\u3059\u308b\u3053\u3068\u3067\u8840\u6db2\u304c\u9178\u6027\u306b\u50be\u3044\u305f\u72b6\u614b<\/strong>\uff08\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\uff09\u306e\u3053\u3068\u3067\u3001\u4e0d\u6574\u8108\u3084\u5fc3\u505c\u6b62\u306a\u3069\u306e\u5371\u967a\u304c\u3042\u308b\u305f\u3081\u7dca\u6025\u306e\u5bfe\u5fdc\u304c\u5fc5\u8981\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n<h4>SGLT2\u963b\u5bb3\u85ac<\/h4>\n<p>Standards of Medical Care in Diabetes 2018\u306b\u304a\u3044\u3066\u306f\u3001SGLT2\u963b\u5bb3\u85ac\u3068GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u304c\u512a\u5148\u9806\u4f4d\u306e\u9ad8\u3044\u3082\u306e\u3068\u3057\u3066\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3053\u308c\u306f\u3001\u898f\u6a21\u306e\u5927\u304d\u306a\uff08\u88ab\u9a13\u8005\u3068\u306a\u3063\u305f\u60a3\u8005\u3055\u3093\u306e\u6570\u306e\u591a\u3044\uff09\u81e8\u5e8a\u8a66\u9a13\u3067\u3001\u305d\u306e\u3088\u3046\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u3042\u308b\u3068\u8a3c\u660e\u3055\u308c\u305f\u3053\u3068\u306b\u3088\u308a\u307e\u3059<sup>[5-7]<\/sup>\u3002<\/p>\n<p><strong>SGLT2<\/strong><strong>\u963b\u5bb3\u85ac<\/strong>\u306f\u305d\u306e\u4f5c\u7528\u306e\u4ed5\u65b9\u304b\u3089\u3001<strong>\u814e\u4e0d\u5168\u304c\u3042\u308b\u60a3\u8005\u3055\u3093\u3067\u306f\u52b9\u679c\u304c\u843d\u3061\u4f7f\u7528\u306f\u52e7\u3081\u3089\u308c\u306a\u3044<\/strong>\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u8840\u7cd6\u5024\u3092\u4e0b\u3052\u308b\u3053\u3068\u306b\u52a0\u3048\u3001\u4f53\u91cd\u6e1b\u5c11\u52b9\u679c\u306b\u3082\u512a\u308c\u307e\u3059\u304c\u3001\u5185\u670d\u958b\u59cb\u521d\u671f\u306b\u8131\u6c34\u3084\u4f4e\u8840\u5727\u3092\u751f\u3058\u308b\u53ef\u80fd\u6027\u3001\u9aa8\u6298\u3084\u4e0b\u80a2\u5207\u65ad\u306e\u30ea\u30b9\u30af\uff08\u4e00\u90e8\u5426\u5b9a\u3055\u308c\u3066\u3044\u307e\u3059\u304c\uff09\u3082\u6307\u6458\u3055\u308c\u3066\u304a\u308a\u3001\u3059\u3079\u3066\u306e\u60a3\u8005\u3055\u3093\u306b\u9069\u5fdc\u304c\u3042\u308b\u304a\u85ac\u3067\u306f\u306a\u3055\u305d\u3046\u3067\u3059\u3002<\/p>\n<p>\u5c02\u9580\u533b\u306e\u5148\u751f\u65b9\u306e\u5224\u65ad\u306b\u3088\u308a\u307e\u3059\u304c\u3001<strong>\u4e00\u822c\u7684\u306b\u306f\u3001\u6bd4\u8f03\u7684\u82e5\u304f\uff08\u8d85\u9ad8\u9f62\u3067\u306f\u306a\u304f\uff09\u3001\u6804\u990a\u72b6\u614b\u304c\u826f\u3044\u3001\u80a5\u6e80\u306e\u3042\u308b2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306b\u6709\u52b9<\/strong>\u306a\u304a\u85ac\u3067\u3059\u3002<\/p>\n<h4>GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac<\/h4>\n<p><strong>GLP-1<\/strong><strong>\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac<\/strong>\u306fSGLT2\u963b\u5bb3\u85ac\u3068\u540c\u69d8\u3001<strong>\u80a5\u6e80\u306e\u6539\u5584\u306b\u6709\u52b9<\/