{"id":631,"date":"2025-12-22T01:00:00","date_gmt":"2025-12-21T16:00:00","guid":{"rendered":"https:\/\/nakano-dm.clinic\/blog\/?p=631"},"modified":"2026-03-11T11:22:13","modified_gmt":"2026-03-11T02:22:13","slug":"post-631","status":"publish","type":"post","link":"https:\/\/nakano-dm.clinic\/blog\/post-631\/","title":{"rendered":"\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\uff08SPIDDM\uff09\u306b\u3064\u3044\u3066 \u65b0\u3057\u3044\u8a3a\u65ad\u57fa\u6e96\u3068\u6cbb\u7642\u306e\u8003\u3048\u65b9"},"content":{"rendered":"\n<p>\u6771\u4eac\u90fd\u4e2d\u91ce\u533a\u306eJR\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\u3001\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>\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\uff08SPIDDM\uff1aslowly progressive insulin-dependent diabetes mellitus\uff09\u306f\u30012012\u5e74\u306b\u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u304c\u8a3a\u65ad\u57fa\u6e96\u3092\u4f5c\u6210\u3057\u307e\u3057\u305f\u304c\u3001\u5f53\u6642\u306e\u57fa\u6e96\u306b\u306f\u3044\u304f\u3064\u304b\u306e\u8ab2\u984c\u304c\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u65e7\u57fa\u6e96\u3067\u306f\u3001\u307e\u3060\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u3092\u5fc5\u8981\u3068\u3057\u306a\u3044\u60a3\u8005\u3055\u3093\u3082\u540c\u3058\u75c5\u578b\u3068\u3057\u3066\u6271\u3063\u3066\u3044\u305f\u305f\u3081\u3001\u5b9f\u969b\u306e\u9032\u884c\u306e\u901f\u3055\u3084\u91cd\u75c7\u5ea6\u3092\u5341\u5206\u306b\u53cd\u6620\u3067\u304d\u307e\u305b\u3093\u3067\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u307e\u305f\u3001\u8a3a\u65ad\u306b\u7528\u3044\u308b\u81ea\u5df1\u6297\u4f53\u304c\u6297GAD\u6297\u4f53\u3068ICA\u306b\u9650\u3089\u308c\u3066\u3044\u305f\u305f\u3081\u3001IA-2\u6297\u4f53\u30fbZnT8\u6297\u4f53\u30fb\u30a4\u30f3\u30b9\u30ea\u30f3\u81ea\u5df1\u6297\u4f53\u306e\u307f\u967d\u6027\u306e\u65b9\u306a\u3069\u3001\u4e00\u90e8\u306e\u30bf\u30a4\u30d7\u304c\u8a3a\u65ad\u304b\u3089\u6f0f\u308c\u3066\u3057\u307e\u3046\u3053\u3068\u3082\u3042\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3055\u3089\u306b\u3001\u6297GAD\u6297\u4f53\u304c\u967d\u6027\u3067\u3082\u5fc5\u305a\u3057\u3082\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u304c\u5fc5\u8981\u306b\u306a\u308b\u3068\u306f\u9650\u3089\u306a\u3044\u3053\u3068\u304c\u660e\u3089\u304b\u306b\u306a\u308a\u3001\u9032\u884c\u30ea\u30b9\u30af\u3092\u3088\u308a\u6b63\u78ba\u306b\u8a55\u4fa1\u3067\u304d\u308b\u65b0\u3057\u3044\u57fa\u6e96\u304c\u6c42\u3081\u3089\u308c\u3066\u3044\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3053\u3046\u3057\u305f\u8ab2\u984c\u3092\u8e0f\u307e\u3048\u30012023\u5e74\u306b\u8a3a\u65ad\u57fa\u6e96\u304c\u6539\u8a02\u3055\u308c\u307e\u3057\u305f\u3002\u65b0\u57fa\u6e96\u3067\u306f\u3001\u81ea\u5df1\u6297\u4f53\u306e\u7a2e\u985e\u3092\u62e1\u5927\u3057\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u306e\u4f4e\u4e0b\u3084\u7d4c\u904e\u306b\u5fdc\u3058\u3066<strong>\u300cdefinite\u300d\u3068\u300cprobable\u300d\u306e2\u6bb5\u968e\u306b\u5206\u985e\u3059\u308b<\/strong>\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p> \u3053\u306e\u6539\u8a02\u306b\u3088\u308a\u3001\u3088\u308a\u6b63\u78ba\u306a\u8a3a\u65ad\u3068\u3001\u60a3\u8005\u3055\u3093\u4e00\u4eba\u3072\u3068\u308a\u306e\u75c5\u72b6\u306b\u5408\u308f\u305b\u305f\u6cbb\u7642\u65b9\u91dd\u306e\u7acb\u6848\u304c\u53ef\u80fd\u3068\u306a\u308a\u307e\u3057\u305f\u3002\u3053\u3053\u3067\u306f\u3001\u65b0\u3057\u3044\u8a3a\u65ad\u57fa\u6e96\u3084\u6cbb\u7642\u306e\u8003\u3048\u65b9\u306a\u3069\u3064\u3044\u3066\u3001\u60a3\u8005\u3055\u3093\u5411\u3051\u306b\u308f\u304b\u308a\u3084\u3059\u304f\u89e3\u8aac\u3057\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-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"533\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/49758f5a4b2d938c47b888cc35319b2f-800x533.jpg\" alt=\"\" class=\"wp-image-633\" style=\"width:396px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/49758f5a4b2d938c47b888cc35319b2f-800x533.jpg 