{"created":"2023-06-19T11:23:39.068876+00:00","id":4221,"links":{},"metadata":{"_buckets":{"deposit":"46013472-ee86-4fbf-a4af-7830724ea082"},"_deposit":{"created_by":3,"id":"4221","owners":[3],"pid":{"revision_id":0,"type":"depid","value":"4221"},"status":"published"},"_oai":{"id":"oai:asahikawa-med.repo.nii.ac.jp:00004221","sets":["7","7:23"]},"author_link":["12942","12943","12944","12945","12946","12947","12948","12949"],"item_5_biblio_info_21":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2012-06-01","bibliographicIssueDateType":"Issued"},"bibliographicIssueNumber":"6","bibliographicPageEnd":"409","bibliographicPageStart":"404","bibliographicVolumeNumber":"55","bibliographic_titles":[{"bibliographic_title":"糖尿病"}]}]},"item_5_description_33":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は62歳の女性。19年前より慢性糸球体腎炎にて維持透析中で、今まで糖尿病の指摘はない。2009年12月に左肘部管症候群の術前採血で随時血糖500mg/dl以上の高血糖を初めて指摘され、精査・血糖コントロール目的にて入院となった。入院時口渇など高血糖の症状の自覚はなかったが、HbA1c14.4%(以下HbA1cはJDS値で表記)、グリコアルブミン82.7%、随時血糖382mg/dlを認め、GAD抗体が5190U/mlと著明に高値であり1型糖尿病の新規発症が考えられた。また、甲状腺自己抗体が陽性で、自己免疫性甲状腺疾患を併発した。本例は維持透析中であったため著明なアシドーシスや脱水を認めなかった。インスリン治療にて退院時には、グリコアルブミン35.1%まで改善した。急性の高血糖を呈する透析患者には、悪性疾患の除外とともにGAD抗体の測定が重要であると考えられた。","subitem_description_language":"ja","subitem_description_type":"Abstract"}]},"item_5_description_36":{"attribute_name":"注記","attribute_value_mlt":[{"subitem_description":"雑誌掲載版","subitem_description_type":"Other"}]},"item_5_description_37":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"subitem_description":"text","subitem_description_type":"Other"}]},"item_5_description_41":{"attribute_name":"フォーマット","attribute_value_mlt":[{"subitem_description":"application/pdf","subitem_description_type":"Other"}]},"item_5_source_id_22":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"0021-437X","subitem_source_identifier_type":"PISSN"}]},"item_5_text_44":{"attribute_name":"ID(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"M717480006"}]},"item_5_text_54":{"attribute_name":"閲覧数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"733"}]},"item_5_text_55":{"attribute_name":"ダウンロード数(XooNIps)","attribute_value_mlt":[{"subitem_text_value":"858"}]},"item_5_text_7":{"attribute_name":"著者 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