2024\u5e746\u6708\u304b\u3089\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u6cbb\u7642\u3092\u53d7\u3051\u3066\u3044\u306a\u30442\u578b\u7cd6\u5c3f\u75c5\u306e\u65b9\u3067\u3082\u3001\u9078\u5b9a\u7642\u990a\u3068\u3057\u3066\u9593\u6b47\u30b9\u30ad\u30e3\u30f3\u5f0f\u6301\u7d9a\u8840\u7cd6\u6e2c\u5b9a\u5668\uff08isCGM\uff09\u3092\u81ea\u5df1\u8ca0\u62c5\u3067\u4f7f\u7528\u3067\u304d\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n
\u8840\u7cd6\u5024\u3092\u300c\u898b\u3048\u308b\u5316\u300d\u3059\u308b\u3053\u3068\u3067\u3001\u751f\u6d3b\u7fd2\u6163\u3068\u4f53\u8abf\u306e\u3064\u306a\u304c\u308a\u3092\u5b9f\u611f\u3059\u308b\u5927\u304d\u306a\u30c1\u30e3\u30f3\u30b9\u3067\u3059\u3002<\/p>\n\n\n\n
\u305d\u306e\u305f\u3081\u3001\u4eca\u56de\u3000\u8840\u7cd6\u3092\u77e5\u308b\u3053\u3068\u304c\u3044\u304b\u306b\u91cd\u8981\u304b\u3092\u66f8\u3044\u3066\u307f\u308b\u3053\u3068\u3068\u3057\u307e\u3057\u305f\uff01\uff01\u3000<\/p>\n\n\n\n
\u79c1\u3082\u3001\u5b9f\u306f\u3000\u30ea\u30d6\u30ec\uff12\u3092\u4f7f\u7528\u3057\u3066\u81ea\u5206\u306e\u8840\u7cd6\u5024\u306e\u63a8\u79fb\u3092\u78ba\u8a8d\u3057\u3066\u98df\u4e8b\u7642\u6cd5\u3092\u884c\u3044\u3001\u751f\u6d3b\u7fd2\u6163\u3092\u6539\u5584\u3057\u305f\u4e8b\u3082\u3042\u308a\u307e\u3059\u3002\u3000<\/p>\n\n\n\n
\u305d\u3057\u3066\u3001\u5065\u8a3a\u3067\u3001\u7a7a\u8179\u6642\u8840\u7cd6\u5024\u304c\u6b63\u5e38\u3001HbA1c\u306e\u5024\u3082\u6b63\u5e38\u3060\u304b\u3089\u5927\u4e08\u592b\u3068\u601d\u3063\u3066\u3044\u308b\u3042\u306a\u305f\uff01\uff01\u3000\u5b9f\u306f\u98df\u5f8c\u9ad8\u8840\u7cd6\u306f\u3001\u5065\u8a3a\u306e\u7d50\u679c\u3060\u3051\u3067\u306f\u308f\u304b\u3089\u306a\u3044\u3053\u3068\u3082\u3042\u308b\u306e\u3067\u8981\u6ce8\u610f\u3067\u3059\u3002<\/p>\n\n\n\n
\u8840\u7cd6\u30b9\u30d1\u30a4\u30af\u3092\u7e70\u308a\u8fd4\u3059\u3053\u3068\u306f\u3001\u7cd6\u5c3f\u75c5\u767a\u75c7\u306e\u30ea\u30b9\u30af\u3068\u306a\u308b\u304b\u3089\u3067\u3059\u3002<\/p>\n\n\n\n
\u8840\u7cd6\u5024\u306f\u3001\u98df\u4e8b\u30fb\u904b\u52d5\u30fb\u7761\u7720\u30fb\u30b9\u30c8\u30ec\u30b9\u306a\u3069\u3001\u65e5\u3005\u306e\u751f\u6d3b\u306e\u5f71\u97ff\u3092\u53d7\u3051\u3066\u5909\u52d5\u3057\u307e\u3059\u3002CGM\u3092\u4f7f\u3048\u3070\u3001\u3053\u308c\u3089\u306e\u5909\u5316\u3092\u30ea\u30a2\u30eb\u30bf\u30a4\u30e0\u3067\u78ba\u8a8d\u3067\u304d\u3001\u300c\u81ea\u5206\u306e\u4f53\u304c\u3069\u3046\u53cd\u5fdc\u3057\u3066\u3044\u308b\u304b\u300d\u3092\u77e5\u308b\u624b\u304c\u304b\u308a\u306b\u306a\u308a\u307e\u3059\u3002