800w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/49758f5a4b2d938c47b888cc35319b2f-400x267.jpg 400w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/49758f5a4b2d938c47b888cc35319b2f.jpg 1536w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\u3068\u306f<\/h2>\n\n\n\n<p>\u901a\u5e38\u306e1\u578b\u7cd6\u5c3f\u75c5\u306f\u3001\u81ea\u5df1\u514d\u75ab\u306e\u50cd\u304d\u306b\u3088\u3063\u3066\u81b5\u81d3\u306e\u03b2\u7d30\u80de\u304c\u6025\u901f\u306b\u7834\u58ca\u3055\u308c\u3001\u77ed\u671f\u9593\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u304c\u5931\u308f\u308c\u308b\u306e\u304c\u7279\u5fb4\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3053\u308c\u306b\u5bfe\u3057\u3001\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\u306f\u3001\u540c\u3058\u81ea\u5df1\u514d\u75ab\u6027\u306e\u75c5\u6c17\u3067\u3042\u308a\u306a\u304c\u3089\u3001\u03b2\u7d30\u80de\u306e\u7834\u58ca\u304c\u3086\u3063\u304f\u308a\u3068\u9032\u884c\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>\u5178\u578b\u7684\u306b\u306f\u3001\u521d\u671f\u306b\u306f2\u578b\u7cd6\u5c3f\u75c5\u306b\u4f3c\u305f\u7d4c\u904e\u3092\u3068\u308a<\/strong>\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u3084\u7d4c\u53e3\u85ac\u3067\u8840\u7cd6\u304c\u4fdd\u305f\u308c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u304c\u3001<strong>\u6642\u9593\u306e\u7d4c\u904e\u3068\u3068\u3082\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u4f5c\u308b\u529b\u304c\u5c11\u3057\u305a\u3064\u4f4e\u4e0b\u3057\u3001\u3084\u304c\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u7642\u6cd5\u304c\u5fc5\u8981\u306b\u306a\u308a\u307e\u3059\u3002<\/strong><\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u65b0\u3057\u3044\u8a3a\u65ad\u57fa\u6e96\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n<p>2023\u5e74\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u6539\u8a02\u306b\u3088\u308a\u3001\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\u306e\u8a3a\u65ad\u306f\u300cdefinite\u300d\u3068\u300cprobable\u300d\u306e2\u6bb5\u968e\u306b\u5206\u985e\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u8a3a\u65ad\u306b\u306f\u3001\u4ee5\u4e0b\u306e2\u9805\u76ee\u3092\u5fc5\u9808\u6761\u4ef6\u3068\u3057\u3066\u6e80\u305f\u3059\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u30fb\u75c5\u671f\u3092\u901a\u3058\u3066\u3001\u81b5\u5cf6\u95a2\u9023\u81ea\u5df1\u6297\u4f53\uff08\u6297GAD\u6297\u4f53\u3001\u6297IA-2\u6297\u4f53\u3001ICA\u3001ZnT8\u6297\u4f53\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u6297\u4f53\u306a\u3069\uff09\u306e\u3044\u305a\u308c\u304b\u304c\u967d\u6027\u3067\u3042\u308b\u3053\u3068\u3002<\/p>\n\n\n\n<p>\u30fb\u7cd6\u5c3f\u75c5\u306e\u8a3a\u65ad\u6642\u306b\u30b1\u30c8\u30fc\u30b7\u30b9\u307e\u305f\u306f\u30b1\u30c8\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u3092\u4f34\u308f\u305a\u3001\u76f4\u3061\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u3092\u5fc5\u8981\u3068\u3057\u306a\u3044\u3053\u3068\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u3053\u308c\u3089\u306e\u6761\u4ef6\u3092\u6e80\u305f\u3057\u305f\u3046\u3048\u3067\u3001\u7d4c\u904e\u4e2d\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u304c\u7de9\u5f90\u306b\u4f4e\u4e0b\u3057\u3001\u7cd6\u5c3f\u75c5\u306e\u8a3a\u65ad\u304b\u30893\u304b\u6708\u4ee5\u4e0a\u7d4c\u904e\u3057\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u306a\u308a\u3001\u6700\u7d42\u7684\u306b\u5185\u56e0\u6027\u30a4\u30f3\u30b9\u30ea\u30f3\u6b20\u4e4f\u72b6\u614b\uff08\u7a7a\u8179\u6642\u8840\u6e05C\u30da\u30d7\u30c1\u30c9\uff1c0.6 