{"id":587,"date":"2025-11-12T01:14:00","date_gmt":"2025-11-11T16:14:00","guid":{"rendered":"https:\/\/nakano-dm.clinic\/blog\/?p=587"},"modified":"2025-09-02T18:28:24","modified_gmt":"2025-09-02T09:28:24","slug":"post-587","status":"publish","type":"post","link":"https:\/\/nakano-dm.clinic\/blog\/post-587\/","title":{"rendered":"\u7cd6\u5c3f\u75c5\u4e09\u5927\u5408\u4f75\u75c7\u306e1\u3064\u3067\u3042\u308b\u7cd6\u5c3f\u75c5\u814e\u75c7\u306b\u3064\u3044\u3066\u301c\u814e\u81d3\u3092\u5b88\u308b\u6cbb\u7642\u3068\u4e88\u9632\u301c"},"content":{"rendered":"\n<p>\u6771\u4eac\u90fd\u4e2d\u91ce\u533a\u3001JR\u4e2d\u91ce\u99c5\u5357\u53e3\u304b\u3089\u3059\u3050\u306e\u5834\u6240\u3067\u30af\u30ea\u30cb\u30c3\u30af\u3092\u958b\u696d\u3057\u3066\u3044\u308b\u7cd6\u5c3f\u75c5\u5c02\u9580\u533b\u306e\u5927\u5ead\u5065\u53f2\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\u306f\u3001\u8840\u7cd6\u5024\u304c\u9ad8\u3044\u72b6\u614b\u304c\u9577\u304f\u7d9a\u304f\u3053\u3068\u306b\u3088\u3063\u3066\u3001\u5168\u8eab\u306e\u8840\u7ba1\u3084\u81d3\u5668\u306b\u3055\u307e\u3056\u307e\u306a\u5f71\u97ff\u3092\u53ca\u307c\u3059\u75c5\u6c17\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u305d\u306e\u5408\u4f75\u75c7\u306f\u591a\u5c90\u306b\u308f\u305f\u308a\u307e\u3059\u304c\u3001\u306a\u304b\u3067\u3082\u300c\u7cd6\u5c3f\u75c5\u814e\u75c7\u300d\u306f\u3001\u76ee\u30fb\u795e\u7d4c\u3068\u4e26\u3076\u4e09\u5927\u5408\u4f75\u75c7\u306e\u3072\u3068\u3064\u306b\u6570\u3048\u3089\u308c\u3001\u7279\u306b\u6ce8\u610f\u304c\u5fc5\u8981\u306a\u75c5\u614b\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"794\" height=\"600\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/782161-1-794x600.jpg\" alt=\"\" class=\"wp-image-590\" style=\"width:365px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/782161-1-794x600.jpg 794w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/782161-1-397x300.jpg 397w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/782161-1.jpg 1276w\" sizes=\"auto, (max-width: 794px) 100vw, 794px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">\u3000<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p>\u814e\u81d3\u306e\u50cd\u304d\u304c\u5f90\u3005\u306b\u4f4e\u4e0b\u3057\u3066\u3044\u304f\u3053\u306e\u5408\u4f75\u75c7\u306f\u3001\u65e5\u672c\u306b\u304a\u3044\u3066\u4eba\u5de5\u900f\u6790\u3092\u958b\u59cb\u3059\u308b\u539f\u56e0\u306e\u7b2c1\u4f4d\u306b\u3082\u306a\u3063\u3066\u304a\u308a\u3001\u793e\u4f1a\u7684\u306b\u3082\u6df1\u523b\u306a\u554f\u984c\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"584\" height=\"578\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/348709.jpg\" alt=\"\" class=\"wp-image-591\" style=\"width:303px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/348709.jpg 584w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/348709-303x300.jpg 303w\" sizes=\"auto, (max-width: 584px) 100vw, 