strong>\u3067\u3059\u3002\u98df\u6b32\u3092\u6291\u3048\u3001\u80c3\u304b\u3089\u98df\u3079\u7269\u304c\u79fb\u52d5\u3059\u308b\u306e\u3092\u9045\u3089\u305b\u305f\u308a\u3001\u5fc3\u81d3\u3084\u814e\u81d3\u3092\u4fdd\u8b77\u3059\u308b\u50cd\u304d\u3092\u6301\u3063\u3066\u3044\u305f\u308a\u3001\u591a\u9762\u7684\u306a\u52b9\u679c\u304c\u3042\u308a\u6ce8\u76ee\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u4e00\u65b9\u3001\u73fe\u5728\u306e\u3068\u3053\u308d<strong>1\u65e51\u30012\u56de\u3042\u308b\u3044\u306f\u90311\u56de\u306e\u6ce8\u5c04\u85ac<\/strong>\u3067\u3042\u308a\u3001\u60a3\u8005\u3055\u3093\u5168\u54e1\u306b\u3068\u3063\u3066\u4f7f\u3044\u3084\u3059\u3044\u304a\u85ac\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002\u307e\u305f\u3001\u5614\u5410\u3084\u4e0b\u75e2\u306a\u3069\u304a\u8179\u306e\u526f\u4f5c\u7528\u304c\u6bd4\u8f03\u7684\u51fa\u3084\u3059\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u306e<strong>\u5185\u670d\u85ac\u304c\u958b\u767a\u4e2d\u3067\u3042\u308a\u305d\u306e\u767b\u5834\u304c\u671f\u5f85\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/strong><\/p>\n<h4>DPP-4\u963b\u5bb3\u85ac<\/h4>\n<p>GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u3068\u4e26\u3076\u30a4\u30f3\u30af\u30ec\u30c1\u30f3\u95a2\u9023\u85ac\uff08\u8178\u304b\u3089\u51fa\u308b\u30db\u30eb\u30e2\u30f3\u306b\u4f5c\u7528\u3059\u308b\u304a\u85ac\uff09\u304c<strong>DPP-4\u963b\u5bb3\u85ac<\/strong>\u3067\u3059\u3002<\/p>\n<p><strong>\u4f4e\u8840\u7cd6\u306e\u30ea\u30b9\u30af\u304c\u5c11\u306a\u304f\u3001\u9ad8\u9f62\u8005\u306b\u3082\u4f7f\u3044\u3084\u3059\u3044<\/strong>\u305f\u3081\u3001\u65e5\u672c\u3067\u306f\u3068\u3066\u3082\u591a\u304f\u306e\u60a3\u8005\u3055\u3093\u304c\u5185\u670d\u3055\u308c\u3066\u3044\u308b\u304a\u85ac\u3067\u3059\u3002\u814e\u4e0d\u5168\u304c\u3042\u3063\u3066\u3082\u4f7f\u7528\u306b\u554f\u984c\u306a\u3044\u3082\u306e\u3082\u3042\u308a\u3001\u9069\u5fdc\u306e\u5e45\u304c\u5e83\u3044\u3053\u3068\u304c\u591a\u7528\u3055\u308c\u308b\u7406\u7531\u306e\u4e00\u3064\u3067\u3057\u3087\u3046\u3002<\/p>\n<p>\u6b8b\u5ff5\u306a\u304c\u3089\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u30ea\u30b9\u30af\u3092\u4e0b\u3052\u308b\u307e\u3067\u306e\u30a8\u30d3\u30c7\u30f3\u30b9\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h3>\u305d\u306e\u4ed6\u306e\u304a\u85ac<\/h3>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-79938 size-full\" src=\"\/wp-content\/uploads\/2018\/03\/diabetes_1.jpg\" alt=\"\u85ac\" width=\"800\" height=\"533\" \/>\n<p>\u305d\u306e\u4ed6\u3001\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u306e\u3088\u3046\u306b\u53e4\u304f\u304b\u3089\u4f7f\u308f\u308c\u3066\u304d\u305f\u304a\u85ac\u304c\u3001<strong>\u30d4\u30aa\u30b0\u30ea\u30bf\u30be\u30f3\u3001\u30b9\u30eb\u30db\u30cb\u30eb\u30a6\u30ec\u30a2\u5264\u3001\u30b0\u30ea\