\u305f\u3068\u3048\u3070\u3001\u98df\u5f8c\u306b\u8840\u7cd6\u5024\u304c\u6025\u4e0a\u6607\u3059\u308b\u3053\u3068\u306f\u3088\u304f\u3042\u308a\u307e\u3059\u304c\u3001\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u3092\u3059\u308b\u3053\u3068\u3067\u7de9\u3084\u304b\u306b\u4e0b\u304c\u308b\u3053\u3068\u3082\u3002\u9006\u306b\u3001\u7a7a\u8179\u6642\u306e\u904b\u52d5\u3067\u306f\u4ea4\u611f\u795e\u7d4c\u304c\u6d3b\u6027\u5316\u3057\u3001\u4e00\u6642\u7684\u306b\u8840\u7cd6\u5024\u304c\u4e0a\u304c\u308b\u3053\u3068\u3082\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n
\u2606\u3000\u904b\u52d5\u3067\u8840\u7cd6\u5024\u304c\u4e0a\u304c\u308b\u306e\u306f\u81ea\u7136\u306a\u53cd\u5fdc<\/strong><\/p>\n\n\n\n \u904b\u52d5\u6642\u306b\u306f\u4ea4\u611f\u795e\u7d4c\u304c\u512a\u4f4d\u306b\u306a\u308a\u3001\u30a2\u30c9\u30ec\u30ca\u30ea\u30f3\u3084\u30b3\u30eb\u30c1\u30be\u30fc\u30eb\u306a\u3069\u306e\u30db\u30eb\u30e2\u30f3\u304c\u5206\u6ccc\u3055\u308c\u307e\u3059\u3002\u3053\u308c\u3089\u306f\u809d\u81d3\u306b\u50cd\u304d\u304b\u3051\u3066\u3001\u30b0\u30ea\u30b3\u30fc\u30b2\u30f3\uff08\u7cd6\u306e\u8caf\u8535\u5f62\u614b\uff09\u3092\u30b0\u30eb\u30b3\u30fc\u30b9\u306b\u5206\u89e3\u3057\u3001\u8840\u4e2d\u306b\u653e\u51fa\u3055\u305b\u307e\u3059\u3002<\/p>\n\n\n\n \u3053\u308c\u306f\u300c\u6226\u3046\u304b\u9003\u3052\u308b\u304b\uff08fight or flight\uff09\u300d\u306e\u53cd\u5fdc\u3067\u3001\u7b4b\u8089\u304c\u3059\u3050\u306b\u30a8\u30cd\u30eb\u30ae\u30fc\u3092\u4f7f\u3048\u308b\u3088\u3046\u306b\u3059\u308b\u305f\u3081\u306e\u6e96\u5099\u3067\u3059\u3002\u3064\u307e\u308a\u3001\u904b\u52d5\u4e2d\u306e\u8840\u7cd6\u4e0a\u6607\u306f\u60aa\u3044\u3053\u3068\u3067\u306f\u306a\u304f\u3001\u3080\u3057\u308d\u5fc5\u8981\u306a\u751f\u7406\u53cd\u5fdc\u306a\u306e\u3067\u3059\u3002<\/p>\n\n\n\n \u2606\u3000\u554f\u984c\u306b\u306a\u308b\u306e\u306f\u300c\u6162\u6027\u7684\u306a\u9ad8\u8840\u7cd6\u300d<\/strong><\/p>\n\n\n\n \u4e00\u65b9\u3067\u3001\u4ee5\u4e0b\u306e\u3088\u3046\u306a\u72b6\u614b\u304c\u7d9a\u304f\u5834\u5408\u306f\u6ce8\u610f\u304c\u5fc5\u8981\u3067\u3059\uff1a<\/p>\n\n\n\n \u98df\u5f8c\u306b\u8840\u7cd6\u5024\u304c\u6025\u4e0a\u6607\u3057\u3001\u305d\u306e\u5f8c\u3082\u9ad8\u3044\u307e\u307e\u4e0b\u304c\u3089\u306a\u3044<\/p>\n\n\n\n \u7a7a\u8179\u6642\u3067\u3082\u8840\u7cd6\u5024\u304c\u9ad8\u3044<\/p>\n\n\n\n \u30b9\u30c8\u30ec\u30b9\u3084\u7761\u7720\u4e0d\u8db3\u3067\u5e38\u306b\u4ea4\u611f\u795e\u7d4c\u304c\u512a\u4f4d\u306b\u306a\u3063\u3066\u3044\u308b<\/p>\n\n\n\n \u3053\u306e\u3088\u3046\u306a\u72b6\u614b\u304c\u6162\u6027\u7684\u306b\u7d9a\u304f\u3068\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u304c\u9032\u307f\u30012\u578b\u7cd6\u5c3f\u75c5\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u3068\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n \u2606\u3000\u81ea\u5f8b\u795e\u7d4c\u3068\u8840\u7cd6\u306e\u30d0\u30e9\u30f3\u30b9\u304c\u30ab\u30ae<\/strong><\/p>\n\n\n\n \u4ea4\u611f\u795e\u7d4c\uff1a\u6d3b\u52d5\u30fb\u7dca\u5f35\u30fb\u904b\u52d5\u6642\u306b\u512a\u4f4d \u2192 \u8840\u7cd6\u5024\u3092\u4e0a\u3052\u308b<\/p>\n\n\n\n \u526f\u4ea4\u611f\u795e\u7d4c\uff1a\u4f11\u606f\u30fb\u30ea\u30e9\u30c3\u30af\u30b9\u6642\u306b\u512a\u4f4d \u2192 \u8840\u7cd6\u5024\u3092\u4e0b\u3052\u308b\u65b9\u5411\u306b\u50cd\u304f<\/p>\n\n\n\n \u3064\u307e\u308a\u3001\u81ea\u5f8b\u795e\u7d4c\u306e\u30d0\u30e9\u30f3\u30b9\u304c\u6574\u3063\u3066\u3044\u308b\u3053\u3068\u304c\u3001\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306b\u3082\u3064\u306a\u304c\u308b\u306e\u3067\u3059\u3002<\/p>\n\n\n\n \u2606\u3000\u8840\u7cd6\u5024\u306e\u300c\u4e0b\u304c\u308a\u65b9\u300d\u306f\u7570\u5e38\u304b\uff1f<\/strong><\/p>\n\n\n\n \u8840\u7cd6\u5024\u306f\u98df\u5f8c\u306b\u5fc5\u305a\u4e0b\u304c\u308b\u3082\u306e\u3067\u3059\u3002\u554f\u984c\u306f\u300c\u3069\u306e\u7a0b\u5ea6\u306e\u901f\u3055\u30fb\u5e45\u3067\u4e0b\u304c\u308b\u3068\u7570\u5e38\u306a\u306e\u304b\uff1f\u300d\u3068\u3044\u3046\u70b9\u3067\u3059\u3002<\/p>\n\n\n\n \u73fe\u6642\u70b9\u3067\u306f\u3001\u6025\u964d\u4e0b\u306e\u660e\u78ba\u306a\u6570\u5024\u57fa\u6e96\u306f\u5b58\u5728\u3057\u307e\u305b\u3093\u3002\u4e00\u90e8\u306e\u81e8\u5e8a\u533b\u304c\u300c\u77ed\u6642\u9593\u306740mg\/dL\u4ee5\u4e0a\u306e\u4f4e\u4e0b\u304c\u3042\u308b\u3068\u75c7\u72b6\u304c\u51fa\u3084\u3059\u3044\u300d\u3068\u7d4c\u9a13\u5247\u3067\u8a9e\u308b\u3053\u3068\u306f\u3042\u308a\u307e\u3059\u304c\u3001\u3053\u308c\u306f\u3042\u304f\u307e\u3067\u53c2\u8003\u7a0b\u5ea6\u3002<\/p>\n\n\n\n \u91cd\u8981\u306a\u306e\u306f\u3001\u75c7\u72b6\u3068\u306e\u95a2\u9023\u6027\u3067\u3059\u3002\u8840\u7cd6\u5024\u304c\u5b89\u5b9a\u3057\u3066\u3044\u3066\u3082\u7720\u6c17\u3084\u3081\u307e\u3044\u304c\u51fa\u308b\u5834\u5408\u306f\u3001\u4ed6\u306e\u8981\u56e0\uff08\u7761\u7720\u4e0d\u8db3\u3001\u6d88\u5316\u8ca0\u62c5\u306a\u3069\uff09\u3082\u8003\u616e\u3059\u308b\u5fc5\u8981\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n \u2606 CGM\uff08\u6301\u7d9a\u8840\u7cd6\u6e2c\u5b9a\uff09\u3067\u300c\u9023\u52d5\u6027\u300d\u3092\u898b\u3064\u3051\u308b<\/strong><\/p>\n\n\n\n CGM\u306f\u3001\u8840\u7cd6\u5024\u306e\u5909\u52d5\u3068\u75c7\u72b6\u306e\u30bf\u30a4\u30df\u30f3\u30b0\u3092\u7167\u5408\u3059\u308b\u3053\u3068\u3067\u3001\u300c\u8840\u7cd6\u304c\u539f\u56e0\u304b\u3069\u3046\u304b\u300d\u3092\u5ba2\u89b3\u7684\u306b\u5224\u65ad\u3059\u308b\u6750\u6599\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n \u305f\u3068\u3048\u3070\uff1a<\/p>\n\n\n\n \u300c\u30a6\u30a9\u30fc\u30ad\u30f3\u30b0\u306e\u3042\u3068\u3001\u306a\u305c\u304b\u8840\u7cd6\u5024\u304c\u4e0a\u304c\u3063\u3066\u3044\u305f\u3002\u3067\u3082\u305d\u308c\u306f\u3001\u4f53\u304c\u30a8\u30cd\u30eb\u30ae\u30fc\u3092\u5fc5\u8981\u3068\u3057\u3066\u3044\u305f\u8a3c\u62e0\u3002\u904b\u52d5\u5f8c30\u5206\u307b\u3069\u3059\u308b\u3068\u8840\u7cd6\u5024\u306f\u3057\u3063\u304b\u308a\u4e0b\u304c\u3063\u3066\u304d\u305f\u3002<\/p>\n\n\n\n CGM\u3067\u898b\u3048\u308b\u3068\u3001\u4f53\u306e\u4ed5\u7d44\u307f\u304c\u3088\u304f\u308f\u304b\u308a\u307e\u3059\u3002\u300d<\/p>\n\n\n\n \u3053\u306e\u3088\u3046\u306b\u3001\u6570\u5024\u306e\u5909\u5316\u3092\u901a\u3058\u3066\u81ea\u5206\u306e\u4f53\u3092\u77e5\u308b\u3068\u3044\u3046\u30e1\u30c3\u30bb\u30fc\u30b8\u306f\u3001\u5065\u5eb7\u610f\u8b58\u3092\u9ad8\u3081\u308b\u304d\u3063\u304b\u3051\u306b\u306a\u308a\u307e\u3059\u3002<\/p>\n\n\n\n \u2606\u3000Time in Range\uff08TIR\uff09\u3068\u3044\u3046\u65b0\u3057\u3044\u6307\u6a19<\/strong><\/p>\n\n\n\n