584px\" \/><\/figure>\n<\/div>\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306e\u3046\u3061\u3001\u7d042\u301c4\u5272\u304c\u7cd6\u5c3f\u75c5\u6027\u814e\u81d3\u75c5\uff08DKD\uff09\u3092\u5408\u4f75\u3059\u308b\u3068\u5831\u544a\u3055\u308c\u3066\u304a\u308a\u3001\u6c7a\u3057\u3066\u7a00\u306a\u3082\u306e\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002(<a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10725812\">https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10725812<\/a>) <\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3057\u304b\u3057\u7cd6\u5c3f\u75c5\u814e\u75c7\u306f\u3001\u521d\u671f\u306e\u6bb5\u968e\u3067\u306f\u307b\u3068\u3093\u3069\u81ea\u899a\u75c7\u72b6\u304c\u306a\u304f\u3001\u5065\u5eb7\u8a3a\u65ad\u3084\u5b9a\u671f\u7684\u306a\u8840\u6db2\u30fb\u5c3f\u691c\u67fb\u306b\u3088\u3063\u3066\u521d\u3081\u3066\u7570\u5e38\u304c\u898b\u3064\u304b\u308b\u3053\u3068\u304c\u591a\u3044\u306e\u304c\u73fe\u5b9f\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u814e\u81d3\u306f\u3001\u8840\u6db2\u3092\u308d\u904e\u3057\u3066\u8001\u5ec3\u7269\u3092\u5c3f\u3068\u3057\u3066\u4f53\u306e\u5916\u3078\u6392\u51fa\u3059\u308b\u3068\u3044\u3046\u3001\u5927\u5207\u306a\u5f79\u5272\u3092\u62c5\u3063\u3066\u3044\u307e\u3059\u3002\u3053\u306e\u6a5f\u80fd\u304c\u5f90\u3005\u306b\u640d\u306a\u308f\u308c\u3066\u3044\u304f\u3068\u3001\u4f53\u306b\u6709\u5bb3\u306a\u7269\u8cea\u304c\u6e9c\u307e\u308a\u3001\u6700\u7d42\u7684\u306b\u306f\u4eba\u5de5\u900f\u6790\u3084\u814e\u79fb\u690d\u3068\u3044\u3063\u305f\u6cbb\u7642\u304c\u5fc5\u8981\u306b\u306a\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u8a3a\u65ad\u306b\u3064\u3044\u3066<\/strong><\/h2>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u8a3a\u65ad\u306b\u306f\u3001\u307e\u305a\u5c3f\u691c\u67fb\u304c\u91cd\u8981\u306a\u5f79\u5272\u3092\u679c\u305f\u3057\u307e\u3059\u3002\u306a\u304b\u3067\u3082\u3001\u5c3f\u306b\u542b\u307e\u308c\u308b\u30bf\u30f3\u30d1\u30af\u8cea\uff08\u30a2\u30eb\u30d6\u30df\u30f3\uff09\u306e\u91cf\u3092\u6e2c\u5b9a\u3059\u308b\u300c\u5c3f\u30a2\u30eb\u30d6\u30df\u30f3\u691c\u67fb\u300d\u304c\u57fa\u672c\u3068\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u5065\u5eb7\u306a\u814e\u81d3\u3067\u306f\u30a2\u30eb\u30d6\u30df\u30f3\u306f\u307b\u3068\u3093\u3069\u5c3f\u4e2d\u306b\u6392\u6cc4\u3055\u308c\u307e\u305b\u3093\u304c\u3001\u814e\u81d3\u306e\u6a5f\u80fd\u304c\u4f4e\u4e0b\u3057\u59cb\u3081\u308b\u3068\u3001\u308f\u305a\u304b\u306b\u6f0f\u308c\u51fa\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u5c3f\u30a2\u30eb\u30d6\u30df\u30f3\u304c30 mg\/\u65e5\u4ee5\u4e0a\u691c\u51fa\u3055\u308c\u305f\u6bb5\u968e\u3067\u300c\u65e9\u671f\u814e\u75c7\u671f\uff08\u814e\u75c72\u671f\uff09\u300d\u3068\u8a3a\u65ad\u3055\u308c\u3001\u3055\u3089\u306b\u5897\u52a0\u3057\u3066300 mg\/\u65e5\u4ee5\u4e0a\u3068\u306a\u308b\u3068\u300c\u9855\u6027\u814e\u75c7\u671f\uff08\u814e\u75c73\u671f\uff09\u300d\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306b\u3001\u5c3f\u30a2\u30eb\u30d6\u30df\u30f3\u306e\u91cf\u306f\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u9032\u884c\u5ea6\u3092\u8a55\u4fa1\u3059\u308b\u3046\u3048\u3067\u975e\u5e38\u306b\u91cd\u8981\u306a\u6307\u6a19\u3067\u3059\u3002\u65e9\u671f\u306e\u6bb5\u968e\u3067\u7570\u5e38\u304c\u898b\u3064\u304b\u308c\u3070\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u3084\u85ac\u7269\u7642\u6cd5\u306b\u3088