u30cb\u30c9\u3001\u03b1\u30b0\u30eb\u30b3\u30b7\u30c0\u30fc\u30bc\u963b\u5bb3\u85ac<\/strong>\u306e4\u3064\u3067\u3059\u3002<\/p>\n<h4>\u30d4\u30aa\u30b0\u30ea\u30bf\u30be\u30f3<\/h4>\n<p>\u30d4\u30aa\u30b0\u30ea\u30bf\u30be\u30f3\u306f<strong>\u5fc3\u8840\u7ba1\u75be\u60a3\u30ea\u30b9\u30af\u3092\u4f4e\u4e0b\u3055\u305b\u308b\u53ef\u80fd\u6027\u304c\u793a\u5506<\/strong>\u3055\u308c\u3066\u304a\u308a\u3001\u975e\u30a2\u30eb\u30b3\u30fc\u30eb\u6027\u8102\u80aa\u6027\u809d\u969c\u5bb3\u306e\u6539\u5584\u52b9\u679c\u3082\u3042\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u304c\u3001\u4f53\u6db2\u91cf\u3092\u5897\u3084\u3059\u50be\u5411\u304c\u3042\u308b\u305f\u3081\u5fc3\u4e0d\u5168\u306e\u3042\u308b\u60a3\u8005\u3055\u3093\u306b\u306f\u4f7f\u7528\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n<p>\u307e\u305f\u3001\u9aa8\u6298\u306e\u30ea\u30b9\u30af\u304c\u4e0a\u304c\u308b\u3068\u3082\u3044\u308f\u308c\u3066\u3044\u307e\u3059\u3002\u6d6e\u816b\uff08\u7279\u306b\u5973\u6027\uff09\u3084\u4f53\u91cd\u5897\u52a0\u306e\u526f\u4f5c\u7528\u304c\u898b\u3089\u308c\u3084\u3059\u304f\u3001\u305d\u306e\u305f\u3081\u5185\u670d\u304c\u4e2d\u6b62\u3068\u306a\u308b\u4f8b\u3082\u3042\u308a\u307e\u3059\u304c\u3001<strong>\u8102\u80aa\u809d\u304c\u3042\u308a\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u306e\u9ad8\u3044\u60a3\u8005\u3055\u3093\u306b\u3068\u3063\u3066\u306f\u6709\u52b9<\/strong>\u306a\u304a\u85ac\u3068\u8003\u3048\u3089\u308c\u307e\u3059\u3002<\/p>\n<h4>\u30b9\u30eb\u30db\u30cb\u30eb\u30a6\u30ec\u30a2\u5264<\/h4>\n<p>\u30b9\u30eb\u30db\u30cb\u30eb\u30a6\u30ec\u30a2\u5264\u306f\u7b2c1-3\u4e16\u4ee3\u307e\u3067\u3042\u308a\u307e\u3059\u304c\u3001<strong>\u73fe\u5728\u8a3a\u7642\u3067\u4f7f\u7528\u3055\u308c\u308b\u306e\u306f\u307b\u3068\u3093\u3069\u304c\u7b2c2\u4e16\u4ee3\u4ee5\u964d<\/strong>\u306e\u304a\u85ac\u3067\u3059\u3002Standards of Medical Care in Diabetes 2018\u3067\u306f\u3001\u7b2c1\u4e16\u4ee3\u306e\u30b0\u30ea\u30d9\u30f3\u30af\u30e9\u30df\u30c9\u306f\u201cnot recommendend\u201d\uff08\u4f7f\u7528\u3092\u63a8\u5968\u3057\u306a\u3044\uff09\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u6301\u7d9a\u7684\u306b\u4fc3\u9032\u3057\u3001\u8840\u7cd6\u3092\u5f37\u529b\u306b\u4e0b\u3052\u307e\u3059\u304c\u3001\u305d\u306e\u53cd\u9762\u4f4e\u8840\u7cd6\u3092\u751f\u3058\u308b\u30ea\u30b9\u30af\u304c\u9ad8\u304f\u3001\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u826f\u3044\u30a8\u30d3\u30c7\u30f3\u30b9\u3082\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n<h4>\u30b0\u30ea\u30cb\u30c9\u3001\u03b1\u30b0\u30eb\u30b3\u30b7\u30c0\u30fc\u30bc\u963b\u5bb3\u85ac<\/h4>\n<p>\u6b8b\u5ff5\u306a\u304c\u3089\u3001\u30b0\u30ea\u30cb\u30c9\u3068\u03b1\u30b0\u30eb\u30b3\u30b7\u30c0\u30fc\u30bc\u963b\u5bb3\u85ac\u306b\u95a2\u3057\u3066\u306f\u3001Standards of Medical Care in