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PLoS One. 2015 May 6;10(5):e0125632. doi: 10.1371/journal.pone.0125632. eCollection 2015.

Managing Type 2 Diabetes Mellitus through Periodical Hospital Visits in the Aftermath of the Great East Japan Earthquake Disaster: A Retrospective Case Series.

Author information

1
Department of Internal Medicine, Soma Central Hospital, 3-5-18 Okinouchi, Soma, Fukushima, Japan.
2
Department of Radiation Protection, Soma Central Hospital, 3-5-18 Okinouchi, Soma, Fukushima, Japan; Division of Social Communication System for Advanced Clinical Research, the Institute of Medical Science, University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo, Japan.
3
Department of Radiation Protection, Soma Central Hospital, 3-5-18 Okinouchi, Soma, Fukushima, Japan.
4
Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, Norfolk Place, London, United Kingdom.

Abstract

AIMS:

To assess the impact of the Great East Japan Earthquake Disaster on daily diabetes practice and to determine the feasibility of controlling type 2 diabetes mellitus in an outpatient department.

METHODS:

We retrospectively reviewed the data on disaster-affected patients with type 2 diabetes who periodically attended outpatient department of Soma Central Hospital. There were 767 patients with type 2 diabetes mellitus in total. The primary outcome measure was the change in HbA1c.

RESULTS:

HbA1c levels of 58 patients with periodical hospital visits did not deteriorate after the disasters. Moreover, there observed no significant difference in the mean of HbA1c levels among all age and sex throughout the year. While several changes in diabetes medication usage occurred, DPP4-inhibitor was the only oral diabetic agent that increased in frequency (+60%).

CONCLUSIONS:

Patients with type 2 diabetes who were managed with periodical hospital visits did not show significant deterioration in HbA1c levels.

PMID:
25946187
PMCID:
PMC4422625
DOI:
10.1371/journal.pone.0125632
[Indexed for MEDLINE]
Free PMC Article

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