\u3063\u3066\u9032\u884c\u3092\u6291\u3048\u308b\u3053\u3068\u304c\u53ef\u80fd\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u307e\u305f\u3001\u8840\u6db2\u691c\u67fb\u3067\u306f\u814e\u81d3\u306e\u308d\u904e\u6a5f\u80fd\u3092\u793a\u3059eGFR\uff08\u63a8\u7b97\u7cf8\u7403\u4f53\u6ffe\u904e\u91cf\uff09\u3084\u8840\u6e05\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u306e\u5024\u3092\u78ba\u8a8d\u3057\u307e\u3059\u3002eGFR\u306e\u4f4e\u4e0b\u306f\u3001\u814e\u6a5f\u80fd\u304c\u969c\u5bb3\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u3092\u793a\u3057\u3066\u304a\u308a\u3001\u6570\u5024\u304c30 mL\/\u5206\/1.73\u33a1\u3092\u4e0b\u56de\u308b\u3068\u300c\u814e\u4e0d\u5168\u671f\uff08\u814e\u75c74\u671f\uff09\u300d\u3068\u8a3a\u65ad\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3055\u3089\u306b\u814e\u6a5f\u80fd\u304c\u60aa\u5316\u3057\u3066\u900f\u6790\u7642\u6cd5\u304c\u5fc5\u8981\u306a\u72b6\u614b\u306b\u81f3\u308b\u3068\u3001\u300c\u900f\u6790\u7642\u6cd5\u671f\uff08\u814e\u75c75\u671f\uff09\u300d\u3068\u3055\u308c\u307e\u3059\u3002eGFR\u306f\u3001\u9032\u884c\u5ea6\u306e\u628a\u63e1\u3084\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u3081\u308b\u4e0a\u3067\u6b20\u304b\u305b\u306a\u3044\u6307\u6a19\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3055\u3089\u306b\u3001\u8840\u5727\u306e\u6e2c\u5b9a\u3068\u7ba1\u7406\u3082\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002\u9ad8\u8840\u5727\u306f\u814e\u81d3\u306e\u7d30\u304b\u3044\u8840\u7ba1\u306b\u5927\u304d\u306a\u8ca0\u62c5\u3092\u304b\u3051\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u9032\u884c\u3092\u65e9\u3081\u308b\u5927\u304d\u306a\u8981\u56e0\u3068\u306a\u308a\u307e\u3059\u3002\u305d\u306e\u305f\u3081\u3001\u8840\u7cd6\u3060\u3051\u3067\u306a\u304f\u8840\u5727\u306e\u826f\u597d\u306a\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3082\u3001\u814e\u81d3\u3092\u5b88\u308b\u305f\u3081\u306b\u6b20\u304b\u305b\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><strong>\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u4e88\u9632\u3084\u98df\u4e8b\u7642\u6cd5\u306b\u3064\u3044\u3066<\/strong><\/h2>\n\n\n\n<p>\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u4e88\u9632\u3084\u9032\u884c\u306e\u6291\u5236\u306b\u306f\u3001\u8840\u7cd6\u5024\u3068\u8840\u5727\u306e\u826f\u597d\u306a\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u57fa\u672c\u3068\u306a\u308a\u307e\u3059\u3002\u8840\u7cd6\u7ba1\u7406\u306e\u76ee\u6a19\u3068\u3057\u3066\u306f\u3001\u4e00\u822c\u7684\u306bHbA1c\u30927.0\uff05\u672a\u6e80\u306b\u4fdd\u3064\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-full is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"750\" height=\"206\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/diabetes_04.jpg\" alt=\"\" class=\"wp-image-592\" style=\"width:592px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/diabetes_04.jpg 750w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/diabetes_04-400x110.jpg 400w\" sizes=\"auto, (max-width: 750px) 100vw, 