{"id":7888,"date":"2026-10-10T23:15:24","date_gmt":"2026-10-10T14:15:24","guid":{"rendered":"https:\/\/www.takeuchi-iin.jp\/blog\/?p=7888"},"modified":"2026-10-10T23:15:24","modified_gmt":"2026-10-10T14:15:24","slug":"fasting-insulin-homa-ir-beta-2026","status":"publish","type":"post","link":"https:\/\/www.takeuchi-iin.jp\/blog\/fasting-insulin-homa-ir-beta-2026\/","title":{"rendered":"OGTT\u304c\u6016\u3044\u65b9\u3078\uff5c\u7a7a\u8179\u6642\u63a1\u8840\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u30fb\u5206\u6ccc\u80fd\u3092\u8a55\u4fa1\uff08HOMA-IR\u30fbHOMA-\u03b2\uff09\u3092\u9662\u9577 \u4e94\u85e4\u826f\u5c06\u304c\u89e3\u8aac\uff5c\u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662"},"content":{"rendered":"

\u7686\u3055\u307e\u3001\u3053\u3093\u306b\u3061\u306f\u3002\u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662 \u9662\u9577\u306e\u4e94\u85e4\u826f\u5c06\u3067\u3059\u3002<\/p>\n

\u79cb\u306f\u5065\u5eb7\u8a3a\u65ad\u306e\u7d50\u679c\u304c\u624b\u5143\u306b\u5c4a\u304f\u5b63\u7bc0\u3067\u3059\u3002\u6700\u8fd1\u3001\u5916\u6765\u3067\u300c\u5065\u8a3a\u3067\u8840\u7cd6\u5024\u304c\u5c11\u3057\u9ad8\u3081<\/strong>\u3068\u8a00\u308f\u308c\u305f\u300d\u300cHbA1c\u304c\u5883\u754c<\/strong>\u306a\u306e\u3067\u7cbe\u5bc6\u691c\u67fb\u3092\u52e7\u3081\u3089\u308c\u305f\u3051\u308c\u3069\u3001\u30d6\u30c9\u30a6\u7cd6\u306e\u7518\u3044\u6db2\u4f53\u3092\u4e00\u6c17\u306b\u98f2\u3080\u691c\u67fb\u304c\u6016\u3044\u300d\u3068\u3044\u3046\u3054\u76f8\u8ac7\u3092\u3044\u305f\u3060\u304f\u3053\u3068\u304c\u5897\u3048\u307e\u3057\u305f\u3002<\/p>\n

\u7cd6\u5c3f\u75c5\u306e\u7cbe\u5bc6\u691c\u67fb\u3068\u3057\u3066\u77e5\u3089\u308c\u308b75g\u7d4c\u53e3\u30d6\u30c9\u30a6\u7cd6\u8ca0\u8377\u8a66\u9a13\uff08OGTT\uff09<\/strong>\u306f\u3001\u975e\u5e38\u306b\u60c5\u5831\u91cf\u306e\u591a\u3044\u691c\u67fb\u3067\u3059\u304c\u3001\u300c\u6025\u306b\u9ad8\u8840\u7cd6\u306b\u306a\u3063\u3066\u6c17\u5206\u304c\u60aa\u304f\u306a\u3089\u306a\u3044\u304b\u300d\u300c2\u6642\u9593\u3082\u75c5\u9662\u306b\u3044\u3089\u308c\u306a\u3044\u300d\u3068\u305f\u3081\u3089\u3046\u65b9\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u305d\u3053\u3067\u4eca\u56de\u306f\u3001\u7a7a\u8179\u6642\u306e1\u56de\u306e\u63a1\u8840\u3067\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u300c\u51fa\u308b\u529b\uff08\u5206\u6ccc\u80fd\uff09\u300d\u3068\u300c\u52b9\u304d\u306b\u304f\u3055\uff08\u62b5\u6297\u6027\uff09\u300d\u3092\u63a8\u6e2c\u3067\u304d\u308b\u691c\u67fb<\/strong>\u2014\u2014HOMA-IR\u30fbHOMA-\u03b2<\/strong>\u306b\u3064\u3044\u3066\u3001\u65e5\u672c\u306e\u7cd6\u5c3f\u75c5\u306e\u75ab\u5b66\u3001\u7279\u5b9a\u5065\u8a3a\u306e\u610f\u7fa9\u3001\u5883\u754c\u578b\uff08IFG\u30fbIGT\uff09\u306e\u5206\u985e\u3001\u305d\u3057\u3066\u821f\u5f62\u7814\u7a76\u30fbDa Qing\u7814\u7a76\u30fbDPP\u7814\u7a76\u3068\u3044\u3063\u305f\u4ee3\u8868\u7684\u306a\u81e8\u5e8a\u7814\u7a76\u3068\u3042\u308f\u305b\u3066\u3001\u9662\u9577\u306e\u4e94\u85e4\u826f\u5c06\u304c\u8a73\u3057\u304f\u89e3\u8aac\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n

\n \"\u4e94\u85e4<\/p>\n

THIS ARTICLE IS WRITTEN AND SUPERVISED BY<\/p>\n

\u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662 \u9662\u9577\u3000\u4e94\u85e4 \u826f\u5c06<\/p>\n

\u65e5\u672c\u6297\u52a0\u9f62\u533b\u5b66\u4f1a\u5c02\u9580\u533b\u30fb\u65e5\u672c\u7cd6\u5c3f\u75c5\u5354\u4f1a\u767b\u9332\u533b\u30fb\u65e5\u672c\u65c5\u884c\u533b\u5b66\u4f1a\u8a8d\u5b9a\u533b
\u3053\u306e\u8a18\u4e8b\u306f\u4e94\u85e4\u826f\u5c06\u304c\u57f7\u7b46\u30fb\u76e3\u4fee\u3057\u3001\u5185\u5bb9\u306b\u8cac\u4efb\u3092\u6301\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n

<\/div>\n<\/div>\n
\n

\u76ee\u6b21<\/p>\n

    \n
  1. \u65e5\u672c\u306e\u7cd6\u5c3f\u75c5\u3068\u4e88\u5099\u7fa4\u306f\u3069\u308c\u304f\u3089\u3044\uff1f\uff08\u4ee4\u548c6\u5e74\u56fd\u6c11\u5065\u5eb7\u30fb\u6804\u990a\u8abf\u67fb\uff09<\/a><\/li>\n
  2. \u7279\u5b9a\u5065\u8a3a\uff08\u30e1\u30bf\u30dc\u5065\u8a3a\uff09\u306e\u610f\u7fa9\u3068\u8840\u7cd6\u306e\u5224\u5b9a\u5024<\/a><\/li>\n
  3. \u300c\u5883\u754c\u578b\u300d\u3068\u306f\uff1fIFG\u30fbIGT\u306e\u5206\u985e<\/a><\/li>\n
  4. \u821f\u5f62\u7814\u7a76\u304c\u793a\u3057\u305f\u300c\u98df\u5f8c\u9ad8\u8840\u7cd6\uff08IGT\uff09\u300d\u306e\u6016\u3055<\/a><\/li>\n
  5. \u7cd6\u5c3f\u75c5\u306f\u4e88\u9632\u3067\u304d\u308b\uff1aDa Qing\u7814\u7a76\u30fbDPP\u7814\u7a76\u30fb\u65e5\u672c\u306e\u7814\u7a76<\/a><\/li>\n
  6. 75gOGTT\u3068\u306f\uff1f\u691c\u67fb\u306e\u4fa1\u5024\u3068\u300c\u6016\u3055\u300d\u306e\u6b63\u4f53<\/a><\/li>\n
  7. \u7a7a\u8179\u6642\u63a1\u8840\u3067\u308f\u304b\u308b\uff1aHOMA-IR\u30fbHOMA-\u03b2\u306e\u8a08\u7b97\u3068\u8aad\u307f\u65b9<\/a><\/li>\n
  8. \u7a7a\u8179\u6642\u691c\u67fb\u3068OGTT\u3001\u3069\u3061\u3089\u3092\u9078\u3076\u3079\u304d\uff1f<\/a><\/li>\n
  9. \u691c\u67fb\u306e\u53d7\u3051\u65b9\u30fb\u53d7\u8a3a\u524d\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8<\/a><\/li>\n
  10. \u5f53\u9662\u304c\u9078\u3070\u308c\u308b\u7406\u7531<\/a><\/li>\n
  11. \u3088\u304f\u3042\u308b\u3054\u8cea\u554f\uff08FAQ\uff09<\/a><\/li>\n
  12. \u53c2\u8003\u6587\u732e<\/a><\/li>\n<\/ol>\n<\/div>\n

    1. \u65e5\u672c\u306e\u7cd6\u5c3f\u75c5\u3068\u4e88\u5099\u7fa4\u306f\u3069\u308c\u304f\u3089\u3044\uff1f\uff08\u4ee4\u548c6\u5e74\u56fd\u6c11\u5065\u5eb7\u30fb\u6804\u990a\u8abf\u67fb\uff09<\/h2>\n

    \u539a\u751f\u52b4\u50cd\u7701\u304c\u5b9f\u65bd\u3057\u3066\u3044\u308b\u56fd\u6c11\u5065\u5eb7\u30fb\u6804\u990a\u8abf\u67fb<\/strong>\u3067\u306f\u3001\u6570\u5e74\u3054\u3068\u306b\u8840\u6db2\u691c\u67fb\uff08HbA1c\uff09\u3068\u554f\u8a3a\u3092\u3082\u3068\u306b\u3001\u7cd6\u5c3f\u75c5\u304a\u3088\u3073\u305d\u306e\u4e88\u5099\u7fa4\u306e\u4eba\u6570\u304c\u63a8\u8a08\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u6700\u65b0\u306e\u4ee4\u548c6\u5e74\uff082024\u5e74\uff09\u8abf\u67fb<\/strong>\u3067\u306f\u300120\u6b73\u4ee5\u4e0a\u306e\u65e5\u672c\u4eba\u306b\u3064\u3044\u3066\u6b21\u306e\u3088\u3046\u306b\u63a8\u8a08\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n\n\n\n\n\n\n
    \u533a\u5206\uff0820\u6b73\u4ee5\u4e0a\u30fb\u7537\u5973\u8a08\uff09<\/th>\n\u5224\u5b9a\u306e\u76ee\u5b89<\/th>\n\u5272\u5408<\/th>\n\u63a8\u8a08\u4eba\u6570<\/th>\n<\/tr>\n<\/thead>\n
    \u7cd6\u5c3f\u75c5\u304c\u5f37\u304f\u7591\u308f\u308c\u308b\u8005<\/strong><\/td>\nHbA1c 6.5%\u4ee5\u4e0a\u3001\u307e\u305f\u306f\u7cd6\u5c3f\u75c5\u6cbb\u7642\u4e2d<\/td>\n12.9%<\/td>\n\u7d041,100\u4e07\u4eba<\/td>\n<\/tr>\n
    \u7cd6\u5c3f\u75c5\u306e\u53ef\u80fd\u6027\u3092\u5426\u5b9a\u3067\u304d\u306a\u3044\u8005<\/strong><\/td>\nHbA1c 6.0%\u4ee5\u4e0a6.5%\u672a\u6e80<\/td>\n8.2%<\/td>\n\u7d04700\u4e07\u4eba<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    \u5408\u8a08\u3059\u308b\u3068\u3001\u6210\u4eba\u306e\u304a\u3088\u305d5\u4eba\u306b1\u4eba\u3001\u7d041,800\u4e07\u4eba<\/strong>\u304c\u300c\u7cd6\u5c3f\u75c5\u300d\u307e\u305f\u306f\u300c\u305d\u306e\u53ef\u80fd\u6027\u3092\u5426\u5b9a\u3067\u304d\u306a\u3044\u300d\u72b6\u614b\u306b\u3042\u308b\u3068\u63a8\u8a08\u3055\u308c\u307e\u3059\u3002\u52a0\u9f62\u3068\u3068\u3082\u306b\u5272\u5408\u306f\u4e0a\u304c\u308a\u3001\u7530\u5712\u8abf\u5e03\u30fb\u5927\u7530\u533a\u306e\u3088\u3046\u306b\u9ad8\u9f62\u5316\u304c\u9032\u3080\u5730\u57df\u3067\u306f\u3001\u6c7a\u3057\u3066\u4ed6\u4eba\u4e8b\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002<\/p>\n\n\n
    \n