ng\/mL\uff09\u3092\u793a\u3059\u5834\u5408\u3001\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\uff08definite\uff09\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>\u4e00\u65b9\u3001\u3053\u306e\u6761\u4ef6\u3092\u6e80\u305f\u3055\u306a\u3044\u5834\u5408\u306f\u3001\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\uff08probable\uff09\u3068\u5224\u5b9a\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=\"490\" height=\"350\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/250669-01-10-thumb-516xauto-16681.jpg\" alt=\"\" class=\"wp-image-634\" style=\"width:488px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/250669-01-10-thumb-516xauto-16681.jpg 490w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/250669-01-10-thumb-516xauto-16681-400x286.jpg 400w\" sizes=\"auto, (max-width: 490px) 100vw, 490px\" \/><\/figure>\n<\/div>\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u300cdefinite\u300d\u3068\u300cprobable\u300d\u306e\u9055\u3044\u306b\u3064\u3044\u3066<\/h2>\n\n\n\n<p>\u3053\u306e\u5206\u985e\u306f\u3001\u75c5\u6c17\u304c\u3069\u3053\u307e\u3067\u9032\u884c\u3057\u3066\u3044\u308b\u304b\u3092\u793a\u3059\u76ee\u5b89\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u300cdefinite\u300d\u306f\u3001\u3059\u3067\u306b\u81b5\u81d3\u306e\u03b2\u7d30\u80de\u306e\u6a5f\u80fd\u304c\u8457\u3057\u304f\u4f4e\u4e0b\u3057\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u304c\u5fc5\u8981\u306a\u6bb5\u968e\u3092\u6307\u3057\u307e\u3059\u3002\u4e00\u65b9\u3001\u300cprobable\u300d\u306f\u3001\u307e\u3060\u81b5\u81d3\u304c\u3042\u308b\u7a0b\u5ea6\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u5206\u6ccc\u3057\u3066\u304a\u308a\u3001\u7d4c\u53e3\u8840\u7cd6\u964d\u4e0b\u85ac\u3084\u98df\u4e8b\u30fb\u904b\u52d5\u7642\u6cd5\u306b\u3088\u3063\u3066\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u304c\u4fdd\u305f\u308c\u3066\u3044\u308b\u72b6\u614b\u3067\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\u300cprobable\u300d\u3067\u3042\u3063\u3066\u3082\u6642\u9593\u306e\u7d4c\u904e\u3068\u3068\u3082\u306b\u03b2\u7d30\u80de\u306e\u7834\u58ca\u304c\u9032\u884c\u3057\u3001\u6700\u7d42\u7684\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u4f9d\u5b58\u72b6\u614b\u3078\u79fb\u884c\u3059\u308b\u3053\u3068\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\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<strong>\u5b9a\u671f\u7684\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u3092\u8a55\u4fa1\u3057\u3001\u75c5\u72b6\u306e\u9032\u884c\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u304c\u975e\u5e38\u306b\u91cd\u8981\u3067\u3059\u3002<\/strong><\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<h2 class=\"wp-block-heading\">\u8a3a\u65ad\u306e\u305f\u3081\u306b\u884c\u3046\u691c\u67fb<\/h2>\n\n\n\n<p>\u8a3a\u65ad\u306e\u7b2c\u4e00\u6b69\u306f\u3001\u81ea\u5df1\u6297\u4f53\u306e\u6e2c\u5b9a\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u81ea\u5df1\u6297\u4f53\u306e\u3046\u3061\u6297GAD\u6297\u4f53\u306f\u30011\u578b\u7cd6\u5c3f\u75c5\u60a3\u8005\u3055\u3093\u306e\u7d0470\u301c80\uff05\u3067\u8a8d\u3081\u3089\u308c\u3001\u3053\u308c\u304c\u967d\u6027\u3067\u3042\u308c\u3070\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\u306e\u53ef\u80fd\u6027\u304c\u9ad8\u307e\u308a\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\u81b5\u81d3\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u529