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ID 18441
Eprint ID
18441
フルテキストURL
Thumnail 77_1531.pdf 1.53 MB
タイトル(別表記)
Studies on Steroid Diabetes Part Ⅱ Studies on Glucose Metabolism in Steroid Diabetes
著者
木村 健一 岡山大学医学部第一内科教室
抄録
A comparative study was undertaken to examinie the relationship between the cases with steroid diabetes developed after treating with glucocorticoids and the cases not developed after the same treatment, by means of various loading tests including glucose, insulin, prednisolone-glucose, tolbutamide and compound multiple amino acids performed before and after the treatment, The cases studied included of acute and chronic hepatitis and liver cirrhosis. The results obtained are as follows. 1) Nine out of 14 case with the early developed type of steroid diabetes showed glucose assimilation index (KG) of diabetes mellitus before the treatment with glucocorticoids. Five out of 7 cases with the lately developed type showed KG indicated borderline value between normal healthy person and diabetes mellitus. On the other hand, abnormal KG was also seen in 19 out of 29 cases not developed steroid diabetes From these results it was found that there was no significant correlation between KG and development of steroid diabetes. 2) KG after glucocorticoid administration decreased in many of cases with the early developed type of steroid diabetes. On the other hand, KG in cases with the lately developed and not developed showed no significant change between before and after glucocorticoid administration. 3) Insulin sensitivity tended to decrease after glucocorticoid adminstration, but it was no significant difference as compared with that before glucocorticoid administration. Insulin sensitivity after glucocorticoid administration in cases with steroid diabetes developed tended to decrease as compared with that in cases not developed. 4) There was not always close relation between the influence of prednisolone on intravenous glucose tolerance test and the appearance of steroid diabetes. 5) Some of cases with the early developed type showed diabetic response in tolbutamide tolerance test, but no diabetic response was found in cases with the lately developed and not developed type. 6) The rate of increase in blood sugure, pyruvic acid and amino-N in blood and urine after giving glucocorticoid Its rate was found to be higher in cases with steroid disbetes deveoloped either early or lately as compared with cases not developed, showing the similar rate to that after administration of ths compound multiple amino acid in diabetes mellitus. 7) The rate of increase in blood sugure after administration of the compound multiple amino acids tended to be higher in cases treated with the combination of glucocorticoid and anabolic steroid as compared with cases treated with glucocorticoid alone. 8) There was no significant correlation between the results of various loading tests in cluding glucose, insulin, prednisolone-glucose, tolbutamide and compound multiple amino acids and the findings of biochemical liver function tests and liver biopsy.
発行日
1965-12-30
出版物タイトル
岡山医学会雑誌
出版物タイトル(別表記)
Journal of Okayama Medical Association
77巻
10-12号
出版者
岡山医学会
出版者(別表記)
Okayama Medical Association
開始ページ
1531
終了ページ
1540
ISSN
0030-1558
NCID
AN00032489
資料タイプ
学術雑誌論文
オフィシャル URL
https://www.jstage.jst.go.jp/article/joma1947/77/10-12/77_10-12_1531/_article/-char/ja/
関連URL
http://www.okayama-u.ac.jp/user/oma/
言語
Japanese
著作権者
岡山医学会
論文のバージョン
publisher
査読
有り
Eprints Journal Name
joma