{"id":1470,"date":"2017-12-20T10:37:52","date_gmt":"2017-12-20T01:37:52","guid":{"rendered":"http:\/\/www.hcfm.jp\/journal\/?p=1470"},"modified":"2017-12-20T10:37:52","modified_gmt":"2017-12-20T01:37:52","slug":"2%e5%9e%8b%e7%b3%96%e5%b0%bf%e7%97%85%e3%81%ae%e5%86%85%e6%9c%8d%e6%b2%bb%e7%99%82%e3%82%a2%e3%83%83%e3%83%97%e3%83%87%e3%83%bc%e3%83%88","status":"publish","type":"post","link":"https:\/\/www.hcfm.jp\/journal\/?p=1470","title":{"rendered":"2\u578b\u7cd6\u5c3f\u75c5\u306e\u5185\u670d\u6cbb\u7642\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8"},"content":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d<br \/>\nType 2 Diabetes Mellitus: ACP Releases Updated Recommendations for Oral Pharmacologic Treatment<\/p>\n<p>\uff0d\u8981\u7d04\uff0d<br \/>\nIntroduction\uff1a<br \/>\n2\u578b\u7cd6\u5c3f\u75c5\u306f\u7cd6\u5c3f\u75c5\u306e95\uff05\u3092\u5360\u3081\u308b\u3002\u4e00\u822c\u7684\u306b\u306f\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\uff08\u98df\u4e8b\u3001\u904b\u52d5\uff09\u3068\u85ac\u7269\u7642\u6cd5\u306b\u3066\u6cbb\u7642\u3055\u308c\u308b\u3002\u4f53\u91cd\u6e1b\u5c11\u304c\u3042\u3063\u305f\u5834\u5408\u3084\u751f\u6d3b\u7fd2\u6163\u306e\u6539\u5584\u3067\u3046\u307e\u304f\u3044\u304b\u306a\u304b\u3063\u305f\u5834\u5408\u306f\u85ac\u7269\u7642\u6cd5\u304c\u884c\u308f\u308c\u308b\u3002American College of Physicians(ACP)\u306f\u30012012\u5e74\u306b2\u578b\u7cd6\u5c3f\u75c5\u306e\u5b89\u5168\u304b\u3064\u52b9\u679c\u7684\u306a\u5185\u670d\u6cbb\u7642\u306b\u95a2\u3059\u308b\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3092\u767a\u884c\u3057\u305f\u3002\u305d\u306e\u5f8c\u3001\u65b0\u305f\u306a\u30a8\u30d3\u30c7\u30f3\u30b9\u304c\u51fa\u3066\u3001\u65b0\u305f\u306a\u85ac\u3082\u73fe\u308c\u3066\u3044\u308b\u305f\u3081\u3001\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u304c\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8\u3055\u308c\u305f\u3002<\/p>\n<p>Reccomendations\uff1a<br \/>\n\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u6539\u5584\u3055\u305b\u308b\u5fc5\u8981\u304c\u3042\u308b\u306a\u3089\u3001\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u3092\u4f7f\u3046\u306e\u304c\u826f\u3044\u3002\u52b9\u679c\u7684\u306b\u8840\u7cd6\u3092\u4e0b\u3052\u308b\u3053\u3068\u304c\u3067\u304d\u3001\u4f53\u91cd\u6e1b\u5c11\u306b\u7e4b\u304c\u308a\u3001\u4f4e\u8840\u7cd6\u304c\u5c11\u306a\u304f\u3001\u85ac\u4fa1\u3082\u6bd4\u8f03\u7684\u5b89\u3044\u3002\u4e73\u9178\u30a2\u30b7\u30c9\u30fc\u30b7\u30b9\u3092\u8d77\u3053\u3059\u53ef\u80fd\u6027\u306e\u3042\u308b\u60a3\u8005\uff08\u7d44\u7e54\u6f45\u6d41\u304c\u6e1b\u5c11\u3057\u3066\u3044\u308b\u3001\u8840\u884c\u306e\u4e0d\u5b89\u5b9a\u6027\u3001\u91cd\u7be4\u306a\u809d\u969c\u5bb3\u3001\u30a2\u30eb\u30b3\u30fc\u30eb\u4e71\u7528\u3001\u4e0d\u5b89\u5b9a\u306a\u3046\u3063\u8840\u6027\u5fc3\u4e0d\u5168\u306a\u3069\uff09\u306b\u306f\u7981\u5fcc\u3002<br \/>\nSU\u3001\u30c1\u30a2\u30be\u30ea\u30b8\u30f3\u8a98\u5c0e\u4f53\u3001SGLT-2\u963b\u5bb3\u85ac\u3001DPP-4\u963b\u5bb3\u85ac\u306e\u4f75\u7528\u6cbb\u7642\u306f\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u5358\u72ec\u3088\u308a\u3082\u512a\u308c\u3066\u304a\u308a\u3001\u8ffd\u52a0\u306e\u5185\u670d\u304c\u5fc5\u8981\u306a\u6642\u306b\u691c\u8a0e\u3059\u308b\uff08\u85ac\u7269\u306e\u9078\u629e\u306b\u3064\u3044\u3066\u306fTable 1\u3092\u53c2\u7167\uff09\u3002<br \/>\nSU\u306f\u85ac\u4fa1\u304c\u5b89\u3044\u304c\u3001\u4f4e\u8840\u7cd6\u3068\u4f53\u91cd\u5897\u52a0\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u3044\u3002SGLT-2\u963b\u5bb3\u85ac\u306f\u53ce\u7e2e\u671f\u8840\u5727\u3084\u4f53\u91cd\u3078\u306e\u5f71\u97ff\u3067SU\u3084DPP-4\u963b\u5bb3\u85ac\u3088\u308a\u512a\u308c\u3001\u307e\u305f\u5fc3\u8840\u7ba1\u6b7b\u4ea1\u7387\u3001HbA1c\u3001\u5fc3\u62cd\u6570\u306b\u95a2\u3057\u3066SU\u3088\u308a\u512a\u308c\u3066\u3044\u308b\u3002DPP-4\u963b\u5bb3\u85ac\u306f\u3001\u9577\u671f\u306b\u308f\u305f\u308b\u5168\u3066\u306e\u6b7b\u4ea1\u3001\u5fc3\u8840\u7ba1\u6b7b\u4ea1\u7387\u3001\u5fc3\u8840\u7ba1\u7f79\u60a3\u7387\u306b\u3064\u3044\u3066SU\u3088\u308a\u512a\u308c\u3066\u304a\u308a\u3001\u4f53\u91cd\u5897\u52a0\u306b\u3064\u3044\u3066SU\u304a\u3088\u3073\u30c1\u30a2\u30be\u30ea\u30b8\u30f3\u8a98\u5c0e\u4f53\u3088\u308a\u512a\u308c\u3066\u3044\u308b\u3002<br \/>\n\u4f75\u7528\u6cbb\u7642\u306f\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u5358\u72ec\u3088\u308a\u3082\u591a\u304f\u306e\u526f\u4f5c\u7528\u306b\u95a2\u9023\u3059\u308b\u3002SU\u306f\u4f4e\u8840\u7cd6\u3001\u30c1\u30a2\u30be\u30ea\u30b8\u30f3\u8a98\u5c0e\u4f53\u306f\u5fc3\u4e0d\u5168\u3001SGLT-2\u963b\u5bb3\u85ac\u306f\u6027\u5668\u306e\u771f\u83cc\u611f\u67d3\u75c7\u3092\u8d77\u3053\u3059\u53ef\u80fd\u6027\u304c\u3042\u308b\u3002DPP-4\u963b\u5bb3\u85ac\u306e\u30b5\u30af\u30b5\u30b0\u30ea\u30d7\u30c1\u30f3\uff08\u30aa\u30f3\u30b0\u30ea\u30b6\uff09\u3001\u30a2\u30ed\u30b0\u30ea\u30d7\u30c1\u30f3\uff08\u30cd\u30b7\u30fc\u30ca\uff09\u306f\u3001\u5fc3\u75be\u60a3\u3084\u814e\u75be\u60a3\u3092\u5408\u4f75\u3057\u3066\u3044\u308b\u60a3\u8005\u3067\u306f\u5fc3\u4e0d\u5168\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u304f\u306a\u308b\u3002<br \/>\n<a href=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/12\/\uff2a\uff2320171220\u4e2d\u5cf61.png\"><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/12\/\uff2a\uff2320171220\u4e2d\u5cf61-721x1024.png\" alt=\"\uff2a\uff2320171220\u4e2d\u5cf61\" width=\"640\" height=\"909\" class=\"alignleft size-large wp-image-1471\" srcset=\"https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/12\/\uff2a\uff2320171220\u4e2d\u5cf61-721x1024.png 721w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/12\/\uff2a\uff2320171220\u4e2d\u5cf61-211x300.png 211w, https:\/\/www.hcfm.jp\/journal\/wp-content\/uploads\/2017\/12\/\uff2a\uff2320171220\u4e2d\u5cf61.png 1472w\" sizes=\"auto, (max-width: 640px) 100vw, 640px\" \/><\/a><\/p>\n<p>\u3010\u958b\u50ac\u65e5\u30112017\u5e7412\u670820\u65e5\uff08\u6c34\uff09<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\uff0d\u6587\u732e\u540d\uff0d Type 2 Diabetes Mellitus: ACP Releases Updated Recommendations for Oral Pharmacologic Treatment \uff0d\u8981\u7d04\uff0d Int &hellip; <a href=\"https:\/\/www.hcfm.jp\/journal\/?p=1470\" class=\"more-link\">\u7d9a\u304d\u3092\u8aad\u3080 <span class=\"screen-reader-text\">2\u578b\u7cd6\u5c3f\u75c5\u306e\u5185\u670d\u6cbb\u7642\u30a2\u30c3\u30d7\u30c7\u30fc\u30c8<\/span><\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17],"tags":[],"class_list":["post-1470","post","type-post","status-publish","format-standard","hentry","category-17"],"_links":{"self":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1470","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1470"}],"version-history":[{"count":3,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1470\/revisions"}],"predecessor-version":[{"id":1474,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=\/wp\/v2\/posts\/1470\/revisions\/1474"}],"wp:attachment":[{"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1470"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=1470"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.hcfm.jp\/journal\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=1470"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}