    \u3053\u3053\u304c\u91cd\u8981\uff5c\u300c\u5f37\u304f\u7591\u308f\u308c\u308b\u8005\u300d\u306e\u591a\u304f\u306f\u81ea\u899a\u75c7\u72b6\u304c\u3042\u308a\u307e\u305b\u3093<\/p>\n

    \u7cd6\u5c3f\u75c5\u306f\u3001\u76f8\u5f53\u9032\u884c\u3059\u308b\u307e\u3067\u306e\u3069\u306e\u6e07\u304d\u30fb\u591a\u5c3f\u30fb\u4f53\u91cd\u6e1b\u5c11\u3068\u3044\u3063\u305f\u75c7\u72b6\u304c\u51fa\u306b\u304f\u3044\u75c5\u6c17\u3067\u3059\u3002\u5065\u8a3a\u3067\u6570\u5b57\u306e\u7570\u5e38\u3092\u6307\u6458\u3055\u308c\u305f\u6bb5\u968e\u3053\u305d\u3001\u300c\u75c7\u72b6\u304c\u51fa\u308b\u524d\u306b\u624b\u3092\u6253\u3066\u308b\u300d\u6700\u5927\u306e\u30c1\u30e3\u30f3\u30b9<\/strong>\u3067\u3059\u3002<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

    2. \u7279\u5b9a\u5065\u8a3a\uff08\u30e1\u30bf\u30dc\u5065\u8a3a\uff09\u306e\u610f\u7fa9\u3068\u8840\u7cd6\u306e\u5224\u5b9a\u5024<\/h2>\n

    \u7279\u5b9a\u5065\u5eb7\u8a3a\u67fb\uff08\u7279\u5b9a\u5065\u8a3a\uff09<\/strong>\u306f\u30012008\u5e74\u5ea6\u304b\u3089\u59cb\u307e\u3063\u305f40\u301c74\u6b73\u306e\u65b9\u3092\u5bfe\u8c61\u3068\u3059\u308b\u5065\u8a3a\u3067\u3001\u5185\u81d3\u8102\u80aa\u578b\u80a5\u6e80\uff08\u30e1\u30bf\u30dc\u30ea\u30c3\u30af\u30b7\u30f3\u30c9\u30ed\u30fc\u30e0\uff09\u306b\u7740\u76ee\u3057\u3001\u751f\u6d3b\u7fd2\u6163\u75c5\u3092\u767a\u75c7\u524d\u30fb\u91cd\u75c7\u5316\u524d\u306e\u6bb5\u968e\u3067\u62fe\u3044\u4e0a\u3052\u308b<\/strong>\u3053\u3068\u3092\u76ee\u7684\u3068\u3057\u3066\u3044\u307e\u3059\u3002\u5065\u8a3a\u3067\u4e00\u5b9a\u306e\u57fa\u6e96\u306b\u8a72\u5f53\u3057\u305f\u65b9\u306b\u306f\u7279\u5b9a\u4fdd\u5065\u6307\u5c0e<\/strong>\u304c\u884c\u308f\u308c\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u3092\u5f8c\u62bc\u3057\u3059\u308b\u4ed5\u7d44\u307f\u306b\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n

    \u8840\u7cd6\u306b\u95a2\u3059\u308b\u5224\u5b9a\u5024\u306f\u3001\u6b21\u306e\u3088\u3046\u306b\u5b9a\u3081\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n\n\n\n
    \u9805\u76ee<\/th>\n\u4fdd\u5065\u6307\u5c0e\u5224\u5b9a\u5024<\/th>\n\u53d7\u8a3a\u52e7\u5968\u5224\u5b9a\u5024<\/th>\n<\/tr>\n<\/thead>\n
    \u7a7a\u8179\u6642\u8840\u7cd6<\/td>\n100 mg\/dL\u4ee5\u4e0a<\/td>\n126 mg\/dL\u4ee5\u4e0a<\/td>\n<\/tr>\n
    HbA1c<\/td>\n5.6%\u4ee5\u4e0a<\/td>\n6.5%\u4ee5\u4e0a<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    \u7279\u5b9a\u5065\u8a3a\u306e\u672c\u5f53\u306e\u610f\u7fa9\u306f\u3001\u300c\u75c5\u6c17\u3092\u898b\u3064\u3051\u308b\u3053\u3068\u300d\u4ee5\u4e0a\u306b\u3001\u300c\u75c5\u6c17\u306b\u306a\u308b\u624b\u524d\u306e\u65b9\u306b\u3001\u307e\u3060\u9593\u306b\u5408\u3046\u3053\u3068\u3092\u77e5\u3089\u305b\u308b\u3053\u3068\u300d<\/strong>\u306b\u3042\u308a\u307e\u3059\u3002\u4fdd\u5065\u6307\u5c0e\u5224\u5b9a\u5024\u306b\u5165\u3063\u305f\u65b9\u3001\u3068\u304f\u306bHbA1c 6.0\u301c6.4%\u3084\u7a7a\u8179\u6642\u8840\u7cd6110\u301c125 mg\/dL\u306e\u65b9\u306f\u3001\u5f8c\u8ff0\u3059\u308b\u300c\u5883\u754c\u578b\u300d\u306e\u53ef\u80fd\u6027\u304c\u3042\u308a\u3001\u7cbe\u5bc6\u691c\u67fb\u3067\u72b6\u614b\u3092\u6b63\u78ba\u306b\u628a\u63e1\u3057\u3066\u304a\u304f\u4fa1\u5024\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

    3. \u300c\u5883\u754c\u578b\u300d\u3068\u306f\uff1fIFG\u30fbIGT\u306e\u5206\u985e<\/h2>\n

    \u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u306e\u57fa\u6e96\u3067\u306f\u3001\u7a7a\u8179\u6642\u8840\u7cd6\u306875gOGTT 2\u6642\u9593\u5024\u306e\u7d44\u307f\u5408\u308f\u305b\u3067\u3001\u8840\u7cd6\u306e\u72b6\u614b\u3092\u300c\u6b63\u5e38\u578b\u300d\u300c\u5883\u754c\u578b\u300d\u300c\u7cd6\u5c3f\u75c5\u578b\u300d<\/strong>\u306b\u5206\u985e\u3057\u307e\u3059\u3002\u300c\u5883\u754c\u578b\u300d\u306f\u3044\u308f\u3086\u308b\u7cd6\u5c3f\u75c5\u4e88\u5099\u7fa4<\/strong>\u3067\u3001\u305d\u306e\u4e2d\u8eab\u306f\u3055\u3089\u306bIFG<\/strong>\u3068IGT<\/strong>\u306b\u5206\u3051\u3089\u308c\u307e\u3059\u3002<\/p>\n\n\n\n\n\n\n\n\n
    \u5206\u985e<\/th>\n\u7a7a\u8179\u6642\u8840\u7cd6<\/th>\n75gOGTT 2\u6642\u9593\u5024<\/th>\n<\/tr>\n<\/thead>\n
    \u6b63\u5e38\u578b<\/strong><\/td>\n110 mg\/dL\u672a\u6e80<\/td>\n\u304b\u3064 140 mg\/dL\u672a\u6e80<\/td>\n<\/tr>\n
    IFG\uff08\u7a7a\u8179\u6642\u8840\u7cd6\u7570\u5e38\uff09<\/strong><\/td>\n110\u301c125 mg\/dL<\/td>\n140 mg\/dL\u672a\u6e80<\/td>\n<\/tr>\n
    IGT\uff08\u8010\u7cd6\u80fd\u7570\u5e38\uff09<\/strong><\/td>\n126 mg\/dL\u672a\u6e80<\/td>\n140\u301c199 mg\/dL<\/td>\n<\/tr>\n
    \u7cd6\u5c3f\u75c5\u578b<\/strong><\/td>\n126 mg\/dL\u4ee5\u4e0a<\/td>\n\u307e\u305f\u306f 200 mg\/dL\u4ee5\u4e0a<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    \u306a\u304a\u3001\u7a7a\u8179\u6642\u8840\u7cd6100\u301c109 mg\/dL\u306f\u300c\u6b63\u5e38\u9ad8\u5024\u300d<\/strong>\u3068\u3055\u308c\u3001\u6b63\u5e38\u578b\u306e\u4e2d\u3067\u3082\u7cd6\u5c3f\u75c5\u3078\u306e\u79fb\u884c\u3084\u8010\u7cd6\u80fd\u7570\u5e38\u304c\u6bd4\u8f03\u7684\u591a\u3044\u30b0\u30eb\u30fc\u30d7\u3067\u3042\u308b\u3053\u3068\u304c\u77e5\u3089\u308c\u3066\u3044\u307e\u3059\u3002\u307e\u305f\u3001\u7c73\u56fd\u7cd6\u5c3f\u75c5\u5b66\u4f1a\uff08ADA\uff09\u306fIFG\u3092100\u301c125 mg\/dL\u3068\u5b9a\u7fa9\u3057\u3066\u304a\u308a\u3001\u56fd\u3084\u5b66\u4f1a\u3067\u57fa\u6e96\u304c\u7570\u306a\u308b<\/strong>\u70b9\u306b\u3082\u3054\u6ce8\u610f\u304f\u3060\u3055\u3044\u3002<\/p>\n\n\n
    \n

    \u7528\u8a9e\u89e3\u8aac\uff5cIFG\u3068IGT\u306e\u9055\u3044<\/p>\n

    \u2460 IFG\uff08Impaired Fasting Glucose\uff1a\u7a7a\u8179\u6642\u8840\u7cd6\u7570\u5e38\uff09\uff1a<\/strong>\u671d\u306e\u7a7a\u8179\u6642\u306e\u8840\u7cd6\u304c\u3084\u3084\u9ad8\u3044\u72b6\u614b\u3002\u4e3b\u306b\u809d\u81d3\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027<\/strong>\uff08\u591c\u9593\u306b\u809d\u81d3\u304c\u7cd6\u3092\u51fa\u3057\u3059\u304e\u308b\uff09\u3084\u3001\u57fa\u790e\u7684\u306a\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u306e\u4f4e\u4e0b\u3092\u53cd\u6620\u3059\u308b\u3068\u8003\u3048\u3089\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