750px\" \/><\/figure>\n<\/div>\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u305f\u3060\u3057\u3001\u65e5\u5e38\u751f\u6d3b\u52d5\u4f5c\uff08ADL\uff09\u304c\u4f4e\u4e0b\u3057\u3066\u3044\u308b\u9ad8\u9f62\u306e\u65b9\u3067\u3001\u304b\u3064\u4f4e\u8840\u7cd6\u3092\u8d77\u3053\u3057\u3084\u3059\u3044\u85ac\u5264\u3092\u4f7f\u7528\u3057\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u30017.5\uff05\u672a\u6e80\u3042\u308b\u3044\u306f8.0\uff05\u672a\u6e80\u3068\u3001\u3088\u308a\u7de9\u3084\u304b\u306a\u76ee\u6a19\u304c\u8a2d\u5b9a\u3055\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u8840\u5727\u306b\u95a2\u3057\u3066\u306f\u3001\u5bb6\u5ead\u8840\u5727\u3067125\/75 mmHg\u672a\u6e80\u3092\u76ee\u6307\u3059\u3053\u3068\u304c\u671b\u307e\u3057\u304f\u3001\u305d\u306e\u9054\u6210\u306e\u305f\u3081\u306b\u306f\u98df\u4e8b\u306e\u6e1b\u5869\u304c\u91cd\u8981\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u5177\u4f53\u7684\u306b\u306f\u30011\u65e5\u306e\u98df\u5869\u6442\u53d6\u91cf\u30926 g\u672a\u6e80\u306b\u6291\u3048\u308b\u3053\u3068\u304c\u7406\u60f3\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u305f\u3093\u3071\u304f\u8cea\u306e\u6442\u308a\u3059\u304e\u306f\u814e\u81d3\u306b\u8ca0\u62c5\u3092\u304b\u3051\u308b\u305f\u3081\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u304c\u7b2c3\u671f\u4ee5\u4e0a\u306b\u9032\u884c\u3057\u3066\u3044\u308b\u5834\u5408\u306b\u306f\u3001\u533b\u5e2b\u3084\u7ba1\u7406\u6804\u990a\u58eb\u306e\u6307\u5c0e\u306e\u3082\u3068\u3001\u305f\u3093\u3071\u304f\u8cea\u306e\u6442\u53d6\u91cf\u3092\u9069\u5207\u306b\u8abf\u6574\u3059\u308b\u5fc5\u8981\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>\u3055\u3089\u306b\u3001\u7981\u7159\u3084\u9069\u5ea6\u306a\u904b\u52d5\u3082\u814e\u6a5f\u80fd\u306e\u4fdd\u8b77\u306b\u52b9\u679c\u7684\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<h2 class=\"wp-block-heading\"><strong>\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u85ac\u7269\u6cbb\u7642\u306b\u3064\u3044\u3066<\/strong><\/h2>\n\n\n\n<p>\u8fd1\u5e74\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u6cbb\u7642\u306b\u306f\u3001\u814e\u81d3\u3092\u76f4\u63a5\u4fdd\u8b77\u3059\u308b\u4f5c\u7528\u3092\u6301\u3064\u65b0\u3057\u3044\u85ac\u5264\u304c\u6b21\u3005\u306b\u767b\u5834\u3057\u3066\u3044\u307e\u3059\u3002\u4e2d\u3067\u3082\u6ce8\u76ee\u3055\u308c\u3066\u3044\u308b\u306e\u304cSGLT2\u963b\u5bb3\u85ac\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3053\u306e\u85ac\u5264\u306f\u3082\u3068\u3082\u3068\u3001\u5c3f\u4e2d\u306b\u7cd6\u3092\u6392\u51fa\u3055\u305b\u308b\u3053\u3068\u3067\u8840\u7cd6\u5024\u3092\u4e0b\u3052\u308b\u76ee\u7684\u3067\u958b\u767a\u3055\u308c\u307e\u3057\u305f\u304c\u3001\u305d\u306e\u5f8c\u3001\u9060\u4f4d\u5c3f\u7d30\u7ba1\u306a\u3069\u3078\u306e\u4f5c\u7528\u3092\u901a\u3058\u3066\u814e\u4fdd\u8b77\u52b9\u679c\u3092\u767a\u63ee\u3059\u308b\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>2020\u5e74\u306b\u767a\u8868\u3055\u308c\u305f\u300cDAPA-CKD\u8a66\u9a13\u300d\u3067\u306f\u3001SGLT2\u963b\u5bb3\u85ac\u30d5\u30a9\u30b7\u30fc\u30ac\uff08\u30c0\u30d1\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3\uff09\u304c\u3001\u7cd6\u5c3f\u75c5\u306e\u6709\u7121\u3092\u554f\u308f\u305a\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u814e\u6a5f\u80fd\u306e\u60aa\u5316\u3084\u6b7b\u4ea1\u30ea\u30b9\u30af\u3092\u6709\u610f\u306b\u4f4e\u4e0b\u3055\u305b\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002\uff08<a