{"id":18,"date":"2023-09-03T23:42:16","date_gmt":"2023-09-03T14:42:16","guid":{"rendered":"https:\/\/nakano-dm.clinic\/blog\/?p=18"},"modified":"2024-01-23T11:26:45","modified_gmt":"2024-01-23T02:26:45","slug":"post-18","status":"publish","type":"post","link":"https:\/\/nakano-dm.clinic\/blog\/post-18\/","title":{"rendered":"\u8840\u7cd6\u5909\u52d5\u3068HbA1c\u306b\u3064\u3044\u3066"},"content":{"rendered":"\n<p>\u9662\u9577\u30b3\u30e9\u30e0\u306e\u7b2c1\u56de\u76ee\u306f\u3001\u9662\u9577\u304c\u5c02\u9580\u3068\u3057\u3066\u3044\u308b\u7cd6\u5c3f\u75c5\u306b\u95a2\u3059\u308b\u30c6\u30fc\u30de\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\u306e\u6cbb\u7642\u76ee\u6a19\u306b\u306f\u3001\u4e3b\u306bHbA1c\u3068\u3044\u3046\u6307\u6a19\u304c\u7528\u3044\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u65e5\u672c\u306e\u718a\u672c\u30b9\u30bf\u30c7\u30a3\u3092\u306f\u3058\u3081\u3068\u3059\u308b\u4e16\u754c\u5404\u56fd\u306e\u7814\u7a76\u7d50\u679c\u304b\u3089\u3001\u7cd6\u5c3f\u75c5\u306e\u69d8\u3005\u306a\u5408\u4f75\u75c7\u3092\u4e88\u9632\u3059\u308b\u305f\u3081\u306b\u306fHbA1c\u30927.0%\u672a\u6e80\u306b\u6291\u3048\u308b\u5fc5\u8981\u304c\u3042\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002(<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7587918\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/7587918\/<\/a>)<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u4e00\u65b9\u3001DECODE\u7814\u7a76\u3068\u3044\u3046\u5927\u898f\u6a21\u306a\u81e8\u5e8a\u8a66\u9a13\u3067\u306f\u3001\u6b7b\u4ea1\u7387\u3068\u7a7a\u8179\u6642\u8840\u7cd6\u5024\u306e\u9ad8\u3055\u306b\u306f\u95a2\u9023\u306f\u306a\u3044\u304c\u3001\u30d6\u30c9\u30a6\u7cd6\u6295\u4e0e 2 \u6642\u9593\u5f8c\u306e\u8840\u7cd6\u5024\u306f\u9ad8\u304f\u306a\u308b\u307b\u3069\u6b7b\u4ea1\u7387\u304c\u5897\u52a0\u3059\u308b\u50be\u5411\u304c\u3042\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002(<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10526732\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/10526732\/<\/a>)<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u540c\u69d8\u306bDECODE\u7814\u7a76\u306e\u30a2\u30b8\u30a2\u7248\u3068\u3057\u3066\u5b9f\u65bd\u3055\u308c\u305fDECODA\u7814\u7a76\u3067\u3082\u3001\u5fc3\u7b4b\u6897\u585e\u3084\u72ed\u5fc3\u75c7\u306a\u3069\u306e\u6b7b\u4ea1\u30ea\u30b9\u30af\u306b\u3064\u3044\u3066\u3001\u7a7a\u8179\u6642\u8840\u7cd6\u5024\u3068\u306e\u95a2\u9023\u6027\u306f\u3042\u307e\u308a\u898b\u3089\u308c\u305a\u3001\u30d6\u30c9\u30a6\u7cd6\u6295\u4e0e 2 \u6642\u9593\u5f8c\u306e\u8840\u7cd6\u5024\u304c\u9ad8\u3044\u5834\u5408\u306b\u9ad8\u307e\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002(<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/14985967\/\">https:\/\/pubmed.ncbi.nlm.nih.gov\/14985967\/<\/a>)<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3064\u307e\u308a\u3001\u98df\u5f8c\u9ad8\u8840\u7cd6\uff08\u30b0\u30eb\u30b3\u30fc\u30b9\u30b9\u30d1\u30a4\u30af\uff09\u306e\u7a0