    \u2461 IGT\uff08Impaired Glucose Tolerance\uff1a\u8010\u7cd6\u80fd\u7570\u5e38\uff09\uff1a<\/strong>\u7cd6\u3092\u3068\u3063\u305f\u5f8c\u306e\u8840\u7cd6\u304c\u4e0b\u304c\u308a\u306b\u304f\u3044\u72b6\u614b\uff1d\u300c\u98df\u5f8c\u9ad8\u8840\u7cd6\u300d<\/strong>\u3002\u4e3b\u306b\u7b4b\u8089\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027<\/strong>\u3068\u3001\u98df\u5f8c\u3059\u3050\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\uff08\u8ffd\u52a0\u5206\u6ccc\uff09\u306e\u9045\u308c\u30fb\u4e0d\u8db3\u3092\u53cd\u6620\u3057\u307e\u3059\u3002<\/p>\n

    \u2462 \u30dd\u30a4\u30f3\u30c8\uff1a<\/strong>IFG\u3068IGT\u306f\u91cd\u306a\u308b\u65b9\u3082\u3044\u307e\u3059\u304c\u3001\u300c\u7a7a\u8179\u6642\u306f\u6b63\u5e38\u306a\u306e\u306bIGT\u300d<\/strong>\u3068\u3044\u3046\u65b9\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002\u3053\u306e\u9055\u3044\u304c\u3001\u6b21\u306e\u821f\u5f62\u7814\u7a76\u306e\u8a71\u306b\u3064\u306a\u304c\u308a\u307e\u3059\u3002<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

    4. \u821f\u5f62\u7814\u7a76\u304c\u793a\u3057\u305f\u300c\u98df\u5f8c\u9ad8\u8840\u7cd6\uff08IGT\uff09\u300d\u306e\u6016\u3055<\/h2>\n

    \u5c71\u5f62\u770c\u821f\u5f62\u753a\u306e\u4f4f\u6c11\u3092\u5bfe\u8c61\u306b\u884c\u308f\u308c\u305f\u821f\u5f62\u753a\u7814\u7a76\uff08Funagata Diabetes Study\uff09<\/strong>\u306f\u3001\u5883\u754c\u578b\u306e\u610f\u5473\u3092\u8003\u3048\u308b\u3046\u3048\u3067\u65e5\u672c\u3092\u4ee3\u8868\u3059\u308b\u75ab\u5b66\u7814\u7a76\u3067\u3059\u3002<\/p>\n

    \u3053\u306e\u7814\u7a76\u3067\u306f\u3001\u4f4f\u6c11\u306bOGTT\u3092\u884c\u3044\u3001\u305d\u306e\u5f8c\u306e\u7d4c\u904e\u3092\u8ffd\u8de1\u3057\u307e\u3057\u305f\u3002\u305d\u306e\u7d50\u679c\u3001IGT\u306e\u65b9\u306f\u6b63\u5e38\u578b\u306e\u65b9\u306b\u6bd4\u3079\u3066\u5fc3\u8840\u7ba1\u75be\u60a3\u306b\u3088\u308b\u6b7b\u4ea1\u30ea\u30b9\u30af\u304c\u9ad8\u304b\u3063\u305f<\/strong>\u4e00\u65b9\u3067\u3001IFG\u306e\u65b9\u3067\u306f\u305d\u306e\u3088\u3046\u306a\u660e\u3089\u304b\u306a\u30ea\u30b9\u30af\u4e0a\u6607\u306f\u8a8d\u3081\u3089\u308c\u307e\u305b\u3093\u3067\u3057\u305f<\/strong>\uff08Tominaga M, et al. Diabetes Care 1999\uff09\u3002\u7814\u7a76\u30bf\u30a4\u30c8\u30eb\u81ea\u4f53\u304c\u300c\u8010\u7cd6\u80fd\u7570\u5e38\u306f\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u5371\u967a\u56e0\u5b50\u3060\u304c\u3001\u7a7a\u8179\u6642\u8840\u7cd6\u7570\u5e38\u306f\u305d\u3046\u3067\u306f\u306a\u3044\u300d\u3068\u3044\u3046\u8da3\u65e8\u306b\u306a\u3063\u3066\u304a\u308a\u3001\u5927\u304d\u306a\u53cd\u97ff\u3092\u547c\u3073\u307e\u3057\u305f\u3002<\/p>\n

    \u307e\u305f\u540c\u3058\u821f\u5f62\u753a\u306e\u30b3\u30db\u30fc\u30c8\u3067\u306f\u30015\u5e74\u9593\u306e\u8ffd\u8de1\u3067\u7cd6\u5c3f\u75c5\u306e\u767a\u75c7\u7387\u304c\u6b63\u5e38\u578b\u306e1,000\u4eba\u5e74\u3042\u305f\u308a\u7d042.8\u306b\u5bfe\u3057\u3001IGT\u3067\u306f\u7d0429.0\u3001IFG\u3067\u306f\u7d0440.0<\/strong>\u3068\u3001\u3069\u3061\u3089\u3082\u7cd6\u5c3f\u75c5\u3078\u306e\u79fb\u884c\u30ea\u30b9\u30af\u304c10\u500d\u4ee5\u4e0a\u9ad8\u3044\u3053\u3068\u3082\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

    \n

    \u30e1\u30ab\u30cb\u30ba\u30e0\u56f3\u89e3\uff5c\u5883\u754c\u578b\u304b\u3089\u52d5\u8108\u786c\u5316\u30fb\u7cd6\u5c3f\u75c5\u3078\u9032\u3080\u6d41\u308c<\/p>\n\n\n\n\n\n
    1<\/text><\/svg><\/td>\n\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027<\/strong>\uff1a\u5185\u81d3\u8102\u80aa\u306e\u84c4\u7a4d\u3084\u904b\u52d5\u4e0d\u8db3\u3067\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u304c\u52b9\u304d\u306b\u304f\u304f\u306a\u308b<\/td>\n<\/tr>\n
    2<\/text><\/svg><\/td>\n\u4ee3\u511f\u6027\u306e\u9ad8\u30a4\u30f3\u30b9\u30ea\u30f3\u8840\u75c7<\/strong>\uff1a\u81b5\u81d3\u306e\u03b2\u7d30\u80de\u304c\u9811\u5f35\u3063\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u591a\u304f\u51fa\u3057\u3001\u8840\u7cd6\u3092\u306a\u3093\u3068\u304b\u6b63\u5e38\u306b\u4fdd\u3064<\/td>\n<\/tr>\n
    3<\/text><\/svg><\/td>\n\u98df\u5f8c\u9ad8\u8840\u7cd6\uff08IGT\uff09\u30fb\u7a7a\u8179\u6642\u8840\u7cd6\u4e0a\u6607\uff08IFG\uff09<\/strong>\uff1a\u03b2\u7d30\u80de\u306e\u9811\u5f35\u308a\u304c\u8ffd\u3044\u3064\u304b\u306a\u304f\u306a\u308a\u3001\u307e\u305a\u98df\u5f8c\u3001\u3084\u304c\u3066\u7a7a\u8179\u6642\u306e\u8840\u7cd6\u3082\u4e0a\u304c\u308a\u59cb\u3081\u308b\u3002\u3053\u306e\u6bb5\u968e\u304b\u3089\u3059\u3067\u306b\u8840\u7ba1\u3078\u306e\u30c0\u30e1\u30fc\u30b8\u304c\u59cb\u307e\u308b<\/td>\n<\/tr>\n
    4<\/text><\/svg><\/td>\n2\u578b\u7cd6\u5c3f\u75c5\u30fb\u52d5\u8108\u786c\u5316\u6027\u75be\u60a3<\/strong>\uff1a\u03b2\u7d30\u80de\u306e\u75b2\u5f0a\uff08\u5206\u6ccc\u4f4e\u4e0b\uff09\u304c\u9032\u307f\u7cd6\u5c3f\u75c5\u3092\u767a\u75c7\u3002\u5fc3\u7b4b\u6897\u585e\u30fb\u8133\u6897\u585e\u306e\u30ea\u30b9\u30af\u3082\u9ad8\u307e\u308b<\/td>\n<\/tr>\n<\/table>\n<\/div>\n

    \u3053\u306e\u3088\u3046\u306b\u3001\u300c\u62b5\u6297\u6027\u300d\u3068\u300c\u5206\u6ccc\u80fd\u300d\u306e\u3069\u3061\u3089\u304c\u3069\u306e\u7a0b\u5ea6\u5d29\u308c\u3066\u3044\u308b\u304b<\/strong>\u3092\u77e5\u308b\u3053\u3068\u306f\u3001\u5883\u754c\u578b\u306e\u65b9\u306e\u5c06\u6765\u3092\u898b\u901a\u3059\u3046\u3048\u3067\u3068\u3066\u3082\u5927\u5207\u3067\u3059\u3002\u305d\u3057\u3066\u3001\u3053\u308c\u3053\u305d\u304cHOMA-IR\u30fbHOMA-\u03b2\u3067\u63a8\u6e2c\u3057\u3088\u3046\u3068\u3057\u3066\u3044\u308b\u30dd\u30a4\u30f3\u30c8\u3067\u3059\u3002<\/p>\n

    5. \u7cd6\u5c3f\u75c5\u306f\u4e88\u9632\u3067\u304d\u308b\uff1aDa Qing\u7814\u7a76\u30fbDPP\u7814\u7a76\u30fb\u65e5\u672c\u306e\u7814\u7a76<\/h2>\n

    \u300c\u5883\u754c\u578b\u3068\u8a00\u308f\u308c\u3066\u3082\u3001\u3069\u3046\u305b\u3044\u305a\u308c\u7cd6\u5c3f\u75c5\u306b\u306a\u308b\u306e\u3067\u306f\uff1f\u300d\u3068\u601d\u308f\u308c\u308b\u304b\u3082\u3057\u308c\u307e\u305b\u3093\u3002\u3057\u304b\u3057\u3001\u4e16\u754c\u306e\u5927\u898f\u6a21\u81e8\u5e8a\u7814\u7a76\u306f\u3001\u5883\u754c\u578b\u306e\u6bb5\u968e\u3067\u306e\u4ecb\u5165\u306b\u3088\u3063\u3066\u7cd6\u5c3f\u75c5\u306e\u767a\u75c7\u3092\u9045\u3089\u305b\u3001\u3055\u3089\u306b\u306f\u5bff\u547d\u306b\u307e\u3067\u826f\u3044\u5f71\u97ff\u3092\u4e0e\u3048\u3046\u308b<\/strong>\u3053\u3068\u3092\u793a\u3057\u3066\u304d\u307e\u3057\u305f\u3002<\/p>\n

