糖尿病

Diabetic mortality rate in Tokushima Prefecture have been at the top on all prefectures
of Japan for these９years. The surveillance of health and nutrition in Tokushima showed
that the number of fatty or over-weighted people is higher, and that Tokushima people do
not exercise enough. Even though, the estimated numbers of diabetic patients or candidate
patients are almost the average of Japanese.
The characteristics of people in Tokushima are reported that A. the number of people
who are examined for diabetes is smaller, B. the number of people who are suspected to be
diabetes and take further examination in clinic is smaller, C. the number of patients who
continue to visit clinic and to take care is smaller, D, the number of patients who do not
change the bad life style is larger, and that E, the number of patients who have diabetic
complications is larger compared to the Japanese average. A to E could explain the high
mortality rate.
Cardiac stroke is most important cause of diabetic patient’s death. To prevent from
cardiac stroke, not only the glucose control in diabetic patients but also the interference to
life style of impaired glucose tolerance is important. To find IGT, glucose tolerance test
should be tried to those whose fasting glucose levels and HbA１c are in reference range.
I propose to organize a new surveillance of health, nutrition and diabetic treatment
which is reliable stastically and scientifically. It is essential to decrease diabetic mortality
rate in Tokushima and promote people’s good quality of life. I anticipate the collaboration
of Tokushima prefecture, medical doctors, co-medical workers and patients.

四国医学雑誌 : http://www.tokushima-u.ac.jp/med/research/shikoku_acta_medica.html