href=\"https:\/\/www.nejm.jp\/abstract\/vol383.p1436\">https:\/\/www.nejm.jp\/abstract\/vol383.p1436<\/a>\uff09<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3055\u3089\u306b2023\u5e74\u306b\u306f\u3001\u300cEMPA-KIDNEY\u8a66\u9a13\u300d\u306b\u3088\u308a\u3001\u540c\u3058\u304fSGLT2\u963b\u5bb3\u85ac\u3067\u3042\u308b\u30b8\u30e3\u30c7\u30a3\u30a2\u30f3\u30b9\uff08\u30a8\u30f3\u30d1\u30b0\u30ea\u30d5\u30ed\u30b8\u30f3\uff09\u306b\u3082\u3001\u540c\u69d8\u306e\u814e\u4fdd\u8b77\u52b9\u679c\u304c\u3042\u308b\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002(<a href=\"https:\/\/www.nejm.jp\/abstract\/vol388.p117\" target=\"_blank\" rel=\"noopener\" title=\"\">https:\/\/www.nejm.jp\/abstract\/vol388.p117<\/a>\uff09<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3055\u3089\u306b\u3001\u9ad8\u8840\u5727\u75c7\u306e\u6cbb\u7642\u85ac\u3068\u3057\u3066\u77e5\u3089\u308c\u308b\u30df\u30cd\u30e9\u30eb\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac\uff08MR\u62ee\u6297\u85ac\uff09\u306b\u3082\u6ce8\u76ee\u304c\u96c6\u307e\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u85ac\u5264\u306f\u3001\u30df\u30cd\u30e9\u30eb\u30b3\u30eb\u30c1\u30b3\u30a4\u30c9\u53d7\u5bb9\u4f53\u306b\u4f5c\u7528\u3059\u308b\u3053\u3068\u3067\u8840\u5727\u3092\u4e0b\u3052\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u4f53\u5185\u306e\u708e\u75c7\u3084\u7dda\u7dad\u5316\u3092\u6291\u5236\u3057\u3001\u814e\u81d3\u3084\u5fc3\u81d3\u3092\u4fdd\u8b77\u3059\u308b\u52b9\u679c\u304c\u671f\u5f85\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>2020\u5e74\u306b\u767a\u8868\u3055\u308c\u305f\u300cFIDELIO-DKD\u8a66\u9a13\u300d\u3067\u306f\u3001MR\u62ee\u6297\u85ac\u306e\u4e00\u3064\u3067\u3042\u308b\u30b1\u30ec\u30f3\u30c7\u30a3\u30a2\uff08\u30d5\u30a3\u30cd\u30ec\u30ce\u30f3\uff09\u304c\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u9032\u884c\u3092\u6291\u5236\u3057\u3001\u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8\u306e\u30ea\u30b9\u30af\u3092\u6709\u610f\u306b\u4f4e\u4e0b\u3055\u305b\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002\uff08<a href=\"https:\/\/www.nejm.jp\/abstract\/vol383.p2219\" target=\"_blank\" rel=\"noopener\" title=\"\">https:\/\/www.nejm.jp\/abstract\/vol383.p2219<\/a>\uff09<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3082\u3046\u4e00\u3064\u3001\u8fd1\u5e74\u814e\u4fdd\u8b77\u4f5c\u7528\u304c\u671f\u5f85\u3055\u308c\u3066\u3044\u308b\u85ac\u304cGLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u3067\u3059\u3002\u3082\u3068\u3082\u3068\u306f\u8840\u7cd6\u5024\u3092\u4e0b\u3052\u305f\u308a\u98df\u6b32\u3092\u6291\u3048\u308b\u76ee\u7684\u3067\u4f7f\u7528\u3055\u308c\u3066\u304d\u307e\u3057\u305f\u304c\u3001\u4f53\u91cd\u6e1b\u5c11\u3084\u8840\u5727\u306e\u6539\u5584\u306b\u52a0\u3048\u3001\u5fc3\u8840\u7ba1\u3084\u814e\u81d3\u306b\u5bfe\u3057\u3066\u3082\u826f\u3044\u5f71\u97ff\u304c\u5831\u544a\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>\u4f8b\u3048\u3070\u300cREWIND\u8a66\u9a13\u300d\u3067\u306f\u3001\u30c8\u30eb\u30ea\u30b7\u30c6\u30a3\uff08\u30c7\u30e5\u30e9\u30b0\u30eb\u30c1\u30c9\uff09\u3068\u3044\u3046GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u304c\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u306e\u9032\u884c\u3092\u6291\u3048\u308b\u53ef\u80fd\u6027\u304c\u793a\u3055\u308c\u307e\u3057\u305f\uff08<a