    \u4e2d\u56fd\u30fbDa Qing\uff08\u5927\u6176\uff09\u7814\u7a76<\/h3>\n

    1986\u5e74\u306b\u4e2d\u56fd\u30fb\u5927\u6176\u5e02\u3067\u59cb\u307e\u3063\u305f\u7814\u7a76\u3067\u3001IGT\u306e\u6210\u4eba577\u540d<\/strong>\u3092\u3001\u98df\u4e8b\u7642\u6cd5\u30fb\u904b\u52d5\u7642\u6cd5\u30fb\u98df\u4e8b\uff0b\u904b\u52d5\u30fb\u5bfe\u7167\u7fa4\u306b\u5206\u3051\u3066\u7d046\u5e74\u9593\u306e\u751f\u6d3b\u7fd2\u6163\u4ecb\u5165\u3092\u884c\u3044\u307e\u3057\u305f\u3002\u6ce8\u76ee\u3059\u3079\u304d\u306f30\u5e74\u5f8c\u306e\u8ffd\u8de1\u7d50\u679c<\/strong>\uff08Gong Q, et al. Lancet Diabetes Endocrinol 2019\uff09\u3067\u3001\u4ecb\u5165\u7fa4\u3067\u306f\u5bfe\u7167\u7fa4\u3068\u6bd4\u3079\u3066\u6b21\u306e\u3088\u3046\u306a\u5dee\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n\n\n\n\n\n\n\n
    \u8a55\u4fa1\u9805\u76ee\uff0830\u5e74\u8ffd\u8de1\uff09<\/th>\n\u751f\u6d3b\u7fd2\u6163\u4ecb\u5165\u7fa4\u306e\u7d50\u679c<\/th>\n<\/tr>\n<\/thead>\n
    \u7cd6\u5c3f\u75c5\u767a\u75c7<\/td>\n\u767a\u75c7\u6642\u671f\u3092\u4e2d\u592e\u5024\u3067\u7d043.96\u5e74\u9045\u3089\u305b\u305f<\/strong><\/td>\n<\/tr>\n
    \u5fc3\u8840\u7ba1\u30a4\u30d9\u30f3\u30c8<\/td>\n\u76f8\u5bfe\u30ea\u30b9\u30af26%\u4f4e\u4e0b<\/strong><\/td>\n<\/tr>\n
    \u5fc3\u8840\u7ba1\u6b7b\u4ea1<\/td>\n\u76f8\u5bfe\u30ea\u30b9\u30af33%\u4f4e\u4e0b<\/strong><\/td>\n<\/tr>\n
    \u7d30\u5c0f\u8840\u7ba1\u5408\u4f75\u75c7\uff08\u7db2\u819c\u75c7\u30fb\u814e\u75c7\u30fb\u795e\u7d4c\u969c\u5bb3\uff09<\/td>\n\u76f8\u5bfe\u30ea\u30b9\u30af35%\u4f4e\u4e0b<\/strong><\/td>\n<\/tr>\n
    \u7dcf\u6b7b\u4ea1<\/td>\n\u76f8\u5bfe\u30ea\u30b9\u30af26%\u4f4e\u4e0b<\/strong><\/td>\n<\/tr>\n
    \u5e73\u5747\u4f59\u547d<\/td>\n\u7d041.44\u5e74\u5ef6\u9577<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    \u7c73\u56fd\u30fbDPP\uff08Diabetes Prevention Program\uff09\u7814\u7a76\u3068DPPOS<\/h3>\n

    \u7c73\u56fd\u3067\u884c\u308f\u308c\u305fDPP\u7814\u7a76<\/strong>\uff08Knowler WC, et al. N Engl J Med 2002\uff09\u3067\u306f\u3001\u5883\u754c\u578b\u306e\u6210\u4eba\u3092\u5f37\u5316\u751f\u6d3b\u7fd2\u6163\u4ecb\u5165\u7fa4\u30fb\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u7fa4\u30fb\u30d7\u30e9\u30bb\u30dc\u7fa4<\/strong>\u306b\u5206\u3051\u3066\u6bd4\u8f03\u3057\u307e\u3057\u305f\u3002\u4f53\u91cd\u306e7%\u6e1b\u91cf\u3068\u9031150\u5206\u306e\u904b\u52d5\u3092\u76ee\u6a19\u3068\u3057\u305f\u751f\u6d3b\u7fd2\u6163\u4ecb\u5165\u306b\u3088\u308a\u3001\u7d043\u5e74\u9593\u3067\u7cd6\u5c3f\u75c5\u306e\u767a\u75c7\u304c58%\u6e1b\u5c11<\/strong>\u3001\u30e1\u30c8\u30db\u30eb\u30df\u30f3\uff08\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\uff09\u3067\u308231%\u6e1b\u5c11<\/strong>\u3057\u307e\u3057\u305f\u3002<\/p>\n

    \u305d\u306e\u5f8c\u306e\u8ffd\u8de1\u7814\u7a76DPPOS<\/strong>\uff08Lancet 2009\uff09\u3067\u3082\u300110\u5e74\u306e\u6642\u70b9\u3067\u751f\u6d3b\u7fd2\u6163\u4ecb\u5165\u7fa4\u306f34%<\/strong>\u3001\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u7fa4\u306f18%<\/strong>\u306e\u767a\u75c7\u6291\u5236\u52b9\u679c\u304c\u6301\u7d9a\u3057\u3066\u3044\u307e\u3057\u305f\u3002\u300c\u5883\u754c\u578b\u306e\u3046\u3061\u306b\u52d5\u3044\u305f\u52b9\u679c\u306f\u9577\u304f\u6b8b\u308b\u300d\u3053\u3068\u3092\u793a\u3057\u305f\u91cd\u8981\u306a\u7814\u7a76\u3067\u3059\u3002<\/p>\n

    \u65e5\u672c\u4eba\u3067\u306e\u7814\u7a76<\/h3>\n

    \u65e5\u672c\u3067\u3082\u3001\u5065\u8a3a\u53d7\u8a3a\u8005\u306e\u3046\u3061IGT\u3068\u5224\u5b9a\u3055\u308c\u305f\u7537\u6027\u3092\u5bfe\u8c61\u3068\u3057\u305f\u864e\u306e\u9580\u75c5\u9662\u306e\u7814\u7a76\uff08Kosaka K, et al. Diabetes Res Clin Pract 2005\uff09\u3067\u3001BMI 22\u672a\u6e80\u3092\u76ee\u6a19\u3068\u3057\u305f\u5f37\u5316\u751f\u6d3b\u6307\u5c0e<\/strong>\u3092\u884c\u3063\u305f\u3068\u3053\u308d\u30014\u5e74\u9593\u306e\u7cd6\u5c3f\u75c5\u306e\u7d2f\u7a4d\u767a\u75c7\u7387\u304c\u5bfe\u7167\u7fa49.3%\u306b\u5bfe\u3057\u4ecb\u5165\u7fa43.0%<\/strong>\u3068\u3001\u7d043\u5206\u306e1\uff08\u30ea\u30b9\u30af67.4%\u6e1b\u5c11\uff09<\/strong>\u306b\u6291\u3048\u3089\u308c\u305f\u3053\u3068\u304c\u5831\u544a\u3055\u308c\u3066\u3044\u307e\u3059\u3002\u4f53\u683c\u304c\u6b27\u7c73\u4eba\u307b\u3069\u5927\u304d\u304f\u306a\u3044\u65e5\u672c\u4eba\u3067\u3082\u3001\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u304c\u6709\u52b9\u3067\u3042\u308b\u3053\u3068\u304c\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n
    \n

    \u30a8\u30d3\u30c7\u30f3\u30b9\u306e\u307e\u3068\u3081<\/p>\n

    \u2713 \u5883\u754c\u578b\uff08\u7279\u306bIGT\uff09\u306f\u3001\u7cd6\u5c3f\u75c5\u3060\u3051\u3067\u306a\u304f\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u30ea\u30b9\u30af<\/strong>\u3067\u3082\u3042\u308b\uff08\u821f\u5f62\u7814\u7a76\uff09<\/p>\n

    \u2713 \u5883\u754c\u578b\u306e\u6bb5\u968e\u3067\u306e\u751f\u6d3b\u7fd2\u6163\u6539\u5584\u306f\u3001\u7cd6\u5c3f\u75c5\u306e\u767a\u75c7\u3092\u6570\u5e74\u5358\u4f4d\u3067\u9045\u3089\u305b\u308b<\/strong>\uff08Da Qing\u30fbDPP\u30fb\u65e5\u672c\u306e\u7814\u7a76\uff09<\/p>\n

    \u2713 \u9577\u671f\u7684\u306b\u306f\u5408\u4f75\u75c7\u30fb\u6b7b\u4ea1\u306e\u6e1b\u5c11\u3001\u5e73\u5747\u4f59\u547d\u306e\u5ef6\u9577<\/strong>\u306b\u3082\u3064\u306a\u304c\u308a\u3046\u308b\uff08Da Qing 30\u5e74\u8ffd\u8de1\uff09<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

    6. 75gOGTT\u3068\u306f\uff1f\u691c\u67fb\u306e\u4fa1\u5024\u3068\u300c\u6016\u3055\u300d\u306e\u6b63\u4f53<\/h2>\n

    75g\u7d4c\u53e3\u30d6\u30c9\u30a6\u7cd6\u8ca0\u8377\u8a66\u9a13\uff08OGTT\uff09<\/strong>\u306f\u300110\u6642\u9593\u4ee5\u4e0a\u306e\u7d76\u98df\u5f8c\u306b\u300175g\u306e\u30d6\u30c9\u30a6\u7cd6\u3092\u6eb6\u304b\u3057\u305f\u6db2\u4f53\uff08\u7d04250\u301c350mL\uff09\u3092\u6570\u5206\u4ee5\u5185\u306b\u98f2\u307f\u3001\u98f2\u3080\u524d\u30fb30\u5206\u5f8c\u30fb60\u5206\u5f8c\u30fb120\u5206\u5f8c\u306a\u3069\u306b\u63a1\u8840\u3057\u3066\u3001\u8840\u7cd6\u3068\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u63a8\u79fb\u3092\u8abf\u3079\u308b\u691c\u67fb\u3067\u3059\u3002<\/p>\n

    OGTT\u306f\u3001\u7a7a\u8179\u6642\u63a1\u8840\u3060\u3051\u3067\u306f\u308f\u304b\u3089\u306a\u3044IGT\uff08\u98df\u5f8c\u9ad8\u8840\u7cd6\uff09\u3092\u8a3a\u65ad\u3067\u304d\u308b\u552f\u4e00\u306e\u6a19\u6e96\u7684\u306a\u691c\u67fb<\/strong>\u3067\u3042\u308a\u300130\u5206\u5024\u304b\u3089\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u6307\u6570\uff08\u30a4\u30f3\u30b9\u30ea\u30ce\u30b8\u30a7\u30cb\u30c3\u30af\u30fb\u30a4\u30f3\u30c7\u30c3\u30af\u30b9\uff09<\/strong>\u3092\u6c42\u3081\u3066\u300c\u98df\u5f8c\u3059\u3050\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\uff08\u521d\u671f\u5206\u6ccc\uff09\u300d\u3092\u8a55\u4fa1\u3067\u304d\u308b\u3001\u975e\u5e38\u306b\u4fa1\u5024\u306e\u9ad8\u3044\u691c\u67fb\u3067\u3059\u3002<\/p>\n

    \u4e00\u65b9\u3067\u3001\u60a3\u8005\u3055\u307e\u304b\u3089\u306f\u6b21\u306e\u3088\u3046\u306a\u3054\u4e0d\u5b89\u3092\u3088\u304f\u3046\u304b\u304c\u3044\u307e\u3059\u3002<\/p>\n\n\n
    \n

