加味六味地黃湯이 공복혈당장애와 내당능장애를 가진 경증 당뇨병환자의 혈당조절에 미치는 영향 1례
Case Report : The Hypoglycemic Effect of Gamiyookmigihwang-tang on A Mild Diabetes Mellitus patient with Impaired Glucose Tolerance & Impaired Fasting Glucose
0
조회
0
다운로드
6
인용
0
참고문헌
키워드
초록
Impaired glucose tolerance(IGT) & Impaired fasting glucose(IFG) were standardized in 1979 by the National Diabetes Data Group and the World Health Organization as a risk factor for type 2 diabetes. The main clinical significance of IGT & IFG shows some risk factors on type 2 diabetes, cardiovascular disease and component of the metabolic syndrome. In 1997, the American Diabetes Association(ADA) proposed the new classification and diagnostic criteria for diabetes, which wss striction on the diagnostic baseline of Diabetes from 140 mg/dl to 126 mg/dl. This is because that the early diagnosis and treatments can prevent chronic complications. In the oriental medicine, Gamiyookmigihwang-tang has been using for the treatments of Diabetes including IGT & IFG; however, there have not been enough studies about the effect of the glycemic control objectively. So clinical studies have been performed on a mild DM(Diabetes Mellitus) patient with IGT and IFG in order to investigate whether there is hypoglycemic effect of Gamiyookmigihwang-tang. Prior to the study, for two weeks fasting blood sugar(FBS) and postprandial 2hrs(PP2hrs) glucose were checked. in addition ECG, T-cholesterol, TG, HbA1c levels were measured; then, Gamiyookmigihwang-tang has administrated for 4 weeks. and FBS, PP2hrs, T-cholesterol, TG, HbA1c were measured again after the herb medicine treatment. FBS, PP2hrs glucose levels and other measuring levels (T-cholesterol, TG, HbA1c) were decreased by the administration of Gamiyookmigihwang-tang. Gamiyookmigihwang-tang has hypoglycemic effects on a mild DM patient with IGT and IFG.
Abstract
Impaired glucose tolerance(IGT) & Impaired fasting glucose(IFG) were standardized in 1979 by the National Diabetes Data Group and the World Health Organization as a risk factor for type 2 diabetes. The main clinical significance of IGT & IFG shows some risk factors on type 2 diabetes, cardiovascular disease and component of the metabolic syndrome. In 1997, the American Diabetes Association(ADA) proposed the new classification and diagnostic criteria for diabetes, which wss striction on the diagnostic baseline of Diabetes from 140 mg/dl to 126 mg/dl. This is because that the early diagnosis and treatments can prevent chronic complications. In the oriental medicine, Gamiyookmigihwang-tang has been using for the treatments of Diabetes including IGT & IFG; however, there have not been enough studies about the effect of the glycemic control objectively. So clinical studies have been performed on a mild DM(Diabetes Mellitus) patient with IGT and IFG in order to investigate whether there is hypoglycemic effect of Gamiyookmigihwang-tang. Prior to the study, for two weeks fasting blood sugar(FBS) and postprandial 2hrs(PP2hrs) glucose were checked. in addition ECG, T-cholesterol, TG, HbA1c levels were measured; then, Gamiyookmigihwang-tang has administrated for 4 weeks. and FBS, PP2hrs, T-cholesterol, TG, HbA1c were measured again after the herb medicine treatment. FBS, PP2hrs glucose levels and other measuring levels (T-cholesterol, TG, HbA1c) were decreased by the administration of Gamiyookmigihwang-tang. Gamiyookmigihwang-tang has hypoglycemic effects on a mild DM patient with IGT and IFG.
