Influences of The Great Hanshin-Awaji Earthquake on glycemic control in diabetic patients

Autor: Yasutaka Arioka, Keiji Kirizuka, Kenji Kohriyama, Kayako Tatezumi, Toshiko Kondo, Shuhei Tsuboi, Keiko Yoshiki, Osamu Nukata, Masako Motobuchi, Hiroshi Nishizaki
Rok vydání: 1997
Předmět:
Male
Medical staff
Multivariate analysis
Endocrinology
Diabetes and Metabolism
Drug uptake
Disasters
Stress Disorders
Post-Traumatic
Endocrinology
Japan
Vegetables
Medicine
Insulin
Renal Insufficiency
Aged
80 and over
Alcoholic Beverages
General Medicine
Cerebral Infarction
Middle Aged
Diabetic Foot
Rate of increase
Nutrition Disorders
Regression Analysis
Female
Adult
medicine.medical_specialty
Hyperphagia
Diet Surveys
Cataract
Diabetic Ketoacidosis
Candy
Diabetes mellitus
Internal medicine
Internal Medicine
Diabetes Mellitus
Dietary Carbohydrates
Humans
Hypoglycemic Agents
Exercise
Tuberculosis
Pulmonary
Glycemic
Aged
Cerebral Hemorrhage
Glycated Hemoglobin
Diabetic Retinopathy
business.industry
Pneumonia
medicine.disease
Hypoglycemia
Surgery
Discontinuation
Diet
Long stay
Diabetes Mellitus
Type 1
Diabetes Mellitus
Type 2
Multivariate Analysis
business
Follow-Up Studies
Zdroj: Diabetes research and clinical practice. 36(3)
ISSN: 0168-8227
Popis: We investigated influences on glycemic control in 177 diabetic patients after The Great Hanshin-Awaji Earthquake which occurred on January 17, 1995. Changes in serum HbA(1c) level were studied according to the worsen rate of dietary and living conditions. A significant temporary increase in the mean value of HbA(1c) level was found after the earthquake (8.34 +/- 2.07% in March, 1995 vs. 7.74 +/- 1.82% in December, 1994, P < 0.01). Ninety nine of them showed more than 0.5% in the rate of increase. Multiple regression analysis was applied to the following factors: inappropriate diet, discontinuation of drug uptake, reduction of exercise, destruction of house, long stay at shelter, sex, age, and pre-earthquake therapy. Among them, inappropriate diet demonstrated the highest partial regression coefficient to raise the mean value of the HbA(1c) level. The increased level of HbA(1c) declined gradually to the pre-earthquake level in September, 1995. This study emphasizes the importance of appropriate diet for diabetic patients during a natural disaster. To fulfil it, medical staff have to educate diabetic patients of their disorders tediously in ordinary time. In addition, it seems quite useful to supply a medical information card and a small medical bag containing essential drugs to each patient.
Databáze: OpenAIRE
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