    OGTT\u3092\u305f\u3081\u3089\u3046\u7406\u7531\u3068\u3057\u3066\u591a\u3044\u3082\u306e<\/p>\n

    \u30fb\u7518\u3044\u6db2\u4f53\u3092\u4e00\u6c17\u306b\u98f2\u3080\u3068\u3001\u6c17\u6301\u3061\u60aa\u304f\u306a\u308a\u305d\u3046\u30fb\u5410\u304d\u6c17\u304c\u5fc3\u914d<\/strong><\/p>\n

    \u30fb\u6025\u306b\u9ad8\u8840\u7cd6\u306b\u306a\u308b<\/strong>\u3053\u3068\u304c\u4f53\u306b\u60aa\u3044\u306e\u3067\u306f\u3068\u4e0d\u5b89<\/p>\n

    \u30fb\u305d\u306e\u5f8c\u306b\u8840\u7cd6\u304c\u4e0b\u304c\u308a\u3059\u304e\u3066\u3001\u51b7\u3084\u6c57\u30fb\u52d5\u60b8\uff08\u53cd\u5fdc\u6027\u4f4e\u8840\u7cd6\uff09<\/strong>\u304c\u51fa\u305f\u3053\u3068\u304c\u3042\u308b<\/p>\n

    \u30fb2\u6642\u9593\u4ee5\u4e0a\u3001\u9662\u5185\u3067\u5b89\u9759\u306b\u5f85\u3064<\/strong>\u6642\u9593\u304c\u3068\u308c\u306a\u3044\uff0f\u63a1\u8840\u304c\u4f55\u56de\u3082\u3042\u308b\u306e\u304c\u3064\u3089\u3044<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

    \u5b9f\u969b\u306b\u306f\u3001OGTT\u306f\u5b89\u5168\u6027\u306e\u78ba\u7acb\u3057\u305f\u691c\u67fb\u3067\u3001\u91cd\u3044\u526f\u4f5c\u7528\u306f\u307e\u308c\u3067\u3059\u3002\u305d\u308c\u3067\u3082\u300c\u6016\u3044\u300d\u300c\u6642\u9593\u304c\u306a\u3044\u300d\u3068\u3044\u3046\u7406\u7531\u3067\u7cbe\u5bc6\u691c\u67fb\u305d\u306e\u3082\u306e\u3092\u5148\u9001\u308a\u306b\u3057\u3066\u3057\u307e\u3046\u3068\u3001\u305b\u3063\u304b\u304f\u306e\u5065\u8a3a\u7d50\u679c\u304c\u751f\u304b\u3055\u308c\u307e\u305b\u3093\u3002\u300c\u307e\u305a\u306f\u8ca0\u62c5\u306e\u5c11\u306a\u3044\u65b9\u6cd5\u3067\u3001\u4eca\u306e\u72b6\u614b\u306e\u304a\u304a\u3088\u305d\u3092\u628a\u63e1\u3059\u308b\u300d<\/strong>\u2014\u2014\u305d\u306e\u9078\u629e\u80a2\u304c\u3001\u6b21\u306b\u3054\u7d39\u4ecb\u3059\u308b\u7a7a\u8179\u6642\u63a1\u8840\u306b\u3088\u308b\u8a55\u4fa1\u3067\u3059\u3002<\/p>\n

    7. \u7a7a\u8179\u6642\u63a1\u8840\u3067\u308f\u304b\u308b\uff1aHOMA-IR\u30fbHOMA-\u03b2\u306e\u8a08\u7b97\u3068\u8aad\u307f\u65b9<\/h2>\n

    \u5f53\u9662\u3067\u306f\u3001\u7a7a\u8179\u6642\u306e1\u56de\u306e\u63a1\u8840\u3067\u300c\u7a7a\u8179\u6642\u8840\u7cd6\u300d\u3068\u300c\u7a7a\u8179\u6642\u30a4\u30f3\u30b9\u30ea\u30f3\uff08IRI\uff09\u300d\u3092\u540c\u6642\u306b\u6e2c\u5b9a<\/strong>\u3057\u3001\u305d\u3053\u304b\u3089\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\uff08HOMA-IR\uff09<\/strong>\u3068\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\uff08HOMA-\u03b2\uff09<\/strong>\u3092\u8a08\u7b97\u3057\u3066\u8a55\u4fa1\u3059\u308b\u3053\u3068\u304c\u3067\u304d\u307e\u3059\u3002\u30d6\u30c9\u30a6\u7cd6\u3092\u98f2\u3080\u5fc5\u8981\u306f\u306a\u304f\u3001\u63a1\u8840\u30821\u56de\u3067\u7d42\u308f\u308a\u307e\u3059\u3002<\/p>\n\n\n
    \n

    \u7528\u8a9e\u89e3\u8aac\uff5cHOMA\uff08\u30db\u30fc\u30de\uff09\u3068\u306f<\/p>\n

    HOMA\uff08Homeostasis Model Assessment\uff09<\/strong>\u306f\u3001\u7a7a\u8179\u6642\u306e\u8840\u7cd6\u3068\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u30d0\u30e9\u30f3\u30b9\u304b\u3089\u3001\u4f53\u306e\u4e2d\u3067\u300c\u30a4\u30f3\u30b9\u30ea\u30f3\u304c\u3069\u308c\u3060\u3051\u52b9\u3044\u3066\u3044\u308b\u304b\u300d\u300c\u81b5\u81d3\u304c\u3069\u308c\u3060\u3051\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u51fa\u3057\u3066\u3044\u308b\u304b\u300d\u3092\u63a8\u5b9a\u3059\u308b\u6570\u7406\u30e2\u30c7\u30eb\u3067\u3059\u30021985\u5e74\u306bMatthews\u3089\u304c\u63d0\u5531\u3057\u3001\u73fe\u5728\u3082\u81e8\u5e8a\u30fb\u7814\u7a76\u3067\u5e83\u304f\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n

    IRI\uff08Immunoreactive Insulin\uff1a\u514d\u75ab\u53cd\u5fdc\u6027\u30a4\u30f3\u30b9\u30ea\u30f3\uff09<\/strong>\u306f\u3001\u8840\u6db2\u4e2d\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u6fc3\u5ea6\u3092\u6e2c\u5b9a\u3057\u305f\u5024\uff08\u5358\u4f4d\uff1a\u03bcU\/mL\uff09\u3067\u3059\u3002<\/p>\n

    \u03b2\u7d30\u80de<\/strong>\u306f\u3001\u81b5\u81d3\u306e\u30e9\u30f3\u30b2\u30eb\u30cf\u30f3\u30b9\u5cf6\u306b\u3042\u308a\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u4f5c\u3063\u3066\u5206\u6ccc\u3059\u308b\u7d30\u80de\u3067\u3059\u3002<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

    \u8a08\u7b97\u5f0f<\/h3>\n
    \n

    HOMA-IR\uff08\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u306e\u6307\u6a19\uff09<\/p>\n

    \u7a7a\u8179\u6642\u8840\u7cd6\uff08mg\/dL\uff09\u00d7 \u7a7a\u8179\u6642\u30a4\u30f3\u30b9\u30ea\u30f3\uff08\u03bcU\/mL\uff09\u00f7 405<\/strong><\/p>\n

    HOMA-\u03b2\uff08\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u306e\u6307\u6a19\u30fb%\uff09<\/p>\n

    360 \u00d7 \u7a7a\u8179\u6642\u30a4\u30f3\u30b9\u30ea\u30f3\uff08\u03bcU\/mL\uff09\u00f7\uff08\u7a7a\u8179\u6642\u8840\u7cd6\uff08mg\/dL\uff09\u2212 63\uff09<\/strong><\/p>\n<\/div>\n

    \u5224\u5b9a\u306e\u76ee\u5b89<\/h3>\n\n\n\n\n\n\n\n\n\n
    \u6307\u6a19<\/th>\n\u76ee\u5b89<\/th>\n\u610f\u5473<\/th>\n<\/tr>\n<\/thead>\n
    HOMA-IR<\/strong><\/td>\n1.6\u4ee5\u4e0b<\/td>\n\u6b63\u5e38<\/td>\n<\/tr>\n
    1.6\u3092\u8d85\u30482.5\u672a\u6e80<\/td>\n\u5883\u754c\u57df\uff08\u62b5\u6297\u6027\u304c\u51fa\u59cb\u3081\u3066\u3044\u308b\u53ef\u80fd\u6027\uff09<\/td>\n<\/tr>\n
    2.5\u4ee5\u4e0a<\/td>\n\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u3042\u308a<\/td>\n<\/tr>\n
    HOMA-\u03b2<\/strong><\/td>\n\u304a\u304a\u3080\u306d40\u301c60\uff05<\/td>\n\u6a19\u6e96\u7684\u306a\u5206\u6ccc\u80fd\u306e\u76ee\u5b89\u3068\u3055\u308c\u308b\u3053\u3068\u304c\u591a\u3044<\/td>\n<\/tr>\n
    30\uff05\u4ee5\u4e0b<\/td>\n\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u4f4e\u4e0b\u304c\u7591\u308f\u308c\u308b<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    \u203bHOMA-\u03b2\u306e\u57fa\u6e96\u5024\u306f\u5831\u544a\u306b\u3088\u3063\u3066\u5e45\u304c\u3042\u308a\u3001\u7d76\u5bfe\u7684\u306a\u30ab\u30c3\u30c8\u30aa\u30d5\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002HOMA-IR\u3068\u7d44\u307f\u5408\u308f\u305b\u3066\u3001\u8840\u7cd6\u5024\u30fbHbA1c\u30fb\u4f53\u683c\u30fb\u5bb6\u65cf\u6b74\u306a\u3069\u3068\u3042\u308f\u305b\u3066\u7dcf\u5408\u7684\u306b\u5224\u65ad\u3057\u307e\u3059\u3002<\/p>\n

