Diabetes Internal Medicine

About Diabetes Medicine department

It is said that 1 in 10 Japanese people have diabetes or have the possibility of having diabetes.

When it worsens the symptoms are, being thirsty, drinking a lot of water, increase in the number of bathroom trips, weight loss etc. However, many people show no initial symptoms and they find out they have it from a blood test such as during a health checkup. Many people develop it mainly due to their lifestyle (type 2 diabetes), but in some other cases insulin, the hormone that lowers blood sugar level, suddenly stops being produced by the pancreas (type 1 diabetes). Diabetes refers to a state of elevated blood sugar, but it is one of the most common lifestyle-related diseases that leads to other various illnesses.

The three major complications linked to diabetes affect the eyes (diabetic retinopathy), kidneys (diabetic nephropathy) and nerves (diabetic neuropathy). In addition, stroke (cerebral infarction and cerebral hemorrhage), angina pectoris, myocardial infarction, periodontal disease, cancer and dementia also become a greater risk.

Diabetes Examination

Hemoglobin A1c (HbA1c) and urinalysis will be performed to confirm movement of blood sugar levels, and in turn glucose levels, over 1 to 2 months. In our clinic we test using the hemoglobin A1c measuring device (HPLC method) which shows the results in 100 seconds. This is the same measurement method as general hospitals and with it we can explain the results on the same day as the test.

For the assessment of eye complications (diabetic retinopathy), we will introduce a nearby eye clinic.

Treatment for Diabetes.

Hemoglobin A1c 7.0% or less is the target to reduce the risk of complications.
For people with type 2 diabetes, improving lifestyle habits (dietary habits, exercise habits) is the most important, but that alone often does not work. In that case, oral medicine will first be prescribed and if necessary, treatment with GLP1 analogues or insulin injections will be given.

If you have type 1 diabetes, we will check your blood sugar levels, continue your insulin injections, and adjust your unit doses.