中越大震災が血糖コントロールに及ぼした影響--生活環境の変化からみた悪化因子 [in Japanese] Effect of the Great Chuetsu Earthquake on blood glucose control: exacerbating factors in relation to the living condition [in Japanese]
Search this Article
This study was conducted on 135 patients suffering from type 2 diabetes mellitus who experienced the Great Earthquake in the Chuetsu Area, Niigata Prefecture (hereafter abbreviated to the Earthquake). To elaborate on the effect that the Earthquake had on blood glucose control and related factors, data were collected from questionnaires and medical records to examine their relationships. Compared with the data prior to the Earthquake, blood glucose control for diabetic patients deteriorated significantly after the disaster. Significant deteriorations were also noted in those residing in the areas outside the seismic center, those not suffering from notable damage to their domicile, and those who had been treated with diet and exercise therapies and oral hypoglycemic agents. Next, to pinpoint the exacerbating factors in blood glucose control, a multiple regression analysis was conducted, using the difference between HbAlc before and after the Earthquake as the objective variable and the therapeutic mode (diet and exercise ; use of oral hypoglycemic agents and insulin injections), residence, extent of damage to their home, shelter where they stayed, experience in sleeping in one's own automobile, and details of meals that they had taken as explanatory variables. Subsequently it was found that residence and the extent of damage to their homes were the factors significantly related to blood glucose control. Although not clarified in the current study, it was surmised that changes in the living condition due to a heavy snow fall (the Earthquake occurred during the snow season) and psychological stress due to the Earthquake also had significant effects.
- Niigata medical journal
Niigata medical journal 121(2), 90-96, 2007-02