    \u8a08\u7b97\u4f8b\uff1a\u540c\u3058\u300c\u5883\u754c\u578b\u300d\u3067\u3082\u4e2d\u8eab\u304c\u9055\u3046<\/h3>\n\n\n\n\n\n\n\n\n\n
    <\/th>\nA\u3055\u3093\uff0850\u4ee3\u7537\u6027\u30fb\u304a\u8179\u307e\u308f\u308a\u304c\u6c17\u306b\u306a\u308b\uff09<\/th>\nB\u3055\u3093\uff0860\u4ee3\u5973\u6027\u30fb\u3084\u305b\u578b\uff09<\/th>\n<\/tr>\n<\/thead>\n
    \u7a7a\u8179\u6642\u8840\u7cd6<\/td>\n110 mg\/dL<\/td>\n110 mg\/dL<\/td>\n<\/tr>\n
    \u7a7a\u8179\u6642\u30a4\u30f3\u30b9\u30ea\u30f3<\/td>\n15 \u03bcU\/mL<\/td>\n3 \u03bcU\/mL<\/td>\n<\/tr>\n
    HOMA-IR<\/td>\n110\u00d715\u00f7405 \u2252 4.1\uff08\u62b5\u6297\u6027\u3042\u308a\uff09<\/td>\n110\u00d73\u00f7405 \u2252 0.8\uff08\u6b63\u5e38\uff09<\/td>\n<\/tr>\n
    HOMA-\u03b2<\/td>\n360\u00d715\u00f747 \u2252 115\uff05\uff08\u4fdd\u305f\u308c\u3066\u3044\u308b\uff09<\/td>\n360\u00d73\u00f747 \u2252 23\uff05\uff08\u5206\u6ccc\u4f4e\u4e0b\uff09<\/td>\n<\/tr>\n
    \u8003\u3048\u3089\u308c\u308b\u4e3b\u306a\u75c5\u614b<\/td>\n\u62b5\u6297\u6027\u512a\u4f4d<\/strong>\uff1a\u5185\u81d3\u8102\u80aa\u3092\u6e1b\u3089\u3059\u98df\u4e8b\u30fb\u904b\u52d5\u304c\u7279\u306b\u52b9\u304d\u3084\u3059\u3044<\/td>\n\u5206\u6ccc\u4e0d\u5168\u512a\u4f4d<\/strong>\uff1a\u65e5\u672c\u4eba\u306b\u591a\u3044\u30bf\u30a4\u30d7\u3002\u6e1b\u91cf\u3088\u308a\u98df\u5f8c\u8840\u7cd6\u306e\u7ba1\u7406\u3084\u7b4b\u8089\u91cf\u306e\u7dad\u6301\u304c\u9375<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    \u540c\u3058\u7a7a\u8179\u6642\u8840\u7cd6110 mg\/dL\u3067\u3082\u3001\u5bfe\u7b56\u306e\u65b9\u5411\u6027\u306f\u307e\u3063\u305f\u304f\u9055\u3046<\/strong>\u3053\u3068\u304c\u304a\u308f\u304b\u308a\u3044\u305f\u3060\u3051\u308b\u3068\u601d\u3044\u307e\u3059\u3002\u65e5\u672c\u4eba\u306f\u6b27\u7c73\u4eba\u306b\u6bd4\u3079\u3066\u3082\u3068\u3082\u3068\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u304c\u4f4e\u3044\u65b9\u304c\u591a\u3044<\/strong>\u3068\u3055\u308c\u3001\u300c\u592a\u3063\u3066\u3044\u306a\u3044\u306e\u306b\u8840\u7cd6\u304c\u9ad8\u3044\u300d\u30bf\u30a4\u30d7\u3082\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002HOMA-IR\u30fbHOMA-\u03b2\u306f\u3001\u3053\u3046\u3057\u305f\u75c5\u614b\u306e\u9055\u3044\u3092\u3001\u30d6\u30c9\u30a6\u7cd6\u3092\u98f2\u307e\u305a\u306b\u63a8\u6e2c\u3059\u308b\u624b\u304c\u304b\u308a\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n
    \n

    \u91cd\u8981\uff5cHOMA\u6307\u6a19\u306e\u9650\u754c\u3082\u77e5\u3063\u3066\u304a\u3044\u3066\u304f\u3060\u3055\u3044<\/p>\n

    \u30fb\u7a7a\u8179\u6642\u8840\u7cd6\u304c140 mg\/dL\u7a0b\u5ea6\u3092\u8d85\u3048\u308b\u5834\u5408<\/strong>\u3084\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u6ce8\u5c04\u3067\u6cbb\u7642\u4e2d\u306e\u65b9<\/strong>\u3067\u306f\u3001HOMA-IR\u306e\u4fe1\u983c\u6027\u304c\u4e0b\u304c\u308a\u307e\u3059\u3002<\/p>\n

    \u30fb\u7d76\u98df\u304c\u4e0d\u5341\u5206<\/strong>\uff08\u671d\u306b\u7518\u3044\u30b3\u30fc\u30d2\u30fc\u3084\u30b8\u30e5\u30fc\u30b9\u3092\u98f2\u3093\u3060\u306a\u3069\uff09\u3060\u3068\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u5024\u304c\u4e0a\u304c\u308a\u6b63\u3057\u304f\u8a55\u4fa1\u3067\u304d\u307e\u305b\u3093\u3002<\/p>\n

    \u30fbHOMA\u306f\u300c\u63a8\u5b9a\u5024\u300d<\/strong>\u3067\u3042\u308a\u30011\u56de\u306e\u6e2c\u5b9a\u5024\u306b\u306f\u65e5\u306b\u3088\u308b\u5909\u52d5\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n

    \u30fb\u7a7a\u8179\u6642\u306e\u691c\u67fb\u3060\u3051\u3067\u306f\u3001\u300c\u7a7a\u8179\u6642\u306f\u6b63\u5e38\u3060\u304c\u98df\u5f8c\u3060\u3051\u9ad8\u3044\u300dIGT\u3092\u78ba\u5b9a\u8a3a\u65ad\u3059\u308b\u3053\u3068\u306f\u3067\u304d\u307e\u305b\u3093<\/strong>\u3002\u5fc5\u8981\u306a\u65b9\u306b\u306fOGTT\u3092\u304a\u3059\u3059\u3081\u3057\u307e\u3059\uff08\u6b21\u7ae0\uff09\u3002<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

    8. \u7a7a\u8179\u6642\u691c\u67fb\u3068OGTT\u3001\u3069\u3061\u3089\u3092\u9078\u3076\u3079\u304d\uff1f<\/h2>\n\n\n\n\n\n\n\n\n\n\n
    \u6bd4\u8f03\u9805\u76ee<\/th>\n\u7a7a\u8179\u6642\u63a1\u8840\uff08HOMA-IR\u30fbHOMA-\u03b2\uff09<\/th>\n75gOGTT<\/th>\n<\/tr>\n<\/thead>\n
    \u30d6\u30c9\u30a6\u7cd6\u6db2\u306e\u670d\u7528<\/td>\n\u4e0d\u8981<\/td>\n\u5fc5\u8981\uff0875g\uff09<\/td>\n<\/tr>\n
    \u63a1\u8840\u56de\u6570<\/td>\n1\u56de<\/td>\n3\u301c5\u56de\u7a0b\u5ea6<\/td>\n<\/tr>\n
    \u6240\u8981\u6642\u9593<\/td>\n\u901a\u5e38\u306e\u8a3a\u5bdf\uff0b\u63a1\u8840<\/td>\n2\u6642\u9593\u4ee5\u4e0a\uff08\u9662\u5185\u3067\u5b89\u9759\uff09<\/td>\n<\/tr>\n
    \u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u306e\u63a8\u5b9a<\/td>\n\u25cb\uff08HOMA-IR\uff09<\/td>\n\u25cb\uff08\u5404\u7a2e\u6307\u6a19\uff09<\/td>\n<\/tr>\n
    \u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u306e\u63a8\u5b9a<\/td>\n\u25cb\uff08\u57fa\u790e\u5206\u6ccc\uff1aHOMA-\u03b2\uff09<\/td>\n\u25ce\uff08\u521d\u671f\u5206\u6ccc\uff1a\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u6307\u6570\uff09<\/td>\n<\/tr>\n
    IGT\uff08\u98df\u5f8c\u9ad8\u8840\u7cd6\uff09\u306e\u8a3a\u65ad<\/td>\n\u3067\u304d\u306a\u3044<\/td>\n\u3067\u304d\u308b<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n

    \u5f53\u9662\u3067\u306f\u3001\u6b21\u306e\u3088\u3046\u306a\u8003\u3048\u65b9\u3067\u3054\u63d0\u6848\u3057\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n\n\n
    \n

    \u30dd\u30a4\u30f3\u30c8\uff5c\u5f53\u9662\u306e\u304a\u3059\u3059\u3081\u306e\u9032\u3081\u65b9<\/p>\n

    \u2460 \u307e\u305a\u306f\u7a7a\u8179\u6642\u63a1\u8840\u304b\u3089\uff1a<\/strong>OGTT\u306b\u62b5\u6297\u304c\u3042\u308b\u65b9\u3001\u304a\u5fd9\u3057\u3044\u65b9\u306f\u3001\u7a7a\u8179\u6642\u8840\u7cd6\u30fb\u30a4\u30f3\u30b9\u30ea\u30f3\u30fbHbA1c\u3067HOMA-IR\u30fbHOMA-\u03b2\u3092\u8a55\u4fa1\u3057\u3001\u73fe\u72b6\u3092\u628a\u63e1\u3057\u307e\u3059\u3002<\/p>\n

    \u2461 \u7d50\u679c\u306b\u5fdc\u3058\u3066\u6b21\u306e\u4e00\u624b\uff1a<\/strong>HbA1c\u304c6.0\u301c6.4%\u3001\u5bb6\u65cf\u306b\u7cd6\u5c3f\u75c5\u306e\u65b9\u304c\u3044\u308b\u3001HOMA-\u03b2\u304c\u4f4e\u3044\u306a\u3069\u3001\u98df\u5f8c\u9ad8\u8840\u7cd6\u304c\u96a0\u308c\u3066\u3044\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044\u65b9<\/strong>\u306b\u306f\u3001\u6539\u3081\u3066OGTT\u3092\u3054\u63d0\u6848\u3059\u308b\u3053\u3068\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n

    \u2462 \u7d4c\u904e\u3092\u8ffd\u3046\uff1a<\/strong>\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u3092\u59cb\u3081\u305f\u3089\u3001\u540c\u3058\u7a7a\u8179\u6642\u306e\u691c\u67fb\u3092\u5b9a\u671f\u7684\u306b\u7e70\u308a\u8fd4\u3057\u3001\u62b5\u6297\u6027\u3084\u5206\u6ccc\u80fd\u306e\u5909\u5316\u3092\u6570\u5b57\u3067\u78ba\u8a8d<\/strong>\u3057\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

    \u306a\u304a\u3001\u3059\u3067\u306b\u7a7a\u8179\u6642\u8840\u7cd6126 mg\/dL\u4ee5\u4e0a\u3084HbA1c 6.5%\u4ee5\u4e0a\u306e\u6570\u5024\u304c\u51fa\u3066\u3044\u308b\u65b9\u306f\u3001\u7cd6\u5c3f\u75c5\u306e\u8a3a\u65ad\u30fb\u6cbb\u7642\u306e\u691c\u8a0e\u304c\u5fc5\u8981\u306a\u6bb5\u968e\u3067\u3059\u3002\u304a\u65e9\u3081\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n

    9. \u691c\u67fb\u306e\u53d7\u3051\u65b9\u30fb\u53d7\u8a3a\u524d\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8<\/h2>\n

    \u7a7a\u8179\u6642\u63a1\u8840\u306f\u3001\u539f\u5247\u3068\u3057\u306610\u6642\u9593\u7a0b\u5ea6\u306e\u7d76\u98df<\/strong>\u306e\u3046\u3048\u3067\u884c\u3046\u306e\u304c\u671b\u307e\u3057\u3044\u691c\u67fb\u3067\u3059\u3002\u305f\u3068\u3048\u3070\u524d\u65e5\u306e\u5915\u98df\u309221\u6642\u307e\u3067\u306b\u6e08\u307e\u305b\u3001\u7fcc\u671d\u306f\u98df\u4e8b\u3092\u3068\u3089\u305a\u306b\u5348\u524d\u4e2d\u306b\u3054\u6765\u9662\u3044\u305f\u3060\u304f\u5f62\u304c\u4e00\u822c\u7684\u3067\u3059\u3002\u6c34\u3084\u304a\u8336\uff08\u7121\u7cd6\uff09\u306f\u98f2\u3093\u3067\u3044\u305f\u3060\u3044\u3066\u69cb\u3044\u307e\u305b\u3093<\/strong>\u3002<\/p>\n\n\n
    \n