CGM\u3067\u306f\u3001\u8840\u7cd6\u5024\u304c\u76ee\u6a19\u7bc4\u56f2\uff08\u901a\u5e38\u306f70\u301c180mg\/dL\uff09\u306b\u3042\u308b\u6642\u9593\u306e\u5272\u5408\uff1dTIR\uff08Time in Range\uff09\u3092\u8a55\u4fa1\u3067\u304d\u307e\u3059\u3002<\/p>\n\n\n\n TIR\u304c70%\u4ee5\u4e0a\u3067\u3042\u308c\u3070\u3001\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306f\u826f\u597d\u3068\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n TIR\u304c\u4f4e\u3044\u5834\u5408\u306f\u3001\u8840\u7cd6\u5909\u52d5\u304c\u5927\u304d\u304f\u3001\u5408\u4f75\u75c7\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n\n\n\n \u3053\u308c\u306f\u3001\u5358\u306a\u308b\u3000HbA1c (\uff05) \u3067\u306f\u898b\u3048\u306a\u3044\u8840\u7cd6\u306e\u8cea\u3092\u8a55\u4fa1\u3059\u308b\u65b0\u3057\u3044\u8996\u70b9\u3067\u3059\u3002<\/p>\n\n\n\n \u2606\u3000\u98df\u5f8c\u9ad8\u8840\u7cd6\u304c\u7d9a\u304f\u3068\u3069\u3046\u306a\u308b\uff1f<\/strong><\/p>\n\n\n\n \u98df\u5f8c\u9ad8\u8840\u7cd6\u304c\u9577\u6642\u9593\u7d9a\u304f\u3068\u3001\u9178\u5316\u30b9\u30c8\u30ec\u30b9\u3084\u708e\u75c7\u53cd\u5fdc\u304c\u4ea2\u9032\u3057\u3001\u8840\u7ba1\u5185\u76ae\u6a5f\u80fd\u304c\u969c\u5bb3\u3055\u308c\u308b\u3053\u3068\u304c\u8907\u6570\u306e\u7814\u7a76\u3067\u793a\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n \u7279\u306b\u3001\u98df\u5f8c2\u6642\u9593\u8840\u7cd6\u5024\u304c180mg\/dL\u4ee5\u4e0a\u306e\u72b6\u614b\u304c\u7d9a\u304f\u3068\u3001\u52d5\u8108\u786c\u5316\u3084\u5fae\u5c0f\u8840\u7ba1\u969c\u5bb3\u306e\u30ea\u30b9\u30af\u304c\u9ad8\u307e\u308b\u3068\u3055\u308c\u307e\u3059\u3002<\/p>\n\n\n\n \u65e5\u672c\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u306e\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u3082\u3001\u98df\u5f8c2\u6642\u9593\u8840\u7cd6\u5024\u304c140\u301c199mg\/dL\u306f\u300c\u5883\u754c\u578b\u300d\u3001200mg\/dL\u4ee5\u4e0a\u306f\u300c\u7cd6\u5c3f\u75c5\u578b\u300d\u3068\u3055\u308c\u3001\u6301\u7d9a\u7684\u306a\u9ad8\u8840\u7cd6\u306f\u75c5\u7684\u3068\u307f\u306a\u3055\u308c\u307e\u3059\u3002 \u5f53\u9662\u3067\u306f\u3001\u30d5\u30ea\u30fc\u30b9\u30bf\u30a4\u30eb\u30ea\u30d6\u30ec\uff08\u6301\u7d9a\u8840\u7cd6\u6e2c\u5b9a\u3092\u884c\u3046\u6a5f\u68b0\uff09\u3092\u53d6\u308a\u6271\u3063\u3066\u304a\u308a\u307e\u3059\u3002 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