Characteristics of first-time patients
Most of the first patients to come to the hospital have poor glycemic control.
More than half of the patients at our first visit have HbA1c of 7.4% or more. We are visiting not only from Tokyo but also from all over the country. Most patients find no reliable diabetic specialist nearby, dislike insulin injections, or are not convinced by the current treatment. Most of the first-time patients at our hospital are those who find the book of Director Suzuki at a bookstore, or listen to rumors and find their name online. Occasionally, nearby diabetics are also visited.
About two-thirds of first-visit patients have HbA1c of ■ 7.4% or more . is.
As shown in the graph below, ■ 6.9-7.3% . ■ 6.5-6.8% . ■ It is 6.4% or less . At the first visit, HbA1c is less than 6.5%, which is only about 10%.
Many patients receive insulin injections unnecessarily and frequently.
In type 2 diabetes, insulin secretion from the pancreas is often retained, so it is not necessary to inject insulin four times a day, three times a day, twice a day, etc. unnecessarily.
Almost none. More than 90% of type 2 diabetic patients who go to the HDC-Atlas Clinic can fully control their blood glucose with only long-acting insulin once a day.
Patients who have been injecting insulin unnecessarily at other hospitals, or who should be able to control their blood sugar sufficiently by injecting a GLP1 derivative once a week instead of insulin injection, It is very common to search our hospital online and visit our hospital. At our clinic, most of these first-time patients switch to a single injection of long-acting insulin and BOT therapy (basal oral supported therapy), or to GLP1 derivative therapy once a week.
It is also characterized by the fact that there are many diabetic patients who are classified as GAD antibody positive, equal, type I diabetes, equal, and intensive therapy.
Even with type 2 diabetes, there are many diabetic patients who are positive for GAD antibodies. According to an outpatient survey conducted by Dr. Suzuki during the Saiseikai Central Hospital in Tokyo, about 2% of outpatients with diabetes were GAD antibody-positive. In overseas announcements, it has been reported that there are cases where GAD antibody becomes positive even more frequently.
However, in Japan, it seems that there are still many doctors who think that they are GAD antibody positive, equal, and type I diabetes and immediately start intensive insulin treatment, not only young doctors but also veteran diabetes specialists. I was forced to take injection therapy four times a day, and I wasn't convinced. I looked at our homepage and found that there was no need for intensive insulin therapy. I am. At our hospital, we investigate the insulin secretory capacity from the pancreas in detail and, in principle, strive to reduce the number of insulin injections. A large number of diabetics are pleased that the number of injections has been reduced.
Many patients have HbA1c left unattended even at 7.5% or more.
The goal of glycemic control is set higher for the elderly. However, when visiting a non-diabetic specialist, even if HbA1c is 7.5% or more, it is left as it is with conventional therapy, or even if HbA1c is 8% or more, it is a conventional method without using the latest treatment. Often, you are just continuing the same treatment.
For such diabetics, we offer state-of-the-art diabetes treatment and, wherever possible, HbA1c can be less than 6.5%.
Until then, many veteran doctors have not been examined.
Many diabetics who do not have a veteran diabetics specialist in the neighborhood or who have been visiting the medical facility of a doctor who does not have good glycemic control for a long time and have difficulty in glycemic control come to the hospital.
Diabetes treatment in recent years has a wide variety of treatment options. It suggests that just as shogi is good and bad, diabetes treatment is good and bad. At our hospital, a veteran diabetes specialist
We will consider the most rational move that is suitable for the patient and increase the probability that glycemic control will be successful. We are contributing to the popularization of such a concept by making it the title and cover of the book "Declaration of Overcoming Diabetes".