    \u53d7\u8a3a\u524d\u30c1\u30a7\u30c3\u30af\u30ea\u30b9\u30c8<\/p>\n

    \u25a1 \u524d\u65e5\u306e\u5915\u98df\u5f8c\u304b\u3089\u7d0410\u6642\u9593<\/strong>\u3001\u98df\u4e8b\u3092\u3068\u3063\u3066\u3044\u306a\u3044\uff08\u7121\u7cd6\u306e\u6c34\u30fb\u304a\u8336\u306fOK\uff09<\/p>\n

    \u25a1 \u5f53\u65e5\u671d\u306e\u7802\u7cd6\u30fb\u30df\u30eb\u30af\u5165\u308a\u30b3\u30fc\u30d2\u30fc\u3001\u30b8\u30e5\u30fc\u30b9\u3001\u98f4\u3001\u30ac\u30e0<\/strong>\u306f\u63a7\u3048\u305f<\/p>\n

    \u25a1 \u5065\u5eb7\u8a3a\u65ad\u30fb\u4eba\u9593\u30c9\u30c3\u30af\u306e\u7d50\u679c\u7968<\/strong>\uff08HbA1c\u30fb\u7a7a\u8179\u6642\u8840\u7cd6\u304c\u8f09\u3063\u3066\u3044\u308b\u3082\u306e\uff09\u3092\u6301\u53c2<\/p>\n

    \u25a1 \u670d\u7528\u4e2d\u306e\u304a\u85ac<\/strong>\uff08\u304a\u85ac\u624b\u5e33\uff09\u3092\u6301\u53c2\u3002\u7cd6\u5c3f\u75c5\u306e\u304a\u85ac\u3092\u98f2\u3093\u3067\u3044\u308b\u65b9\u306f\u3001\u5f53\u65e5\u671d\u306e\u670d\u7528\u306b\u3064\u3044\u3066\u4e8b\u524d\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044<\/p>\n

    \u25a1 \u3054\u5bb6\u65cf\uff08\u89aa\u30fb\u304d\u3087\u3046\u3060\u3044\uff09\u306e\u7cd6\u5c3f\u75c5\u306e\u6709\u7121<\/strong>\u3092\u78ba\u8a8d\u3057\u3066\u304a\u304f<\/p>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
    \n

    \u3054\u6ce8\u610f<\/p>\n

    \u53d7\u4ed8\u306f\u5348\u524d12\u6642\u307e\u3067<\/strong>\u3067\u3059\u3002\u7a7a\u8179\u6642\u63a1\u8840\u306f\u3001\u7d76\u98df\u6642\u9593\u3092\u78ba\u4fdd\u3057\u3084\u3059\u3044\u5348\u524d\u306e\u8a3a\u7642\u6642\u9593\u5e2f<\/strong>\u306e\u3054\u6765\u9662\u3092\u304a\u3059\u3059\u3081\u3044\u305f\u3057\u307e\u3059\u3002\u571f\u66dc\u65e5\u3082\u5348\u524d\u4e2d\u306f\u8a3a\u7642\u3057\u3066\u304a\u308a\u307e\u3059\u306e\u3067\u3001\u5e73\u65e5\u304a\u4ed5\u4e8b\u306e\u65b9\u3082\u3054\u5229\u7528\u304f\u3060\u3055\u3044\u3002<\/p>\n<\/td>\n<\/tr>\n<\/table>\n

    \n 🏥 \u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662\u3067\u8a3a\u308b\u3068\u3044\u3046\u9078\u629e\uff08\u5f53\u9662\u304c\u9078\u3070\u308c\u308b\u7406\u7531\uff09
    \n<\/h2>\n

    \n \u3053\u3053\u307e\u3067\u304a\u8aad\u307f\u3044\u305f\u3060\u3044\u305f\u300c\u5883\u754c\u578b\u306e\u6bb5\u968e\u3067\u624b\u3092\u6253\u3064\u300d\u3053\u3068\u3092\u3001\u5f53\u9662\u3067\u306f\u65e5\u5e38\u306e\u5916\u6765\u3067\u3053\u306e\u3088\u3046\u306b\u5b9f\u8df5\u3057\u3066\u3044\u307e\u3059\u3002\n<\/p>\n

    \n
    \n

    \u7406\u7531\u2460\u3000\u30d6\u30c9\u30a6\u7cd6\u3092\u98f2\u307e\u306a\u3044\u8a55\u4fa1\u306e\u9078\u629e\u80a2<\/p>\n

    \u7a7a\u8179\u6642\u306e\u8840\u7cd6\u3068\u30a4\u30f3\u30b9\u30ea\u30f3\u3092\u540c\u6642\u306b\u6e2c\u5b9a\u3057\u3001HOMA-IR\u30fbHOMA-\u03b2\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u3068\u5206\u6ccc\u80fd\u3092\u63a8\u5b9a\u3057\u307e\u3059\u3002\u5fc5\u8981\u306a\u65b9\u306b\u306fOGTT\u3082\u3054\u6848\u5185\u3067\u304d\u307e\u3059\u3002<\/p>\n<\/p><\/div>\n

    \n

    \u7406\u7531\u2461\u3000\u7cd6\u5c3f\u75c5\u30fb\u4ee3\u8b1d\u5185\u79d1\u3092\u9662\u9577\u304c\u81ea\u3089\u62c5\u5f53<\/p>\n

    \u65e5\u672c\u7cd6\u5c3f\u75c5\u5354\u4f1a\u767b\u9332\u533b\u30fb\u65e5\u672c\u6297\u52a0\u9f62\u533b\u5b66\u4f1a\u5c02\u9580\u533b\u306e\u9662\u9577\u304c\u3001\u691c\u67fb\u7d50\u679c\u306e\u8aad\u307f\u89e3\u304d\u304b\u3089\u751f\u6d3b\u7fd2\u6163\u306e\u3054\u63d0\u6848\u307e\u3067\u76f4\u63a5\u3054\u8aac\u660e\u3057\u307e\u3059\u3002<\/p>\n<\/p><\/div>\n

    \n

    \u7406\u7531\u2462\u3000\u98df\u4e8b\u7642\u6cd5\u306e\u66f8\u7c4d\u3092\u57f7\u7b46\u3057\u305f\u9662\u9577<\/p>\n

    \u5185\u81d3\u8102\u80aa\u30fb\u751f\u6d3b\u7fd2\u6163\u75c5\u5bfe\u7b56\u306e\u8457\u66f8\u300e\u3042\u3076\u3089\u843d\u3068\u3059\u30b9\u30fc\u30d7\u300f\uff08\u30a2\u30b9\u30b3\u30e0\uff09\u304c\u3042\u308a\u3001\u65e5\u3005\u306e\u98df\u4e8b\u306b\u843d\u3068\u3057\u8fbc\u3081\u308b\u5177\u4f53\u7684\u306a\u30a2\u30c9\u30d0\u30a4\u30b9\u3092\u5927\u5207\u306b\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n<\/p><\/div>\n

    \n

    \u7406\u7531\u2463\u3000\u773c\u5e95\u30ab\u30e1\u30e9\u3067\u5408\u4f75\u75c7\u306e\u30b9\u30af\u30ea\u30fc\u30cb\u30f3\u30b0<\/p>\n

    \u30c7\u30b8\u30bf\u30eb\u7121\u6563\u77b3\u773c\u5e95\u30ab\u30e1\u30e9\u3092\u5099\u3048\u3001\u6563\u77b3\u305b\u305a\u306b\u773c\u5e95\u3092\u30c1\u30a7\u30c3\u30af\u3067\u304d\u307e\u3059\u3002\u7570\u5e38\u304c\u3042\u308c\u3070\u8fd1\u96a3\u306e\u773c\u79d1\u5c02\u9580\u533b\u3078\u3054\u7d39\u4ecb\u3057\u307e\u3059\u3002<\/p>\n<\/p><\/div>\n

    \n

    \u7406\u7531\u2464\u3000\u571f\u66dc\u5348\u524d\u3082\u8a3a\u7642\u30fb\u591a\u6469\u5ddd\u99c5\u5f92\u6b695\u5206<\/p>\n

    \u7d76\u98df\u304c\u5fc5\u8981\u306a\u7a7a\u8179\u6642\u63a1\u8840\u3082\u3001\u571f\u66dc\u306e\u5348\u524d\u306a\u3089\u5e73\u65e5\u304a\u4ed5\u4e8b\u306e\u65b9\u3067\u3082\u53d7\u3051\u3084\u3059\u304f\u306a\u308a\u307e\u3059\u3002\u5185\u79d1\u30fb\u5c0f\u5150\u79d1\u4f75\u8a2d\u3067\u3001\u3054\u5bb6\u65cf\u305d\u308d\u3063\u3066\u3054\u76f8\u8ac7\u3044\u305f\u3060\u3051\u307e\u3059\u3002<\/p>\n<\/p><\/div>\n

    \n

    \u7406\u7531\u2465\u3000\u4e94\u826f\u4f1a\u30b0\u30eb\u30fc\u30d7\u3067\u306e\u9023\u643a<\/p>\n

    \u5185\u8996\u93e1\u691c\u67fb\u306f\u4e94\u826f\u4f1a\u30af\u30ea\u30cb\u30c3\u30af\u767d\u91d1\u9ad8\u8f2a\u3001\u9ad8\u9f62\u8005\u7cd6\u5c3f\u75c5\u3084\u795e\u7d4c\u969c\u5bb3\u306f\u30bb\u30f3\u30bf\u30fc\u5357\u3068\u9023\u643a\u3057\u3001\u30b0\u30eb\u30fc\u30d7\u5185\u3067\u7d99\u7d9a\u3057\u305f\u8a3a\u7642\u304c\u53d7\u3051\u3089\u308c\u307e\u3059\u3002<\/p>\n<\/p><\/div>\n<\/div>\n

    \n

    \u300cOGTT\u306f\u6016\u3044\u300d\u3068\u3044\u3046\u65b9\u3082\u3001\u307e\u305a\u306f\u7a7a\u8179\u6642\u306e\u63a1\u8840\u304b\u3089\u3002
    \u5065\u8a3a\u7d50\u679c\u3092\u304a\u6301\u3061\u306e\u3046\u3048\u3001\u304a\u6c17\u8efd\u306b\u3054\u76f8\u8ac7\u304f\u3060\u3055\u3044\u3002<\/p>\n

    \nWEB\u4e88\u7d04\u306f\u3053\u3061\u3089<\/a>\u96fb\u8a71\u3067\u4e88\u7d04 03-3721-5222<\/a>\n <\/div>\n<\/div>\n\n\n
    \n

    \u95a2\u9023\u8a18\u4e8b\uff5c\u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662\uff08\u7530\u5712\u8abf\u5e03\uff09<\/p>\n

    \n

    HbA1c\u304c\u6c17\u306b\u306a\u308b\u65b9\u3078\uff1a\u7cd6\u5c3f\u75c5\u306e\u691c\u67fb\u3068\u6cbb\u7642<\/p>\n