Diabetes 2018\u306e\u6cbb\u7642\u306e\u9032\u3081\u65b9\u306b\u304a\u3044\u3066\u304d\u3061\u3093\u3068\u3057\u305f\u8a00\u53ca\u304c\u3042\u308a\u307e\u305b\u3093\u3067\u3057\u305f\u3002Standards of Medical Care in Diabetes 2018\u306f\u3042\u304f\u307e\u3067\u3082\u7c73\u56fd\u306b\u304a\u3051\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u3042\u308a\u3001\u65e5\u672c\u306b\u304a\u3051\u308b\u6cbb\u7642\u72b6\u6cc1\u306f\u7570\u306a\u308b\u305f\u3081\u3001\u305d\u306e\u70b9\u306f\u3088\u304f\u541f\u5473\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u30b0\u30ea\u30cb\u30c9\u3068\u03b1\u30b0\u30eb\u30b3\u30b7\u30c0\u30fc\u30bc\u963b\u5bb3\u85ac\u306f\u3044\u305a\u308c\u3082<strong>\u98df\u76f4\u524d\u306b\u5185\u670d<\/strong>\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u3001\u3068\u304d\u3069\u304d\u5185\u670d\u3092\u5fd8\u308c\u3066\u3057\u307e\u3046\uff08\u7279\u306b\u304a\u663c\uff09\u60a3\u8005\u3055\u3093\u3082\u3044\u3089\u3063\u3057\u3083\u3044\u307e\u3059\u304c\u3001<strong>\u98df\u5f8c\u306e\u8840\u7cd6\u4e0a\u6607\u3092\u6291\u3048\u308b\u6709\u52b9\u306a\u304a\u85ac\u3067\u3042\u308a\u3001\u4ed6\u306e\u304a\u85ac\u3068\u7d44\u307f\u5408\u308f\u305b\u308b\u3053\u3068\u306b\u3088\u3063\u3066\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u5927\u304d\u306a\u6539\u5584\u304c\u671f\u5f85<\/strong>\u3055\u308c\u307e\u3059\u3002<\/p>\n<p>\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u5bfe\u3059\u308b\u30a8\u30d3\u30c7\u30f3\u30b9\u3068\u3044\u3046\u70b9\u3067\u306f\u78ba\u56fa\u305f\u308b\u3082\u306e\u306f\u306a\u3044\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u304c\u3001\u7cd6\u5c3f\u75c5\u6cbb\u7642\u306b\u304a\u3044\u3066\u306f\u91cd\u8981\u306a\u304a\u85ac\u3067\u3059\u306e\u3067\u4e3b\u6cbb\u533b\u306e\u5148\u751f\u306e\u3054\u6307\u793a\u306b\u5f93\u3063\u3066\u3057\u3063\u304b\u308a\u5185\u670d\u3057\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n<h3>HbA1c\u5024\u306b\u3088\u308b\u5185\u670d\u85ac\u8ffd\u52a0<\/h3>\n<img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-79939 size-full\" src=\"\/wp-content\/uploads\/2018\/03\/diabetes_2.jpg\" alt=\"\u8840\u7cd6\u5024\u6e2c\u5b9a\" width=\"800\" height=\"533\" \/>\n<p>\u307e\u305f\u3001Standards of Medical Care in Diabetes 2018\u3067\u306f<strong>HbA1c\u306e\u5024\u3092\u57fa\u6e96\u306b\u3057\u305f\u5185\u670d\u85ac\u306e\u8ffd\u52a0\u65b9\u6cd5<\/strong>\u306b\u3064\u3044\u3066\u3082\u8a18\u8f09\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u4f8b\u3048\u3070\u3001HbA1c&lt;9%\u3060\u3063\u305f\u3089\u4e00\u7a2e\u985e\u306e\u304a\u85ac\u3067\u6cbb\u7642\u3092\u958b\u59cb\u3057\u30013-6\u304b\u6708\u5f8c\u306b\u8ffd\u52a0\u304c\u5fc5\u8981\u304b\u691c\u8a0e\u3059\u308b\u3001HbA1c\u22679%\u3060\u3063\u305f\u3089\u4e8c\u7a2e\u985e\u306e\u304a\u85ac\u3092\u4f75\u7528\u3057\u3066\u6cbb\u7642\u3092\u958b\u59cb\u3059\u308b\u3001\u8840\u7cd6\u5024\u304c300 