b\u3092\u8a55\u4fa1\u3059\u308b\u305f\u3081\u306bC\u30da\u30d7\u30c1\u30c9\u3092\u6e2c\u5b9a\u3057\u307e\u3059\u3002C\u30da\u30d7\u30c1\u30c9\u306f\u3001\u81b5\u81d3\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u304c\u4f5c\u3089\u308c\u308b\u904e\u7a0b\u3067\u540c\u6642\u306b\u751f\u6210\u3055\u308c\u308b\u7269\u8cea\u3067\u3042\u308a\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u306e\u6307\u6a19\u3068\u306a\u308a\u307e\u3059\u3002\u6570\u5024\u304c\u4f4e\u3044\u307b\u3069\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u306e\u4f4e\u4e0b\u3092\u793a\u3057\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\u8840\u7cd6\u5024\u3084HbA1c\u306e\u63a8\u79fb\u3001\u767a\u75c7\u5e74\u9f62\u3001\u80a5\u6e80\u306e\u6709\u7121\u306a\u3069\u306e\u81e8\u5e8a\u7684\u80cc\u666f\u3082\u7dcf\u5408\u7684\u306b\u8003\u616e\u3057\u30012\u578b\u7cd6\u5c3f\u75c5\u306a\u3069\u4ed6\u306e\u7cd6\u5c3f\u75c5\u3068\u306e\u9451\u5225\u3092\u884c\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\">\u6cbb\u7642\u306e\u57fa\u672c\u65b9\u91dd<\/h2>\n\n\n\n<p>\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\uff08definite\uff09\u3068\u8a3a\u65ad\u3055\u308c\u305f\u5834\u5408\u306f\u3001\u539f\u5247\u3068\u3057\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u3092\u5c0e\u5165\u3059\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u307e\u3059\u3002\u4e00\u65b9\u3067\u3001\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\uff08probable\uff09\u306b\u3064\u3044\u3066\u306f\u3001\u7d4c\u904e\u89b3\u5bdf\u306e\u4e2d\u3067\u67d4\u8edf\u306b\u6cbb\u7642\u65b9\u91dd\u3092\u6c7a\u3081\u308b\u306e\u304c\u4e00\u822c\u7684\u3067\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<strong>\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u85ac\uff08\u30a2\u30de\u30ea\u30fc\u30eb\u306a\u3069\uff09\u306f\u63a8\u5968\u3055\u308c\u307e\u305b\u3093\u3002<\/strong>\u5b9f\u969b\u3001Tokyo Study\u3067\u306f\u3001\u6297GAD\u6297\u4f53\u967d\u6027\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u304c\u4fdd\u305f\u308c\u3066\u3044\u308b\u60a3\u8005\u3055\u3093\u3092\u5bfe\u8c61\u306b\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u7fa4\u3068\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u85ac\u6cbb\u7642\u7fa4\u3092\u6bd4\u8f03\u3057\u305f\u3068\u3053\u308d\u3001\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u85ac\u3092\u5185\u670d\u3057\u305f\u7fa4\u3067\u306f\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u306a\u3063\u305f\u65b9\u304c\u7d0443\uff05\u3067\u3042\u3063\u305f\u306e\u306b\u5bfe\u3057\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u7fa4\u3067\u306f\u7d0410\uff05\u3068\u6709\u610f\u306b\u4f4e\u304b\u3063\u305f\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002(<a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18397986\" target=\"_blank\" rel=\"noopener\" title=\"\">https:\/\/pubmed.ncbi.nlm.nih.gov\/18397986<\/a>)<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u307e\u305f\u3001<strong>\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u85ac\u3092\u5185\u670d\u3057\u305f\u7fa4\u3067\u306f\u6cbb\u7642\u958b\u59cb\u304b\u3089\u7d045\u5e74\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u304c\u660e\u3089\u304b\u306b\u4f4e\u4e0b\u3057\u305f<\/strong>\u306e\u306b\u5bfe\u3057\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u7fa4\u3067\u306f\u6bd4\u8f03\u7684\u826f\u597d\u306b\u4fdd\u305f\u308c\u3066\u3044\u305f\u3068\u3044\u3046\u89e3\u6790\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>\u3053\u3046\u3057\u305f\u7d50\u679c\u304b\u3089\u3001\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u85ac\u3092\u7528\u3044\u308b\u3068\u81b5\u81d3\u306e\u03b2\u7d30\u80de\u306b\u904e\u5ea6\u306e\u8ca0\u8377\u304c\u304b\u304b\u308a\u3001\u75c5\u614b\u306e\u9032\u884c\u3092\u65e9\u3081\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b\u305f\u3081\u3001\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\u306e\u6cbb\u7642\u3067\u306f\u307e\u305a\u907f\u3051\u308b\u3079\u304d\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<div