참고문헌 (24)
- Mokdad, A. H., "The continuing epidemics of obesity and diabetes in the United States", JAMA, 286, pp.1195~1200 (2001)
- Mokdad, A. H., "Diabetes trends in the U.S.:1990-1998", Diabetes Care, 23, pp.1278~1283 (1998)
- 박석원, "전국표본조사에 의한 우리나라 당뇨병 관리실태: 건강보험자료 분석결과", Diabetes and Metabolism Journal, 31(4), pp.362~367 (2007), 대한당뇨병학회
- Yoon, K. H., "Epidemic obesity and type 2 diabetes in Asia", Lancet, 368(9548), pp.1681~1688 (2006)
- Weyer, C., "Metabolic characteristics of individuals with impaired fasting glucose acd", or impaired glucose tolerance, 1999, pp.48(11), 2197~2203
- Oscar, H. Franco, "Associations of Diabetes Mellitus With Total Life Expectancy and Life Expectancy With and Without Cardiovascular Disease", Archives of Internal Medicine, 167, pp.1145~1151 (2007)
- 이지인, "공복혈당장애와 내당능장애", 임상당뇨병, 8, pp.271~273 (2007)
- 이병철, "搜風順氣丸이 내당능장애 환자와 경증 당뇨병환자의 혈당조절에 미치는 영향", 대한한방내과학회지, 22(3), pp.285~290 (2001)
- Bell, P. M, "Clinical significande of insulin resistance", Diabet Med, 13, pp.504~509 (1996)
- 方藥中, "實用中醫內科學", pp.477~ (1986), 上海科學技術出版社
- 조용행, "Effect of Rahmanniae Radix Preparat on the blood components in rats fed on fructose-rich diet", 대한본초학회지, 18(1), pp.8~78 (2003), 대한본초학회
- 김정상, "생지황(Rhemanniae Radix)이 Streptozotocin으로 유발된 고혈당 생쥐에 미치는 영향", 한국식품영양과학회지, 33(7), pp.1133~1138 (2004), 한국식품영양과학회
- 변성희, "六味地黃湯 및 鹿茸加味方이 흰쥐 당뇨에 대한 면역조직화학적연구", 제한동의학술원논문집, 1(1), pp.1~16 (1995)
- 김성태, "加味地黃湯이 Streptozotocin투여 백서 혈당량에 미치는 영향", 경희한의대논문집, 15, pp.397~413 (1992)
- Lee, Y. G., "The Antidiabetic Effect of Gamiyookmijihwangtang on Diabetes-prone BB Rats", J Korean Soc Nutr, 32(5), pp.1206~1212 (2000)
- Min, H.K., "Clinical characteristics of Korean diabetic patients", Kor. J. Diabetes, 16, pp.163~170 (1992)
- Kim, J., "Insulin secretion and sensitivity curing oral glucose tolerance test in Korea lean elderly women", J.Korean MEd. Sci, 16, pp.592~596 (2001)
- 김응진, "당뇨병학", pp.278~289 (1998), 고려의학
- 윤용갑, "東醫方劑와 處方解說", pp.508~511 (2007), 의성당
- 김진택, "황백, 황련이 실험적 당뇨 흰쥐에 미치는 영향", 대한한의학방제학회지, 1, pp.163~172 (1990)
- 주재홍, "六味地黃湯加味方이 streptozotocin으로 誘發된 白鼠의 實驗的 糖尿에 미치는 影響", 대한한의학 방제학회지, 14(2), pp.33~44 (2006), 대한한의학방제학회
- 최해윤, "The Effect of Several Herbal Medicines which appear frequently as the effects of Hypoglycemia in Streptozotocin-induced Diabetic Rats", 대한본초학회지, 18(2), pp.11~127 (2003), 대한본초학회
- 임정교, "맥문동 물 추출물의 식이가 Streptozotocin으로 유도한 당뇨 흰쥐의 혈당과 혈청 콜레스테롤 함량에 미치는 영향", 동아시아식생활학회지, 15(1), pp.20~28 (2005), 동아시아식생활학회
- 박수곤, "죽력과 천축황이 streptozocin으로 당뇨가 유발된 백서의 혈당강하 및 말초신경기능회복에 미치는 영향" (2011), 동신대학교