b\u5ea6\u3092\u628a\u63e1\u3059\u308b\u3053\u3068\u304c\u3001\u7cd6\u5c3f\u75c5\u6cbb\u7642\u306b\u304a\u3044\u3066\u91cd\u8981\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u5506\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u3057\u304b\u3057\u306a\u304c\u3089\u3001HbA1c\u306f\u5e73\u5747\u8840\u7cd6\u5024\u3092\u53cd\u6620\u3059\u308b\u6307\u6a19\u3067\u3042\u308b\u305f\u3081\u3001\u901a\u5e38\u306e\u8840\u6db2\u691c\u67fb\u3060\u3051\u3067\u306f\u98df\u5f8c\u9ad8\u8840\u7cd6\uff08\u30b0\u30eb\u30b3\u30fc\u30b9\u30b9\u30d1\u30a4\u30af\uff09\u3092\u6b63\u78ba\u306b\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u96e3\u3057\u3044\u5834\u5408\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u305d\u306e\u305f\u3081\u3001\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u30a2\u30dc\u30c3\u30c8\u793e\u306e\u30d5\u30ea\u30fc\u30b9\u30bf\u30a4\u30eb\u30ea\u30d6\u30ec\u3092\u7a4d\u6975\u7684\u306b\u5c0e\u5165\u3057\u3066\u3001\u8840\u7cd6\u30c8\u30ec\u30f3\u30c9\uff08\u8840\u7cd6\u63a8\u79fb\uff09\u3092\u628a\u63e1\u3059\u308b\u3053\u3068\u306b\u52aa\u3081\u3066\u307e\u3044\u308a\u307e\u3059\u3002\u305d\u3046\u3059\u308b\u3053\u3068\u3067\u3001\u70b9\u3067\u306e\u8a55\u4fa1\u3067\u306f\u306a\u304f\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u7dda\uff08\u30b0\u30e9\u30d5\uff09\u3067\u8840\u7cd6\u5024\u3092\u3057\u3063\u304b\u308a\u3068\u628a\u63e1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u3000<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" src=\"https:\/\/www.myfreestyle.jp\/patient\/blood-glucose\/images\/fig-merit-01.png\" alt=\"\"\/><\/figure>\n\n\n\n<p class=\"has-text-align-right\">\u30a2\u30dc\u30c3\u30c8\u30b8\u30e3\u30d1\u30f3\u793e\u306e\u30db\u30fc\u30e0\u30da\u30fc\u30b8\u3088\u308a<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u6211\u3005\u304c\u91cd\u8996\u3057\u3066\u3044\u308b\u6307\u6a19\u306e\u4e00\u3064\u306bTIR\uff08time in range\uff09\u3068\u3044\u3046\u3082\u306e\u304c\u3042\u308a\u307e\u3059\u3002TIR\u306f\u3001\u8840\u7cd6\u5024\u304c70\uff5e180 mg\/dL\u306e\u7bc4\u56f2\u5185\u306b\u3042\u308b\u6642\u9593\u306e\u5272\u5408\u3092\u793a\u3057\u3001\u3053\u308c\u304c70%\u4ee5\u4e0a\u306b\u306a\u308b\u3088\u3046\u306b\u3053\u3068\u304c\u671b\u307e\u3057\u3044\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u307e\u305f\u3001HbA1c\u3084TIR\u306e\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3068\u540c\u7b49\u3001\u3082\u3057\u304f\u306f\u305d\u308c\u4ee5\u4e0a\u306b\u91cd\u8981\u306a\u3053\u3068\u306f\u4f4e\u8840\u7cd6\u3092\u56de\u907f\u3059\u308b\u3053\u3068\u3067\u3059\u3002\u306a\u305c\u306a\u3089\u3001ACCORD\u8a66\u9a13\u3068\u3044\u3046\u5927\u898f\u6a21\u306a\u81e8\u5e8a\u8a66\u9a13\u306a\u3069\u306e\u7d50\u679c\u304b\u3089\u3001\u4f4e\u8840\u7cd6\u306f\u6b7b\u4ea1\u306e\u30ea\u30b9\u30af\u3092\u9ad8\u3081\u308b\u3053\u3068\u304c\u6307\u6458\u3055\u308c\u3066\u3044\u308b\u304b\u3089\u3067\u3059\u3002(<a 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