class=\"wp-block-image wp-duotone-unset-1\">\n<figure class=\"aligncenter size-large is-resized\"><img loading=\"lazy\" decoding=\"async\" width=\"800\" height=\"600\" src=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/1058089-800x600.jpg\" alt=\"\" class=\"wp-image-635\" style=\"width:339px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/1058089-800x600.jpg 800w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/1058089-400x300.jpg 400w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/1058089.jpg 1600w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n<h2 class=\"wp-block-heading\">\u3000<\/h2>\n\n\n\n<p><\/p>\n\n\n\n<p> \u305d\u306e\u305f\u3081\u3001\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u85ac\u3067\u306f\u306a\u304f\u3001\u81b5\u81d3\u306e\u03b2\u7d30\u80de\u3078\u306e\u8ca0\u62c5\u304c\u6bd4\u8f03\u7684\u5c11\u306a\u3044\u85ac\u5264\uff08\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u3084DPP-4\u963b\u5bb3\u85ac\u306a\u3069\uff09\u3092\u7528\u3044\u306a\u304c\u3089\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u884c\u3046\u30b1\u30fc\u30b9\u304c\u591a\u304f\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>\u307e\u305f\u3001\u5b9a\u671f\u7684\u306bC\u30da\u30d7\u30c1\u30c9\u3092\u6e2c\u5b9a\u3057\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u306e\u4f4e\u4e0b\u304c\u9032\u3093\u3067\u304d\u305f\u6bb5\u968e\u3067\u3001\u901f\u3084\u304b\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u5c0e\u5165\u3092\u691c\u8a0e\u3059\u308b\u3053\u3068\u304c\u91cd\u8981\u3067\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>\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\u306f\u3001\u81ea\u5df1\u514d\u75ab\u306b\u3088\u3063\u3066\u81b5\u81d3\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u4f5c\u308b\u81b5\u81d3\u306e\u03b2\u7d30\u80de\u304c\u3086\u3063\u304f\u308a\u3068\u58ca\u3055\u308c\u3066\u3044\u304f\u30bf\u30a4\u30d7\u306e\u7cd6\u5c3f\u75c5\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>2023\u5e74\u306e\u8a3a\u65ad\u57fa\u6e96\u6539\u8a02\u306b\u3088\u308a\u3001\u300cdefinite\u300d\uff1d\u81ea\u5df1\u6297\u4f53\u967d\u6027\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u304c\u307b\u307c\u67af\u6e07\u3057\u305f\u72b6\u614b\u3001\u300cprobable\u300d\uff1d\u81ea\u5df1\u6297\u4f53\u967d\u6027\u3060\u304c\u3001\u307e\u3060\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u304c\u4fdd\u305f\u308c\u3066\u3044\u308b\u72b6\u614b\u3068\u660e\u78ba\u306b\u533a\u5225\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u300cdefinite\u300d\u3067\u306f\u901f\u3084\u304b\u306a\u30a4\u30f3\u30b9\u30ea\u30f3\u5c0e\u5165\u304c\u63a8\u5968\u3055\u308c\u3001\u300cprobable\u300d\u3067\u306f\u81b5\u81d3\u306e\u03b2\u7d30\u80de\u3092\u4fdd\u8b77\u3059\u308b\u6cbb\u7642\u3092\u884c\u3044\u306a\u304c\u3089\u3001\u5b9a\u671f\u7684\u306b\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u3092\u8a55\u4fa1\u3057\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p><strong>\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\u85ac\u306f\u81b5\u81d3\u306e\u03b2\u7d30\u80de\u3078\u306e\u8ca0\u62c5\u304c\u5927\u304d\u304f\u3001\u75c5\u6c17\u306e\u9032\u884c\u3092\u65e9\u3081\u308b\u53ef\u80fd\u6027\u304c\u3042\u308b<\/strong>\u305f\u3081\u907f\u3051\u308b\u3053\u3068\u304c\u5927\u5207\