mg\/dl\u4ee5\u4e0a\u3042\u308aHbA1c\u226710%\u3060\u3063\u305f\u3089\u30a4\u30f3\u30b9\u30ea\u30f3\u6ce8\u5c04\u3092\u4f75\u7528\u3057\u3066\u6cbb\u7642\u3092\u958b\u59cb\u3059\u308b\u2026\u3068\u3044\u3063\u305f\u8a18\u8f09\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<p>\u3057\u304b\u3057\u3001<strong>\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306f\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u3084\u5408\u4f75\u75c7\u306e\u9032\u884c\u5ea6\u306a\u3069\u591a\u69d8<\/strong>\u3067\u3042\u308a\u3001\u79c1\u306f\u691c\u67fb\u5024\u306e\u307f\u3067\u6cbb\u7642\u65b9\u6cd5\u3092\u6c7a\u3081\u308b\u3053\u3068\u306f\u3067\u304d\u306a\u3044\u3068\u8003\u3048\u307e\u3059\u3002\u6cbb\u7642\u306e\u59cb\u3081\u65b9\u3001\u305d\u306e\u5f8c\u306e\u8abf\u6574\u306f\u60a3\u8005\u3055\u3093\u500b\u3005\u306b\u8003\u3048\u308b\u3079\u304d\u3082\u306e\u3067\u3059\u3002\u81ea\u5206\u306b\u5408\u3063\u305f\u6cbb\u7642\u6cd5\u3092\u4e3b\u6cbb\u533b\u306e\u5148\u751f\u3068\u3088\u304f\u76f8\u8ac7\u3057\u3066\u5275\u3063\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n<h3>2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642<\/h3>\n<p>\u672c\u7a3f\u3067\u306f2\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306b\u304a\u3051\u308b\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u306b\u3064\u3044\u3066\u306f\u304a\u8a71\u3044\u305f\u3057\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n<p>1\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u3068\u306f\u7570\u306a\u308a\u3001<strong>\u52b9\u679c\u6301\u7d9a\u6642\u9593\u306e\u7570\u306a\u308b\u6570\u7a2e\u985e\uff08\u901f\u52b9\u578b\u3001\u8d85\u901f\u52b9\u578b\u3001\u4e2d\u9593\u578b\u3001\u6301\u52b9\u578b\u3001\u6df7\u5408\u578b\uff09\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u3092\u7528\u3044\u3066\u3001\u305d\u306e\u6ce8\u5c04\u56de\u6570\u30821\u65e51\u56de\uff5e4\u56de\u3068\u69d8\u3005<\/strong>\u3067\u3059\u3002\u60a3\u8005\u3055\u3093\u306e\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u306b\u5408\u308f\u305b\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u88fd\u5264\u3092\u4e0a\u624b\u306b\u4f7f\u3046\u3053\u3068\u304c\u6c42\u3081\u3089\u308c\u307e\u3059\u3002<\/p>\n<p><strong>\u6b21\u306e\u30da\u30fc\u30b8\uff1a<a href=\"\/?p=78592&amp;page=4\">\u7cd6\u5c3f\u75c5\u306e\u88dc\u5b8c\u4ee3\u66ff\u533b\u7642\uff08\u81ea\u7136\u98df\u54c1\u30fb\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306b\u3064\u3044\u3066\uff09<\/a><\/strong><\/p>\n<p><!