This study compared the nutrient intake of obese versus non-obese non-insulin dependent diabetes mellitus (NIDDM) patients for Diabetes Medical Nutrition Therapy. The study was conducted at medical hospitals in Gyeonggi and Seoul from April 2009 to November 2009. Fifty-six adult male NIDDM patients were enrolled and divided into two groups: 36 into an obese group (BMI ≥25) and 20 into a non-obese group (BMI〈25). To conduct this study, anthropometric measurements, and daily nutrient intake of obese and non-obese NIDDM patients were measured. Daily nutrient intake was estimated by 24hr-recall and analyzed by the CAN program. In the results, anthropometric measurements of the two groups showed significant differences in weight and BMI (p〈0.001). Daily nutrient intake of the two groups showed no significant differences, except for vitamin E intake (p〈0.05). The total energy intake of the non-obese and obese groups were 2,669.9±964 kcal and 2,555.4±803 kcal, respectively, which were both above 113% of the recommended Dietary Reference Intakes for Korean (KDRIs). Cholesterol and sodium intake were 378.1±215.6 mg and 6,478.9±2755.1 mg, respectively for the non-obese group. Cholesterol and sodium intake were 308.1±155.6 mg and 6,306.8±2788.9 mg, respectively, for the obese group. Both groups were above 150% of the recommended levels set by the Korean Diabetes Association (KDA). However, their antioxidant nutrient intake was appropriate. Meanwhile, their fiber intake was 10.7±5.1 g and 9.8±5.2 g, respectively, which was lower than 40% of the recommended intake set by the KDA. The results show that the nutritional education for obese and non-obese NIDDM male patients must aim to reduce total energy, cholesterol, and sodium intake, while increasing fiber intake. In addition, the factors related to a patient's glycosylated hemoglobin, serum lipids, blood pressure, and weight change must be calibrated for the appropriate energy, fat, cholesterol, sodium, and dietary fiber intake.

Sappanchalcone, a biologically active compound isolated from Caesalpinia sappan L., is reported to exert a variety of biological activities, such as neuroprotective, anti-inflammatory actions and inhibitory effect on antigen-induced beta hexosaminidase release. However, the vascular protective effects of this compound are not fully understood. The present study examined the effects of sappanchalcone in suppressing cell adhesion molecules expression in high glucose stimulated human umbilical vein endothelial cells (HUVEC). Sappanchalcone significantly decreased 25 mM high glucose-induced vascular cell adhesion molecule-1 (VCAM-1) and intracellular adhesion molecule-1 (ICAM-1) expression in a dose-dependent manner. Sappanchalcone also significantly inhibited the formation of intracellular reactive oxygen species (ROS). Furthermore, we found that the vascular protective effects of sappanchalcone were linked to the up-regulation of heme oxygenase-1 expression in HUVEC. The effects of sappanchalcone on the high glucose-induced expression of VCAM-1 and ICAM-1 were partially reversed by treatment of the cells with an inhibitor of HO-1, tin protoporphyrin IX (SnPP). Based on these results, these findings suggest that sappanchalcone-induced HO-1 expression plays a key role in the vascular protective effects of sappanchalcone in HUVEC.

This study was conducted to investigate the effect of oral administering kefir on blood glucose levels in diabetic mice. Kefir(10 ㎖/㎏body weight) was orally administered to diabetic mice twice daily for 45 days. Diabetic mice fed saline or 10% skim milk were used as a control. No significant difference in feed intake and weight gain were observed among the treatments. Compared to the saline-fed or skim milk-fed group, blood glucose in the kefir-fed group decreased significantly at 45 days(p<0.05). At 45 days, serum triglyceride and non-esterified fatty acid concentrations in diabetic mice fed kefir decreased significantly compared to those of the saline and skim milk groups(p<0.05). Both high density lipoprotein and low density lipoprotein concentrations were not significantly different among the three treatment groups. In conclusion, the symptoms of diabetic mice improved when kefir was fed for >45 days.

This study was conducted to investigate the physicochemical properties of Kefir. The general composition of Kefir cultured in skim milk or milk was, respectively, 90.0 and 87.8% water, 3.2 and 3.0% protein, 0.45 and 3.64% lipid, 3.96 and 4.14% lactose, and 0.77 and 0.68% ash. Titratable acidity(TA) and pH of Kefir were 0.77 and 4.55, respectively. The amount of CO2 production was 6.23%, and the concentration of alcohol was 1.4%. Kefirgrain as observed by scanning electron microscope was a complex mixture of lactic acid bacteria and yeast in a symbiotic association.

The purpose of this study is to compare the correlation of clinical characteristics and patterns of disease. Subjects of the study were the adults(207) living in Geoje City, the diabetes mellitus and the hypertension patients(166) and the normal people(41). In the diabetes mellitus group and the hypertension group, blood pressure, blood glucose, total cholestero LDL-cholesterol and atherogenic index(AI) were significantly high. As the obesity index was getting higher, the blood pressure of the diabetes mellitus group was high, and the HDL-cholesterol of the hypertension group was low, but AI of it was significantly high. The AI was significantly high as serum lipid index were getting higher in both groups. The rate of the prevalence was very high in the diabetes mellitus group(74.3%) and the hypertension group(73.7%). The pattern in the diabetes mellitus group was in order of the hypertension, the hyperlipidemia, and the obesity but, in the hypertension group was the hyperlipidemia, and the obesity. The obesity index and serum lipid index of complex patient group were higher than single patient group.