    HbA1c\u306e\u610f\u5473\u3068\u3001\u5f53\u9662\u3067\u306e\u7cd6\u5c3f\u75c5\u8a3a\u7642\u306e\u9032\u3081\u65b9\u3092\u3054\u7d39\u4ecb\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

    ▶ \u8a18\u4e8b\u3092\u8aad\u3080<\/a><\/p>\n<\/div>\n<\/td>\n<\/tr>\n<\/table>\n\n\n
    \n

    \u95a2\u9023\u8a18\u4e8b\uff5c\u4e94\u826f\u30d5\u30a1\u30df\u30ea\u30fc\u30af\u30ea\u30cb\u30c3\u30af \u30bb\u30f3\u30bf\u30fc\u5357\uff08\u6a2a\u6d5c\u5e02\u90fd\u7b51\u533a\uff09<\/p>\n

    \n

    \u8db3\u88cf\u306e\u3057\u3073\u308c\u3068\u7cd6\u5c3f\u75c5\uff08\u7cd6\u5c3f\u75c5\u6027\u672b\u68a2\u795e\u7d4c\u969c\u5bb3\uff09<\/p>\n

    \u8840\u7cd6\u306e\u9ad8\u3044\u72b6\u614b\u304c\u7d9a\u304f\u3068\u8d77\u3053\u308b\u795e\u7d4c\u306e\u5408\u4f75\u75c7\u306b\u3064\u3044\u3066\u3001\u30bb\u30f3\u30bf\u30fc\u5357\u306e\u30d6\u30ed\u30b0\u3067\u89e3\u8aac\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

    ▶ \u8a18\u4e8b\u3092\u8aad\u3080<\/a><\/p>\n<\/div>\n<\/td>\n<\/tr>\n<\/table>\n

    \u4e94\u826f\u4f1a\u30b0\u30eb\u30fc\u30d7\u3067\u306f\u3001\u7530\u5712\u8abf\u5e03\u306e\u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662\u3001\u6e2f\u533a\u306e\u4e94\u826f\u4f1a\u30af\u30ea\u30cb\u30c3\u30af\u767d\u91d1\u9ad8\u8f2a\u3001\u6a2a\u6d5c\u5e02\u90fd\u7b51\u533a\u306e\u4e94\u826f\u30d5\u30a1\u30df\u30ea\u30fc\u30af\u30ea\u30cb\u30c3\u30af \u30bb\u30f3\u30bf\u30fc\u5357\u304c\u9023\u643a\u3057\u3066\u304a\u308a\u307e\u3059\u3002\u7cd6\u5c3f\u75c5\u306e\u8a3a\u7642\u3067\u306f\u3001\u80c3\u30ab\u30e1\u30e9\u30fb\u5927\u8178\u30ab\u30e1\u30e9\u306a\u3069\u306e\u5185\u8996\u93e1\u691c\u67fb\u3092\u767d\u91d1\u9ad8\u8f2a\u3067\u3001\u9ad8\u9f62\u306e\u65b9\u306e\u7cd6\u5c3f\u75c5\u3084\u795e\u7d4c\u306e\u5408\u4f75\u75c7\u306e\u76f8\u8ac7\u3092\u30bb\u30f3\u30bf\u30fc\u5357\u3067\u3001\u3068\u3044\u3046\u3088\u3046\u306b\u3001\u60a3\u8005\u3055\u307e\u306e\u8ee2\u5c45\u3084\u30e9\u30a4\u30d5\u30b9\u30bf\u30a4\u30eb\u306e\u5909\u5316\u306b\u5408\u308f\u305b\u3066\u3001\u540c\u3058\u30b0\u30eb\u30fc\u30d7\u5185\u3067\u7d99\u7d9a\u8a3a\u7642\u304c\u53d7\u3051\u3089\u308c\u308b\u4f53\u5236\u3092\u6574\u3048\u3066\u304a\u308a\u307e\u3059\u3002<\/p>\n

    11. \u3088\u304f\u3042\u308b\u3054\u8cea\u554f\uff08FAQ\uff09<\/h2>\n

    Q1. \u7a7a\u8179\u6642\u63a1\u8840\u3060\u3051\u3067\u3001OGTT\u306e\u4ee3\u308f\u308a\u306b\u306a\u308a\u307e\u3059\u304b\uff1f<\/h3>\n

    A. \u300c\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u300d\u3068\u300c\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u300d\u306e\u304a\u304a\u3088\u305d\u306e\u50be\u5411\u3092\u3064\u304b\u3080<\/strong>\u3053\u3068\u306f\u3067\u304d\u307e\u3059\u304c\u3001OGTT\u306e\u5b8c\u5168\u306a\u4ee3\u308f\u308a\u306b\u306f\u306a\u308a\u307e\u305b\u3093\u3002\u7279\u306b\u3001\u7a7a\u8179\u6642\u306f\u6b63\u5e38\u3067\u98df\u5f8c\u3060\u3051\u8840\u7cd6\u304c\u9ad8\u3044IGT\u306e\u8a3a\u65ad\u306fOGTT\u3067\u3057\u304b\u3067\u304d\u307e\u305b\u3093<\/strong>\u3002\u307e\u305a\u7a7a\u8179\u6642\u63a1\u8840\u3067\u5168\u4f53\u50cf\u3092\u628a\u63e1\u3057\u3001\u5fc5\u8981\u306b\u5fdc\u3058\u3066OGTT\u3092\u8ffd\u52a0\u3059\u308b\u3001\u3068\u3044\u3046\u6bb5\u968e\u7684\u306a\u9032\u3081\u65b9\u3092\u304a\u3059\u3059\u3081\u3057\u3066\u3044\u307e\u3059\u3002<\/p>\n

    Q2. \u7d76\u98df\u306f\u4f55\u6642\u9593\u5fc5\u8981\u3067\u3059\u304b\uff1f\u6c34\u306f\u98f2\u3093\u3067\u3082\u3044\u3044\u3067\u3059\u304b\uff1f<\/h3>\n

    A. \u539f\u5247\u3068\u3057\u306610\u6642\u9593\u7a0b\u5ea6\u306e\u7d76\u98df<\/strong>\u304c\u671b\u307e\u3057\u3044\u3067\u3059\u3002\u6c34\u3084\u7121\u7cd6\u306e\u304a\u8336\u306f\u98f2\u3093\u3067\u3044\u305f\u3060\u3044\u3066\u69cb\u3044\u307e\u305b\u3093\u3002\u7802\u7cd6\u3084\u30df\u30eb\u30af\u306e\u5165\u3063\u305f\u98f2\u307f\u7269\u3001\u98f4\u30fb\u30ac\u30e0\u306f\u691c\u67fb\u5024\u306b\u5f71\u97ff\u3057\u307e\u3059\u306e\u3067\u63a7\u3048\u3066\u304f\u3060\u3055\u3044\u3002<\/p>\n

    Q3. HOMA-IR\u304c\u9ad8\u304b\u3063\u305f\u3089\u3001\u3059\u3050\u306b\u85ac\u304c\u5fc5\u8981\u3067\u3059\u304b\uff1f<\/h3>\n

    A. HOMA-IR\u304c\u9ad8\u3044\u3053\u3068\u81ea\u4f53\u306f\u3001\u305f\u3060\u3061\u306b\u85ac\u7269\u6cbb\u7642\u304c\u5fc5\u8981\u3068\u3044\u3046\u610f\u5473\u3067\u306f\u3042\u308a\u307e\u305b\u3093\u3002DPP\u7814\u7a76\u3084Da Qing\u7814\u7a76\u304c\u793a\u3059\u3088\u3046\u306b\u3001\u5883\u754c\u578b\u306e\u6bb5\u968e\u3067\u306f\u98df\u4e8b\u30fb\u904b\u52d5\u30fb\u6e1b\u91cf\u3068\u3044\u3063\u305f\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u304c\u57fa\u672c<\/strong>\u3067\u3059\u3002\u4f53\u91cd\u30fb\u8840\u5727\u30fb\u8102\u8cea\u306a\u3069\u3082\u3042\u308f\u305b\u3066\u8a55\u4fa1\u3057\u3001\u4e00\u4eba\u3072\u3068\u308a\u306b\u5408\u3063\u305f\u65b9\u91dd\u3092\u3054\u63d0\u6848\u3044\u305f\u3057\u307e\u3059\u3002<\/p>\n

    Q4. \u3084\u305b\u3066\u3044\u308b\u306e\u306b\u8840\u7cd6\u304c\u9ad8\u3044\u3068\u8a00\u308f\u308c\u307e\u3057\u305f\u3002<\/h3>\n

    A. \u65e5\u672c\u4eba\u306b\u306f\u3001\u80a5\u6e80\u304c\u76ee\u7acb\u305f\u306a\u304f\u3066\u3082\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u80fd\u304c\u4f4e\u3044<\/strong>\u305f\u3081\u306b\u8840\u7cd6\u304c\u4e0a\u304c\u308b\u30bf\u30a4\u30d7\u306e\u65b9\u304c\u5c11\u306a\u304f\u3042\u308a\u307e\u305b\u3093\u3002HOMA-\u03b2\u3067\u5206\u6ccc\u80fd\u306e\u76ee\u5b89\u3092\u78ba\u8a8d\u3059\u308b\u3053\u3068\u306f\u3001\u3053\u3046\u3057\u305f\u65b9\u306e\u75c5\u614b\u3092\u8003\u3048\u308b\u624b\u304c\u304b\u308a\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n

    Q5. \u7279\u5b9a\u5065\u8a3a\u3067\u300c\u8981\u6307\u5c0e\u300d\u3067\u3057\u305f\u304c\u3001\u53d7\u8a3a\u306f\u5fc5\u8981\u3067\u3059\u304b\uff1f<\/h3>\n

    A. \u4fdd\u5065\u6307\u5c0e\u5224\u5b9a\u5024\uff08\u7a7a\u8179\u6642\u8840\u7cd6100 mg\/dL\u4ee5\u4e0a\u3001HbA1c 5.6%\u4ee5\u4e0a\uff09\u306b\u8a72\u5f53\u3057\u305f\u6bb5\u968e\u306f\u3001\u307e\u3055\u306b\u300c\u307e\u3060\u9593\u306b\u5408\u3046\u300d\u6bb5\u968e\u3067\u3059\u3002\u3068\u304f\u306bHbA1c 6.0%\u4ee5\u4e0a\u306e\u65b9\u3001\u3054\u5bb6\u65cf\u306b\u7cd6\u5c3f\u75c5\u306e\u65b9\u304c\u3044\u308b\u65b9\u306f\u3001\u4e00\u5ea6\u7cbe\u5bc6\u691c\u67fb\u3067\u72b6\u614b\u3092\u78ba\u8a8d\u3055\u308c\u308b\u3053\u3068\u3092\u304a\u3059\u3059\u3081\u3057\u307e\u3059\u3002<\/p>\n

    \n \"\u533b\u7642\u6cd5\u4eba\u793e\u56e3<\/p>\n

    AUTHOR \/ SUPERVISOR<\/p>\n

    \u7af9\u5185\u5185\u79d1\u5c0f\u5150\u79d1\u533b\u9662 \u9662\u9577\u3000\u4e94\u85e4 \u826f\u5c06\uff08\u3054\u3068\u3046 \u3088\u3057\u307e\u3055\uff09<\/span><\/p>\n