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3000<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\u3067\u3082\u30012\u578b\u7cd6\u5c3f\u75c5\u3068\u540c\u69d8\u306b\u98df\u4e8b\u7642\u6cd5\u3084\u904b\u52d5\u7642\u6cd5\u304c\u91cd\u8981\u3067\u3059\u3002\u751f\u6d3b\u7fd2\u6163\u3092\u6574\u3048\u308b\u3053\u3068\u3067\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u6539\u5584\u3057\u3001\u5408\u4f75\u75c7\u306e\u4e88\u9632\u306b\u3082\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p>\u8a73\u3057\u304f\u306f\u3001\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u306e\u4ee5\u4e0b\u306e\u30d6\u30ed\u30b0\u3082\u3054\u53c2\u7167\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n\n<p>\u30fb<a href=\"https:\/\/nakano-dm.clinic\/blog\/post-36\" title=\"\">\u7cd6\u5c3f\u75c5\u306e\u98df\u4e8b\u7642\u6cd5\u3068\u5f53\u30af\u30ea\u30cb\u30c3\u30af\u306e\u6804\u990a\u6307\u5c0e\u306b\u3064\u3044\u3066<\/a><\/p>\n\n\n\n<p>\u30fb<a href=\"https:\/\/nakano-dm.clinic\/blog\/post-25\" title=\"\">\u7cd6\u5c3f\u75c5\u306e\u904b\u52d5\u7642\u6cd5\u306b\u3064\u3044\u3066<\/a><\/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\u5916\u6765\u306e\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\u65e5\u3005\u306e\u8840\u7cd6\u7ba1\u7406\u3084\u6cbb\u7642\u306b\u3064\u3044\u3066\u3082\u3001\u3069\u3046\u305e\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\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\/11\/004n-800x534.jpg\" alt=\"\" class=\"wp-image-636\" style=\"width:476px;height:auto\" srcset=\"https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/004n-800x534.jpg 800w, https:\/\/nakano-dm.clinic\/blog\/wp-content\/uploads\/2025\/11\/004n-400x267.jpg 400w\" sizes=\"auto, (max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>\u6771\u4eac\u90fd\u4e2d\u91ce\u533a\u306eJR\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\u3001\u7cd6\u5c3f\u75c5\u5c02\u9580\u533b\u306e\u5927\u5ead\u5065\u53f2\u3067\u3059\u3002 \u3000 \u7de9\u5f90\u9032\u884c1\u578b\u7cd6\u5c3f\u75c5\uff08SPIDDM\uff1aslowly prog&#8230;<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[11],"tags":[780,777,263,30,774,773,778,771,775,71,557,69,782,776,102,779,629,265,202,19,772,306,6,781,770,566,7,12],"class_list":["post-631","post","type-post","status-publish","format-standard","hentry","category-diabetes","tag-c","tag-definite","tag-dpp-4","tag-hba1c","tag-ia-2","tag-ica","tag-probable","tag-spiddm","tag-znt8","tag-71","tag-557","tag-69","tag-782","tag-776","tag-102","tag-779","tag-629","tag-265","tag-202","tag-19","tag-gad","tag-306","tag-6","tag-781","tag-770","tag-566","tag-7","tag-12"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/nakano-dm.clinic\/blog\/wp-json\/wp\/v2\/posts\/631","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/nakano-dm.clinic\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/nakano-dm.clinic\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/nakano-dm.clinic\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/nakano-dm.clinic\/blog\/wp-json\/wp\/v2\/comments?post=631"}],"version-history":[{"count":2,"href":"https:\/\/nakano-dm.clinic\/blog\/wp-json\/wp\/v2\/posts\/631\/revisions"}],"predecessor-version":[{"id":780,"href":"https:\/\/nakano-dm.clinic\/blog\/wp-json\/wp\/v2\/posts\/631\/revisions\/780"}],"wp:attachment":[{"href":"https:\/\/nakano-dm.clinic\/blog\/wp-json\/wp\/v2\/media?parent=631"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/nakano-dm.clinic\/blog\/wp-json\/wp\/v2\/categories?post=631"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/nakano-dm.clinic\/blog\/wp-json\/wp\/v2\/tags?post=631"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}