본 연구는 보행주기 동안 정상인과 당뇨병성 족부궤양 환자의 족관절 운동역학적 변수와 족관절 근육들의 근활성도에 차이가 있는지 알아보기 위하여 실시하였다. 본 연구의 대상자는 당뇨병성 족부궤양이 있는 환자 9명(남자: 6명, 여자: 3명)과 성, 연령, 체중으로 짝짓기(matching)시킨 대조군 9명이었다. 3차원 동작분석기, 힘판, 표면 근전도를 이용하여, 보행주기 동안 족관절의 관절가동범위, 모멘트(moment), 일률(power), 그리고 내측가자

글루코우즈 용액의 농도를 측정하기 위해 다층 젤라틴 필름으로 형성된 진단막을 제조하였다 글루코우즈의 최대 확산속도가 글루코우즈의 농도가 증가함에 따라 직선적으로 증가함으로 알 수 있었다. 혈액속에 존재할 가능성이 있는 화합물을 글루코우즈와 환원효소들의 반응에 미치는 영향을 조사하였다 그 결과 대부분의 화합물들이 글루코유즈의 최대확산속도에 큰 영향을 미치지 않는 것을 알 수 있었다.

당뇨병 환자의 혈당치 측정을 위하여 다층젤라틴 필름으로 만들어진 진단막을 제조하였다. 플라즈마와 혈액 속의 글루코우즈의 농도 변화에 따른 최대확산속도를 측정하였다. 여러 가지 온도에서 3일, 2주, 4주 보관후 온도가 글루코우즈의 확산속도에 미치는 영향을 조사하였다. 다층 젤리탄 진단막의 안정성을 상대습도 80%에서 측정하였다.

인슐린 저항성이 발생된 흰쥐 골격근에서 n-3 다불포화지방산이 당수송에 어떤 영향을 미치는지 연구한 본 논문을 요약하면 다음과 같다. 5주간의 식이에 의한 각군간의 유의한 체중 변화는 없었다. 5주간의 고지방식이에 의하여 혈당은 정상식이군의 83mg/dl에 비하여 94mg/dl로 13% 더 증가하였다(p<0.05). n-3 다불포화지방산에 의하여서는 혈당의 유의적 감소는 없었으나 다소 감소하였다. 혈장 인슐린은 정상식이군의 11.6U/ml에 비하여 고지방식이군은 32.4U/ml로 높았으며(p<0.01), n-3 다불포화지방산에 의하여 28.7U/ml로 감소하였다(p<0.01). 가자미근의 당수송은 시험관 실험에서 고지방식이군이 정상식이군에 비하여 기초상태 뿐만아니라 인슐린 1, 10, 100nM에서도 현저히 감소하여(p<0.01) 인슐린 감수성과 반응도 모두 감소한 인슐린 저항성을 보여 주었다. 고지방식이군에 n-3 다불포화지방산의 첨가시 고지방식이군에 비하여 기초상태, 인슐린 1, 10, 100nM에서 유의하게(p<0.01) 증가하였으나 정상군의 그것에는 미치지 못하였다. 이상의 결과로 미루어 보아 5주간의 고지방식이시 당수송에 장애와 골격근의 인슐린 저항성이 발견되었으며, 고지방식이에 n-3 다불포화지방산의 첨가에 의해서 골격근 인슐린 저항성의 정도가 억제되므로 고지방식이에 의한 인슐린 저항성은 n-3 다불포화지방산이 효과적으로 예방이 가능할 것으로 생각되었다.

The purposes of this study were to determine the effect of different degrees of severity of diabetic neuropathy on balance function, and to evaluate dynamic balance and functional performance in diabetes patients. Twenty-four subjects with diabetes mellitus were divided into three groups according to results of sensory nerve conduction study. All subjects were evaluated for dynamic balance which was measured using computerized dynamic posturography, and functional performance which was measured using the Berg balance scale. One-way analysis of variance was used to determine whether there were any statistically differences of dynamic balance function and functional performance among the three groups. The Spearrnan's rank correlation was used to determine statistical significance between dynamic balance and age. The results were as follows: 1. Dynamic balance measured using computerized dynamic posturography was significantly lower in the no response group than in the normal amplitude group (p<0.05). 2. Functional performance tested by the Berg balance scale was not statistically different among the three groups (p>0.05). 3. an inverse relationship was found between dynamic balance measured using computerized dynamic posturography and age (r=-0.68, p<0.05). These results suggest that patients with severe diabetic neuropathy have loss of dynamic balance function. Therefore, patients with severe diabetic neuropathy need to have their balance evaluated and receive appropriate education.

The purposes of this article are to review the pathogenesis, prevention, and management of amputation due to diabetes mel1itus complications, and to report one case who had lost his toes due to diabetes mellitus. A primary cause for hospital admission of the patient was foot ulcer. Since many amputations in diabetic patients are precipitated by such ulcers, a program for active prevention and optimal treatment of diabetic foot lesions might decrease the risk of amputation. Diabetic foot ulcers and, ultimately, amputation can stem from a variety of pathways. The combination of peripheral neuropathy, peripheral vascular disease and infections is the harbinger of the final cataclysmic events of gangrene and amputation. As the physical therapist is often involved in the treatment of diabetic patients, the therapist should be aware of the followings: the patient's type of diabetes and the severity of the diabetes, the complications of the disease, the effects of exercise, the importance of wearing proper shoes and education to patients about appropriate diabetic foot care.

혈중 글루코우즈의 농도를 측정하기 위한 진단막의 제조를 위해 다층 젤라틴 필름이 사용되었다. 혈당치를 얻기위해 glucose dehydrogenase와 diaphorase를 이용하여 다층 젤라틴 필름을 통과하는 글루코우즈의 확산속도를 측정하였다. 글루코우즈의 최대 확산속도에 미치는 코팅의 간격거리, 효소의 양, 필름의 두께, 그리고 외부 온도의 영향에 대해 조사하였다.