Evidence-based practice guideline for the treatment for diabetes in Japan 2013

Abstract

Evaluation of OGTT Normal type: if both values belong to normal range Diabetic type a : if any of the two values falls into diabetic range Borderline type: neither normal nor diabetic types Even for normal type, if 1-h value is C180 mg/dL (10.0 mmol/L), the risk of progression to diabetes mellitus is greater than for \180 mg/dL (10.0 mmol/L) and should be treated as with borderline type (follow up observation, etc.). Fasting plasma glucose level of 100-109 mg/dL (5.5-6.0 mmol/L) is called ''high-normal'': within the range of normal fasting plasma glucose. Plasma glucose level after glucose load in OGTT is not included in casual plasma glucose levels a Casual plasma glucose C200 mg/dL (C11.1 mmol/L) and HbA1c C6.5 % are also regarded as to indicate diabetic type Evidence-based practice guideline 2013 153

Increasing Number of People with Diabetes in Japan: Is This Trend Real?

“…Accordingly, less stringent glycemic targets are generally recommended for such patients (e.g., 1% higher HbA1c goal than that of younger patients) (15). In accordance with these notions, the Evidence-based Practice Guide for the Treatment of Diabetes in Japan 2013 edited by the Japan Diabetes Society emphasizes that the glycemic target for older patients should be based on their disease condition and other physical, mental, and social factors rather than on evidence from randomized controlled trials (16,17). Therefore, an individualized approach is essential for the management of diabetes in elderly people.…”

Effect of soy protein isolate preload on postprandial glycemic control in healthy humans

“…Based on the guidelines developed by the Japan Diabetes Society [34], dietary protein intake in patients with diabetes ranges between 1.0 and 1.2 g/kg body weight, corresponding to an intake of between 50 and 80 g/day. Moreover, the Ministry of Health, Labour, and Welfare of Japan suggests that the recommended dietary allowance of protein (age 18-29) is 60 and 50 g/day for men and women, respectively [35].…”

Oral Litholysis in Patients with Chronic Calcific Pancreatitis Unresponsive to or Ineligible for Extracorporeal Shock Wave Lithotripsy and Endoscopic Therapy

“…Glucose tolerance was assessed according to the Evidencebased Practice Guideline for the Treatment for Diabetes in Japan, proposed by The Japan Diabetes Society [20]. The results were classified into 3 categories: normal glucose tolerance, borderline or impaired glucose tolerance (IGT), and diabetes mellitus.…”