--nextpage--><\/p>\n<h2>\u7cd6\u5c3f\u75c5\u306e\u88dc\u5b8c\u4ee3\u66ff\u533b\u7642\uff08\u81ea\u7136\u98df\u54c1\u30fb\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306b\u3064\u3044\u3066\uff09<\/h2>\n<p>\u591a\u304f\u306e\u60a3\u8005\u3055\u3093\u304c\u3001\u81ea\u7136\u98df\u54c1\u3084\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3001\u30cf\u30fc\u30d6\u3001\u937c\u7078\u6cbb\u7642\u3001\u6574\u4f53\u306a\u3069\u306e\u88dc\u5b8c\u4ee3\u66ff\u533b\u7642\u306b\u4e00\u5ea6\u306f\u983c\u3063\u305f\u3053\u3068\u304c\u3042\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u7c73\u56fd\u306b\u304a\u3051\u308b2012\u5e74\u306eNational Health Interview\u8abf\u67fb\u306b\u3088\u308b\u3068<strong>33%\u3082\u306e\u4eba\u304c\u305d\u306e\u3088\u3046\u306a\u88dc\u5b8c\u4ee3\u66ff\u533b\u7642\u3092\u53d7\u3051\u305f\u7d4c\u9a13\u304c\u3042\u308a\u300117%\u306e\u4eba\u304c\u81ea\u7136\u98df\u54c1\u3092\u597d\u3093\u3067\u98df\u3079\u3066\u3044\u305f<\/strong>\u3068\u306e\u3053\u3068\u3067\u3059\u3002<\/p>\n<p>\u3053\u308c\u306b\u5bfe\u3057\u3066<strong>\u7c73\u56fd\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u306f\u3001\u7cd6\u5c3f\u75c5\u6cbb\u7642\u306b\u304a\u3044\u3066\u30d3\u30bf\u30df\u30f3\u985e\u3084\u30cf\u30fc\u30d6\u306a\u3069\u3092\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u3068\u3057\u3066\u6442\u53d6\u3059\u308b\u3053\u3068\u3092\u652f\u6301\u3057\u3066\u3044\u307e\u305b\u3093\u3002<\/strong>\u5341\u5206\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u306a\u3044\u3001\u3068\u3044\u3046\u306e\u304c\u305d\u306e\u7406\u7531\u3067\u3059\u3002\u7cd6\u5c3f\u75c5\u306e\u72b6\u614b\u304c\u60aa\u3044\u60a3\u8005\u3055\u3093\u307b\u3069\u88dc\u5b8c\u4ee3\u66ff\u533b\u7642\u306b\u671f\u5f85\u3092\u62b1\u304d\u3001\u6a19\u6e96\u7684\u306a\u85ac\u7269\u7642\u6cd5\u3067\u306f\u306a\u304f\u3001\u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u4e0d\u5341\u5206\u306a\u6cbb\u7642\u3092\u53d7\u3051\u308b\u50be\u5411\u304c\u3042\u308b\u3068\u3082\u3044\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p>\u307e\u305f\u3001<strong>\u88dc\u5b8c\u4ee3\u66ff\u533b\u7642\u306b\u3082\u526f\u4f5c\u7528\u304c\u307e\u3063\u305f\u304f\u306a\u3044\u308f\u3051\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/strong>\u904e\u53bb\u306e\u81e8\u5e8a\u7814\u7a76\u3067\u5831\u544a\u3055\u308c\u3066\u3044\u308b\u7cd6\u5c3f\u75c5\u3068\u81ea\u7136\u98df\u54c1\u30fb\u30b5\u30d7\u30ea\u30e1\u30f3\u30c8\u306e\u95a2\u4fc2\u306b\u3064\u3044\u3066\u3044\u304f\u3064\u304b\u3054\u7d39\u4ecb\u3057\u307e\u3057\u3087\u3046<sup>[8]<\/sup>\u3002<\/p>\n<table>\n<tbody>\n<tr>\n<td style=\"background-color: #b1e0d9;\"><strong>\u00a0<\/strong><\/td>\n<td style=\"background-color: #b1e0d9;\"><strong>\u52b9\u679c<\/strong><\/td>\n<td style=\"background-color: #b1e0d9;\"><strong>\u526f\u4f5c\u7528<\/strong><\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u30b4\u30fc\u30e4<\/strong><\/td>\n<td width=\"480\">\u8840\u7cd6\u964d\u4e0b\u4f5c\u7528<\/p>\n<p>\u5404\u7d44\u7e54\u3067\u306e\u7cd6\u53d6\u308a\u8fbc\u307f\u306e\u5897\u52a0\u4f5c\u7528<\/td>\n<td