href=\"https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(19)31149-3\/abstract\">https:\/\/www.thelancet.com\/journals\/lancet\/article\/PIIS0140-6736(19)31149-3\/abstract<\/a>\uff09\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3055\u3089\u306b\u6700\u8fd1\u306e\u300cFLOW\u8a66\u9a13\u300d\u3067\u306f\u3001\u30aa\u30bc\u30f3\u30d4\u30c3\u30af\uff08\u30bb\u30de\u30b0\u30eb\u30c1\u30c9\uff09\u306b\u3088\u308a\u4e3b\u8981\u306a\u814e\u75be\u60a3\u30a4\u30d9\u30f3\u30c8\u306e\u767a\u751f\u304c\u5c11\u306a\u304b\u3063\u305f\u3053\u3068\u3082\u660e\u3089\u304b\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002\uff08<a href=\"https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa2108269?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed\">https:\/\/www.nejm.org\/doi\/10.1056\/NEJMoa2108269?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub%20%200pubmed<\/a>\uff09\u3000<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u4e00\u65b9\u3067\u3001\u9577\u5e74\u306b\u308f\u305f\u308a\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u6cbb\u7642\u306b\u7528\u3044\u3089\u308c\u3066\u304d\u305f\u306e\u304c ARB\uff08\u30a2\u30f3\u30b8\u30aa\u30c6\u30f3\u30b7\u30f3II\u53d7\u5bb9\u4f53\u62ee\u6297\u85ac\uff09 \u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u8840\u5727\u3092\u4e0b\u3052\u308b\u3060\u3051\u3067\u306a\u304f\u3001\u30a2\u30f3\u30b8\u30aa\u30c6\u30f3\u30b7\u30f3II\u306b\u3088\u308b\u7cf8\u7403\u4f53\u51fa\u53e3\u8840\u7ba1\uff08\u8f38\u51fa\u7d30\u52d5\u8108\uff09\u306e\u53ce\u7e2e\u3092\u6291\u3048\u308b\u3053\u3068\u3067\u3001\u7cf8\u7403\u4f53\u5185\u5727\u306e\u4e0a\u6607\u3092\u9632\u304e\u3001\u814e\u6a5f\u80fd\u306e\u60aa\u5316\u3092\u9045\u3089\u305b\u308b\u4f5c\u7528\u304c\u77e5\u3089\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>2001\u5e74\u306b\u5831\u544a\u3055\u308c\u305f\u300cRENAAL\u8a66\u9a13\u300d\u3067\u306f\u3001ARB\u306e\u3072\u3068\u3064\u3067\u3042\u308b\u30ed\u30b5\u30eb\u30bf\u30f3\u304c\u3001\u7cd6\u5c3f\u75c5\u6027\u814e\u75c7\u60a3\u8005\u306b\u304a\u3044\u3066\u814e\u6a5f\u80fd\u306e\u4f4e\u4e0b\u3084\u900f\u6790\u5c0e\u5165\u306e\u30ea\u30b9\u30af\u3092\u6709\u610f\u306b\u6e1b\u3089\u3059\u3053\u3068\u304c\u793a\u3055\u308c\u307e\u3057\u305f\u3002(<a href=\"https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa011161\" target=\"_blank\" rel=\"noopener\" title=\"\">https:\/\/www.nejm.org\/doi\/full\/10.1056\/NEJMoa011161<\/a>\uff09<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u73fe\u5728\u3067\u3082\u591a\u304f\u306e\u60a3\u8005\u3055\u3093\u306b\u4f7f\u7528\u3055\u308c\u3066\u304a\u308a\u3001\u65b0\u3057\u3044\u85ac\u5264\u3068\u306e\u4f75\u7528\u306b\u3088\u308b\u76f8\u4e57\u7684\u306a\u814e\u4fdd\u8b77\u52b9\u679c\u304c\u671f\u5f85\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<h2 