{"created":"2024-03-07T05:34:50.541657+00:00","id":2000091,"links":{},"metadata":{"_buckets":{"deposit":"25ca1a84-7fde-410a-9533-06b713984d83"},"_deposit":{"created_by":4,"id":"2000091","owner":"4","owners":[4],"pid":{"revision_id":0,"type":"depid","value":"2000091"},"status":"published"},"_oai":{"id":"oai:hama-med.repo.nii.ac.jp:02000091","sets":["1:75:1709274151436"]},"author_link":[],"control_number":"2000091","item_3_biblio_info_5":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2024-03-15","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"1","bibliographicPageEnd":"40","bibliographicPageStart":"37","bibliographicVolumeNumber":"4","bibliographic_titles":[{"bibliographic_title":"浜松医科大学小児科学雑誌","bibliographic_titleLang":"ja"},{"bibliographic_title":"Hamamatsu Journal of Pediatrics","bibliographic_titleLang":"en"}]}]},"item_3_description_9":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"1型糖尿病（Type1 Diabetes Mellitus：T1DM）は，膵β細胞破壊によるインスリン欠乏を来たす疾患である．本邦でのT1DMの発症頻度は，1.4–2.2/10万人/年と比較的少ない．T1DM患者は，生涯に渡ってインスリン投与と血糖管理が必要となる．近年，糖尿病治療に関するデバイスが次々と登場し，インスリン治療方法の選択枝が広がり，新たな血糖コントロールの指標も登場してきている．\n症例は10歳発症のT1DM患者．同級生にT1DMであることを知られたくないため，学校でインスリン皮下注射も自己血糖測定も十分できずに血糖コントロール不良であった．17歳時にリモコン操作可能なインスリンポンプを用いたSensor Augmented Pump （SAP）療法を導入することで良好な血糖コントロールが得られた．小児期発症T1DM患者は，罹病期間が非常に長期にわたるばかりでなく，成長とともに生活環境が大きく変化する．したがって患者毎に適した治療デバイスを選択し，良好な血糖コントロールを維持することが大切である．","subitem_description_language":"ja","subitem_description_type":"Abstract"},{"subitem_description":"Type 1 diabetes mellitus (T1DM) is characterized by impaired insulin secretion due to β cell destruction. As a result, individuals with T1DM necessitate insulin therapy. In recent years, a variety of insulin treatment devices has emerged, coinciding with the development of innovative metrics for evaluating glucose status. We encountered a male adolescent patient who was diagnosed with T1DM at 10 years of age and administrated subcutaneous multiple-daily insulin injections (MDI). However, to maintain privacy regarding his T1DM status among classmates, the patient exhibited poor glucose control due to insufficient insulin injections and self-monitoring of blood glucose (SMBG). At 17 years of age, he was referred to our department to improve glucose management. At that time, the patient was solely engaged in once-daily injections of basal insulin (insulin degludec), with limited utilization of SMBG. His HbA1c level was 12.4%, and blood glucose levels were above 400 mg/dL. The introduction of the Sensor Augmented Pump (SAP), which utilizes a remotely controllable insulin pump, resulted in a remarkable improvement in glucose control. Twelve months later, his HbA1c had improved to 6.9% with a Time in Range (TIR) of 74%. Children with T1DM not only encounter an exceptionally extended prolonged duration of illness but also experience lifestyle changes as they grow. Therefore, the selection of treatment devices personalized for each patient is essential to maintain optimal glucose management.","subitem_description_language":"en","subitem_description_type":"Abstract"}]},"item_3_publisher_6":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"浜松医科大学小児科学雑誌編集部","subitem_publisher_language":"ja"}]},"item_3_source_id_20":{"attribute_name":"EISSN","attribute_value_mlt":[{"subitem_source_identifier":"2436-2433","subitem_source_identifier_type":"EISSN"}]},"item_3_version_type_32":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_access_right":{"attribute_name":"アクセス権","attribute_value_mlt":[{"subitem_access_right":"open access","subitem_access_right_uri":"http://purl.org/coar/access_right/c_abf2"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"安谷屋, 文","creatorNameLang":"ja"},{"creatorName":"ADANIYA, Fumishi","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"村井, 雄紀","creatorNameLang":"ja"},{"creatorName":"MURAI, Yuki","creatorNameLang":"en"}]},{"creatorNames":[{"creatorName":"佐野, 伸一朗","creatorNameLang":"ja"},{"creatorName":"SANO, Shinichiro","creatorNameLang":"en"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_access","date":[{"dateType":"Available","dateValue":"2024-03-15"}],"displaytype":"detail","filename":"hjop_4_1_37.pdf","filesize":[{"value":"588 KB"}],"format":"application/pdf","mimetype":"application/pdf","url":{"objectType":"fulltext","url":"https://hama-med.repo.nii.ac.jp/record/2000091/files/hjop_4_1_37.pdf"},"version_id":"e869dd10-2166-43a0-92df-ca6fe09458b6"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"1型糖尿病","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"インスリンポンプ","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"SAP療法","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"CGM","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"SAP療法により糖尿病コントロールが著明に改善した１型糖尿病の１例","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"SAP療法により糖尿病コントロールが著明に改善した１型糖尿病の１例","subitem_title_language":"ja"},{"subitem_title":"Remarkable improvement in glucose management through SAP therapy in a patient with type 1 diabetes mellitus","subitem_title_language":"en"}]},"item_type_id":"3","owner":"4","path":["1709274151436"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2024-03-15"},"publish_date":"2024-03-15","publish_status":"0","recid":"2000091","relation_version_is_last":true,"title":["SAP療法により糖尿病コントロールが著明に改善した１型糖尿病の１例"],"weko_creator_id":"4","weko_shared_id":-1},"updated":"2024-03-21T01:16:52.052310+00:00"}