width=\"642\">\u6d88\u5316\u5668\u75c7\u72b6<\/p>\n<p>\u30b0\u30eb\u30b3\u30fc\u30b9-6-\u30ea\u30f3\u9178\u8131\u6c34\u7d20\u9175\u7d20\u6b20\u640d\u75c7\u306e\u60a3\u8005\u3055\u3093\u3067\u306f\u6eb6\u8840\u6027\u8ca7\u8840\u3092\u8d77\u3053\u3059<\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u30d5\u30a7\u30cc\u30b0\u30ea\u30fc\u30af<\/strong><\/td>\n<td width=\"480\">\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u4fc3\u9032\u4f5c\u7528<\/p>\n<p>\u70ad\u6c34\u5316\u7269\u306e\u5438\u53ce\u3092\u6291\u3048\u3001\u80c3\u304b\u3089\u98df\u3079\u7269\u304c\u79fb\u52d5\u3059\u308b\u306e\u3092\u9045\u3089\u305b\u308b<\/p>\n<p>HDL\uff08\u5584\u7389\uff09\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3092\u4e0a\u3052\u308b<\/td>\n<td width=\"642\">\u4e0b\u75e2<\/p>\n<p>\u304a\u306a\u3089<\/p>\n<p>\u5b50\u5bae\u53ce\u7e2e<\/p>\n<p>\u7d4c\u53e3\u8840\u7cd6\u964d\u4e0b\u85ac\u3068\u76f8\u4e92\u4f5c\u7528\u304c\u3042\u308b\u305f\u3081\u6ce8\u610f<\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u30aa\u30bf\u30cd\u30cb\u30f3\u30b8\u30f3<\/strong><\/td>\n<td width=\"480\">\u30a4\u30f3\u30b9\u30ea\u30f3\u985e\u4f3c\u4f5c\u7528<\/p>\n<p>\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3084\u809d\u81d3\u3067\u306e\u7cd6\u4ee3\u8b1d\u3092\u8abf\u6574\u3059\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b<\/td>\n<td width=\"642\">\u30a8\u30b9\u30c8\u30ed\u30b2\u30f3\u69d8\u306e\u4f5c\u7528\uff08\u4e73\u623f\u5727\u75db\u3001\u7121\u6708\u7d4c\u3001\u81a3\u51fa\u8840\u3001\u52c3\u8d77\u969c\u5bb3\u3001\u4f4e\u8840\u5727\u3001\u4e0d\u7720\u75c7\u306a\u3069\uff09<\/p>\n<p>\u7d4c\u53e3\u8840\u7cd6\u964d\u4e0b\u85ac\u3092\u542b\u3081\u8907\u6570\u306e\u85ac\u5264\u3068\u76f8\u4e92\u4f5c\u7528\u3042\u308a\u6ce8\u610f\u3002<\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u30a2\u30ed\u30a8\u30d9\u30e9<\/strong><\/td>\n<td width=\"480\">\u7cd6\u53d6\u308a\u8fbc\u307f\u4f5c\u7528\u306e\u4fc3\u9032<\/td>\n<td width=\"642\">\u8179\u75db<\/p>\n<p>\u4e0b\u75e2<\/p>\n<p>\u7d4c\u53e3\u8840\u7cd6\u964d\u4e0b\u85ac\u3068\u306e\u76f8\u4e92\u4f5c\u7528\u3042\u308a\u6ce8\u610f\u3002<\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u30b7\u30ca\u30e2\u30f3<\/strong><\/td>\n<td width=\"480\">\u30a4\u30f3\u30b9\u30ea\u30f3\u611f\u53d7\u6027\u3092\u9ad8\u3081\u308b\u3002<\/td>\n<td width=\"642\">\u9999\u308a\u6210\u5206\u306e\u30af\u30de\u30ea\u30f3\u306b\u6297\u51dd\u56fa\uff08\u8840\u6db2\u3092\u3055\u3089\u3055\u3089\u306b\u3059\u308b\uff09\u4f5c\u7528<\/p>\n<p>\u767a\u304c\u3093<\/p>\n<p>\u809d\u6bd2\u6027\u306e\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002<\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u30db\u30a6\u30e9\u30a4\u30a2\u30aa\u30ab\u30ba\u30e9<\/strong><\/td>\n<td width=\"480\">\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u4fc3\u9032\u4f5c\u7528<\/p>\n<p>\u7cd6\u53d6\u308a\u8fbc\u307f\u306e\u5897\u52a0<\/td>\n<td