class=\"wp-block-heading\">\u307e\u3068\u3081<\/h2>\n\n\n\n<p>\u3053\u306e\u3088\u3046\u306b\u3001\u7cd6\u5c3f\u75c5\u814e\u75c7\u306e\u6cbb\u7642\u306f\u8fd1\u5e74\u5927\u304d\u304f\u9032\u6b69\u3057\u3066\u304a\u308a\u3001\u65e9\u671f\u767a\u898b\u3068\u9069\u5207\u306a\u85ac\u306e\u6d3b\u7528\u306b\u3088\u3063\u3066\u814e\u6a5f\u80fd\u3092\u5b88\u308b\u3053\u3068\u304c\u5341\u5206\u306b\u53ef\u80fd\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u305f\u3060\u3057\u3001\u305d\u306e\u305f\u3081\u306b\u306f\u60a3\u8005\u3055\u3093\u3054\u81ea\u8eab\u304c\u751f\u6d3b\u7fd2\u6163\u3092\u898b\u76f4\u3057\u3001\u5b9a\u671f\u7684\u306a\u691c\u67fb\u3092\u53d7\u3051\u306a\u304c\u3089\u3001\u533b\u5e2b\u3068\u5354\u529b\u3057\u3066\u6cbb\u7642\u3092\u7d9a\u3051\u308b\u3053\u3068\u304c\u6b20\u304b\u305b\u307e\u305b\u3093\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u3067\u306f\u3001\u8840\u7cd6\u3084\u8840\u5727\u306e\u7ba1\u7406\u306b\u52a0\u3048\u3066\u3001\u814e\u81d3\u3092\u5b88\u308b\u305f\u3081\u306e\u98df\u4e8b\u30fb\u904b\u52d5\u7642\u6cd5\u306e\u6307\u5c0e\u3084\u3001SGLT2\u963b\u5bb3\u85ac\u3001GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u3001MR\u62ee\u6297\u85ac\u306a\u3069\u6700\u65b0\u306e\u6cbb\u7642\u85ac\u306b\u3082\u5bfe\u5fdc\u3057\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\u3001\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u306e\u7cd6\u5c3f\u75c5\u306b\u5bfe\u3059\u308b\u8003\u3048\u3084\u6cbb\u7642\u306e\u53d6\u308a\u7d44\u307f\u306a\u3069\u306b\u3064\u3044\u3066\u306f\u3001<a href=\"https:\/\/nakano-dm.clinic\/diabetes.html\" title=\"\">\u3053\u3061\u3089<\/a>\u306e\u30da\u30fc\u30b8\u3092\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u4e2d\u91ce\u533a\u3068\u305d\u306e\u5468\u8fba\u3067\u814e\u81d3\u306e\u6570\u5024\u3084\u5c3f\u691c\u67fb\u306b\u4e0d\u5b89\u304c\u3042\u308b\u65b9\u3001\u7cd6\u5c3f\u75c5\u3092\u9577\u304f\u304a\u6301\u3061\u306e\u65b9\u306f\u3001\u305c\u3072\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002\u53d7\u8a3a\u3092\u3054\u5e0c\u671b\u306e\u65b9\u306f\u3001<a href=\"https:\/\/patient.digikar-smart.jp\/institutions\/2bd49dc7-3098-4ceb-a517-56853fdc3403\/reserve\" title=\"\">\u4e88\u7d04\u30da\u30fc\u30b8<\/a>\u3088\u308a\u3054\u4e88\u7d04\u3044\u305f\u3060\u3051\u307e\u3059\u3002\u814e\u81d3\u3092\u5b88\u308b\u305f\u3081\u306b\u3001\u4eca\u3067\u304d\u308b\u3053\u3068\u3092\u4e00\u7dd2\u306b\u8003\u3048\u3066\u3044\u304d\u307e\u3057\u3087\u3046\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\uff08\u6587\u8cac\uff1a\u4e2d\u91ce\u99c5\u524d\u5185\u79d1\u30af\u30ea\u30cb\u30c3\u30af \u7cd6\u5c3f\u75c5\u30fb\u5185\u5206\u6ccc\u5185\u79d1\u3000\u9662\u9577\u30fb\u533b\u5b66\u535a\u58eb\u3000\u5927\u5ead\u5065\u53f2\uff09<\/p>\n\n\n<div class=\"wp-block-image\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"534\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/004n-800x534.jpg\" alt=\"\" class=\"wp-image-593\" style=\"width:499px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/09\/004n-800x534.jpg 800w, 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