width=\"642\">\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u4fc3\u9032\u85ac\u3068\u4f75\u7528\u3059\u308b\u3068\u4f4e\u8840\u7cd6\u3092\u8d77\u3053\u3059\u53ef\u80fd\u6027\u3042\u308a<\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u30aa\u30d7\u30f3\u30c6\u30a3\u30a2<\/strong><\/td>\n<td width=\"480\">\u30a4\u30f3\u30b9\u30ea\u30f3\u985e\u4f3c\u4f5c\u7528<\/td>\n<td width=\"642\">\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u4fc3\u9032\u85ac\u3068\u4f75\u7528\u3059\u308b\u3068\u4f4e\u8840\u7cd6\u3092\u8d77\u3053\u3059\u53ef\u80fd\u6027\u3042\u308a\u3002<\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u30af\u30ed\u30e0\uff08\u91d1\u5c5e\uff09<\/strong><\/td>\n<td width=\"480\">\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u4f4e\u4e0b\u4f5c\u7528<\/p>\n<p>\u30a4\u30f3\u30b9\u30ea\u30f3\u611f\u53d7\u6027\u3092\u9ad8\u3081\u308b\u3002<\/td>\n<td width=\"642\">\u814e\u6bd2\u6027<\/p>\n<p>\u76ae\u819a\u75c7\u72b6<\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u03c9-3<\/strong><strong>\u8102\u80aa\u9178<\/strong><\/td>\n<td width=\"480\">\u4e2d\u6027\u8102\u80aa\u4f4e\u4e0b\u4f5c\u7528<\/p>\n<p>\u6297\u708e\u75c7\uff08\u708e\u75c7\u3092\u6291\u3048\u308b\uff09\u4f5c\u7528<\/p>\n<p>\u6297\u8840\u5c0f\u677f\uff08\u8840\u6db2\u3092\u3055\u3089\u3055\u3089\u306b\u3059\u308b\uff09\u4f5c\u7528<\/p>\n<p>\u8840\u7cd6\u5024\u3092\u308f\u305a\u304b\u306b\u4e0a\u6607\u3055\u305b\u308b<\/td>\n<td width=\"642\">\u904e\u5270\u6442\u53d6\u306f\u51fa\u8840\u3092\u8d77\u3053\u3059\u53ef\u80fd\u6027<\/p>\n<p>LDL\uff08\u60aa\u7389\uff09\u30b3\u30ec\u30b9\u30c6\u30ed\u30fc\u30eb\u3092\u5897\u3084\u3059\u304b\u3082\u3057\u308c\u306a\u3044<\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u03b1-<\/strong><strong>\u30ea\u30dd\u9178<\/strong><\/td>\n<td width=\"480\">\u7cd6\u5c3f\u75c5\u795e\u7d4c\u969c\u5bb3\u306e\u75c7\u72b6\u3092\u6539\u5584\u3059\u308b<\/p>\n<p>\u8840\u7cd6\u964d\u4e0b\u4f5c\u7528\u306f\u306a\u3044<\/td>\n<td width=\"642\">\u7532\u72b6\u817a\u6a5f\u80fd\u7570\u5e38<\/p>\n<p>\u30a2\u30ec\u30eb\u30ae\u30fc\u6027\u76ae\u819a\u708e<\/p>\n<p>\u8179\u75db<\/p>\n<p>\u5410\u304d\u6c17<\/p>\n<p>\u4e0b\u75e2<\/p>\n<p>\u3081\u307e\u3044<\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u30b3\u30a8\u30f3\u30b6\u30a4\u30e0Q10<\/strong><\/td>\n<td width=\"480\">\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u306e\u6539\u5584<\/td>\n<td width=\"642\"><\/td>\n<\/tr>\n<tr>\n<td width=\"73\"><strong>\u30de\u30b0\u30cd\u30b7\u30a6\u30e0<\/strong><\/td>\n<td width=\"480\">\u7cd6\u4ee3\u8b1d\u306b\u5fc5\u8981\u306a\u91d1\u5c5e<\/p>\n<p>\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u4fc3\u9032\u3057\u30a4\u30f3\u30b9\u30ea\u30f3\u611f\u53d7\u6027\u3092\u9ad8\u3081\u308b<\/td>\n<td 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