{"id":12284,"date":"2021-07-19T14:45:24","date_gmt":"2021-07-19T05:45:24","guid":{"rendered":"https:\/\/juntan.net\/newblog\/index.php\/2021\/07\/19\/which-is-the-best-diabetes-treatment-for-kidney-disease\/"},"modified":"2022-10-31T17:29:13","modified_gmt":"2022-10-31T08:29:13","slug":"which-is-the-best-diabetes-treatment-for-kidney-disease","status":"publish","type":"post","link":"https:\/\/juntan.net\/blog\/kidney-disease\/which-is-the-best-diabetes-treatment-for-kidney-disease\/","title":{"rendered":"\u30102022\u5e74\u6700\u65b0\u7248\u3011\u6162\u6027\u814e\u81d3\u75c5(CKD)\u306e\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u306f\u3069\u308c\u304c\u9069\u3057\u3066\u3044\u308b\uff1f"},"content":{"rendered":"<p>\u3053\u3093\u306b\u3061\u306f\u3001\u7d14\u70ad\u793e\u9577\u306e\u6a0b\u53e3\u3067\u3059\u3002<br \/>\n2021\u5e748\u6708\u306b\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u3067\u3042\u308b\u30d5\u30a9\u30b7\u30fc\u30ac\u304c\u6162\u6027\u814e\u81d3\u75c5\u6cbb\u7642\u85ac\u3068\u3057\u3066\u4f7f\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u66f4\u306b2022\u5e746\u6708\u306b\u306f\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u30ab\u30ca\u30b0\u30eb\u304c\u300c2\u578b\u7cd6\u5c3f\u75c5\u3092\u5408\u4f75\u3059\u308b\u6162\u6027\u814e\u4e0d\u5168\u300d\u306e\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<p>\u75c5\u9662\u3067\u814e\u6a5f\u80fd\u306e\u4f4e\u4e0b\u3092\u6307\u6458\u3055\u308c\u305f\u3042\u306a\u305f\u304c\u3001\u4eca\u3001\u7cd6\u5c3f\u75c5\u306e\u85ac\u3092\u51e6\u65b9\u3055\u308c\u3066\u3044\u306a\u304f\u3066\u3082\u3001\u30d5\u30a9\u30b7\u30fc\u30ac\u3092\u4f7f\u3048\u308b\u53ef\u80fd\u6027\u304c\u3042\u308a\u307e\u3059\u3057\uff08\u30d5\u30a9\u30b7\u30fc\u30ac\u306f\u7cd6\u5c3f\u75c5\u4ee5\u5916\u306e\u6162\u6027\u814e\u81d3\u75c5\u3067\u3082\u4f7f\u3048\u307e\u3059\uff09\u3001<u>\u8840\u6db2\u691c\u67fb\u306e\u7d50\u679c\u3067\u7a7a\u8179\u6642\u8840\u7cd6\u304c126\u3092\u8d85\u3048\u3066\u3044\u305f\u308a\u3001HbA1c\uff08\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3A1c\uff09\u304c6.5\u3092\u8d85\u3048\u3066\u3044\u308b\u5834\u5408<\/u>\u306f\u3001\u7cd6\u5c3f\u75c5\u306e\u7591\u3044\u304c\u3042\u308b\u306e\u3067\u3001\u662f\u975e\u8aad\u307f\u9032\u3081\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/p>\n<p>\u3010\u53c2\u8003\u3011<br \/>\n\u30fb<span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.ono.co.jp\/news\/20210826.html\" target=\"_blank\" rel=\"noopener\">\u30d5\u30a9\u30b7\u30fc\u30ac\u30012\u578b\u7cd6\u5c3f\u75c5\u5408\u4f75\u306e\u6709\u7121\u306b\u95a2\u308f\u3089\u305a\u3001\u65e5\u672c\u3067\u521d\u3081\u3066\u306e\u6162\u6027\u814e\u81d3\u75c5\u306e\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f\u8a8d\u3092\u53d6\u5f97\u3000\u65e5\u672c\u306e\u6162\u6027\u814e\u81d3\u75c5\u60a3\u8005\u3055\u3093\u306e\u6cbb\u7642\u306b\u5927\u304d\u306a\u9032\u5c55\u3092\u3082\u305f\u3089\u3059\u3000\uff0d\u5c0f\u91ce\u85ac\u54c1<\/a><\/span><br \/>\n\u30fb<span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/www.mt-pharma.co.jp\/news\/2022\/MTPC220621.html\" target=\"_blank\" rel=\"noopener\">SGLT2\u963b\u5bb3\u5264\uff62\u30ab\u30ca\u30b0\u30eb\u00ae\u9320100mg\uff63\u306b\u3064\u3044\u3066\u65e5\u672c\u306b\u304a\u3051\u308b2\u578b\u7cd6\u5c3f\u75c5\u3092\u5408\u4f75\u3059\u308b\u6162\u6027\u814e\u81d3\u75c5\u306e\u9069\u5fdc\u8ffd\u52a0\u627f\u8a8d\u3092\u53d6\u5f97\u2015\u7530\u8fba\u4e09\u83f1\u88fd\u85ac<\/a><\/span><\/p>\n<h2 class=\"blue-dec\">\u3042\u306a\u305f\u306f\u7cd6\u5c3f\u75c5\u306e\u85ac\u3092\u98f2\u3093\u3067\u3044\u307e\u3059\u304b\uff1f<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2019\/01\/9c49cdf0ad6b3a36c645702e08d70eeb-450x300.jpg\" alt=\"\u51e6\u65b9\u7b8b\" width=\"450\" height=\"300\" \/><\/p>\n<p>1\u5e74\u9593\u306b\u900f\u6790\u306b\u5165\u308b\u65b9\u304c\u3069\u308c\u307b\u3069\u3044\u308b\u304b\u3054\u5b58\u77e5\u3067\u3057\u3087\u3046\u304b\uff1f<br \/>\n\u65e5\u672c\u900f\u6790\u533b\u5b66\u4f1a\u304c\u767a\u8868\u3057\u3066\u3044\u308b\u6700\u65b0\u306e\u300c\u308f\u304c\u56fd\u306e\u6162\u6027\u900f\u6790\u7642\u6cd5\u306e\u73fe\u72b6\uff082020\u5e7412\u670831\u65e5\u73fe\u5728\uff09\u300d\u306b\u3088\u308b\u3068\u3001\u7d043\u4e079\u5343\u4eba\u3060\u3063\u305f\u305d\u3046\u3067\u3059\u3002<br \/>\n\u305d\u306e\u3046\u3061\u3001\u814e\u6a5f\u80fd\u3092\u843d\u3068\u3059\u539f\u56e0\u3068\u306a\u3063\u305f\u75be\u60a3\u306f\u3001\u4f55\u304c\u4e00\u756a\u591a\u304b\u3063\u305f\u304b\u3068\u3044\u3046\u3068\u3001\u4ee5\u4e0b\u306e\u901a\u308a\u3067\u3059\u3002<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"width: 10.8333%;\">1\u4f4d<\/td>\n<td style=\"width: 44.5834%;\">\u7cd6\u5c3f\u75c5\u6027\u814e\u75c7<\/td>\n<td style=\"width: 44.5834%;\">40.7\uff05<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 10.8333%;\">2\u4f4d<\/td>\n<td style=\"width: 44.5834%;\">\u9ad8\u8840\u5727\u304c\u539f\u56e0\u306e\u814e\u786c\u5316\u75c7<\/td>\n<td style=\"width: 44.5834%;\">17.5\uff05<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 10.8333%;\">3\u4f4d<\/td>\n<td style=\"width: 44.5834%;\">\u6162\u6027\u7cf8\u7403\u4f53\u814e\u708e<\/td>\n<td style=\"width: 44.5834%;\">15.0\uff05<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 10.8333%;\">4\u4f4d<\/td>\n<td style=\"width: 44.5834%;\">\u539f\u56e0\u4e0d\u660e<\/td>\n<td style=\"width: 44.5834%;\">13.8\uff05<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u3068\u3044\u3046\u3053\u3068\u306f\u3001<span style=\"color: #ff0000; font-weight: bold;\">\u7cd6\u5c3f\u75c5\u3084\u9ad8\u8840\u5727\u3092\u9069\u5207\u306b\u6cbb\u7642\u3059\u308c\u3070\u900f\u6790\u306f\u56de\u907f\u3067\u304d\u308b\u53ef\u80fd\u6027\u304c\u9ad8\u3044<\/span>\u308f\u3051\u3067\u3059\u3002<\/p>\n<p>\u3010\u53c2\u8003\u3011<span style=\"color: #3366ff;\"><a style=\"color: #3366ff;\" href=\"https:\/\/docs.jsdt.or.jp\/overview\/index.html\" target=\"_blank\" rel=\"noopener\">\u308f\u304c\u56fd\u306e\u6162\u6027\u900f\u6790\u7642\u6cd5\u306e\u73fe\u72b6\uff082020\u5e74\u672b\u306e\u6162\u6027\u900f\u6790\u60a3\u8005\u306b\u95a2\u3059\u308b\u96c6\u8a08\uff09\u2015\u65e5\u672c\u900f\u6790\u533b\u5b66\u4f1a<\/a><\/span><\/p>\n<h2 class=\"blue-dec\">\u7cd6\u5c3f\u75c5\u306f\u3069\u3093\u306a\u75c5\u6c17\uff1f<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/01\/3c665e580d806dbb519c335080ccde02-450x300-1.jpg\" alt=\"\u89d2\u7802\u7cd6\" width=\"450\" height=\"300\" \/><br \/>\n\u7a7a\u8179\u6642\u8840\u7cd6\u304c100 mg\/dL\u306e\u6642\u3001\u8840\u6db2\u4e2d\u306e\u7cd6\u5206\u306f\u30c6\u30a3\u30fc\u30b9\u30d7\u30fc\u30f3\uff11\u676f\uff085\u30b0\u30e9\u30e0\u7a0b\u5ea6\uff09\u3068\u8a00\u308f\u308c\u307e\u3059\u3002<br \/>\n\u3068\u3053\u308d\u304c\u3001\u767d\u7c731\u676f\u306e\u7cd6\u8cea\u306f55\u30b0\u30e9\u30e0\u306a\u306e\u306711\u500d\u306e\u7cd6\u5206\u304c\u4f53\u5185\u306b\u5165\u3063\u3066\u304f\u308b\u308f\u3051\u3067\u3059\u3002<br \/>\n\u3057\u304b\u3057\u3001\u3054\u98ef\u3092\u98df\u3079\u305f\u5f8c\u306b\u8840\u7cd6\u5024\u3092\u6e2c\u3063\u3066\u30821,200 mg\/dL\u306a\u3093\u3066\u3068\u3093\u3067\u3082\u306a\u3044\u6570\u5024\u306b\u306f\u306a\u308a\u307e\u305b\u3093\u3002<br \/>\n\u306a\u305c\u306a\u3089\u3070\u3001\u81b5\u81d3\u304b\u3089\u5206\u6ccc\u3055\u308c\u308b\u30a4\u30f3\u30b9\u30ea\u30f3\u3068\u3044\u3046\u30db\u30eb\u30e2\u30f3\u304c\u3001\u8840\u6db2\u4e2d\u306e\u7cd6\u5206\uff08\u30d6\u30c9\u30a6\u7cd6\uff09\u3092\u4e00\u751f\u61f8\u547d\u306b\u809d\u81d3\u3084\u7b4b\u8089\u306b\u53d6\u308a\u8fbc\u307e\u305b\u3066\u3044\u308b\u306e\u3067\u3059\u3002<br \/>\n\u4f55\u3089\u304b\u306e\u7406\u7531\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u304c\u4f5c\u3089\u308c\u306a\u304f\u306a\u3063\u305f\u308a\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u52b9\u304d\u304c\u60aa\u304f\u306a\u308b\u3068\u3001\u30d6\u30c9\u30a6\u7cd6\u306f\u809d\u81d3\u3084\u7b4b\u8089\u306b\u53d6\u308a\u8fbc\u307e\u308c\u306a\u304f\u306a\u308a\u3001\u9ad8\u8840\u7cd6\u72b6\u614b\u304c\u9577\u6642\u9593\u7d9a\u304f\u3088\u3046\u306b\u306a\u308a\u307e\u3059\u3002\u3059\u308b\u3068\u3001AGE\u5316\u306a\u3069\u3067\u8840\u7ba1\u304c\u50b7\u3064\u3044\u3066\u814e\u75c7\u3084\u7db2\u819c\u75c7\u306b\u3064\u306a\u304c\u3063\u3066\u3044\u304d\u307e\u3059\u3002<\/p>\n<h2 class=\"blue-dec\">\u69d8\u3005\u306a\u7a2e\u985e\u304c\u3042\u308b\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/02\/72deb21c244c806c7a1038b0ff64ab8c-450x300.jpg\" alt=\"\" width=\"450\" height=\"300\" \/><br \/>\n\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u306e\u76ee\u7684\u306f\u8840\u7cd6\u5024\u304c\u4e0a\u304c\u308a\u3059\u304e\u308b\u306e\u3092\u6291\u3048\u308b\u3053\u3068\uff01<br \/>\n\u305d\u306e\u30a2\u30d7\u30ed\u30fc\u30c1\u65b9\u6cd5\u306b\u306f\u69d8\u3005\u306a\u624b\u6bb5\u304c\u3042\u3063\u3066\u3001\u73fe\u5728\u306f\u3056\u3063\u30688\u7cfb\u7d71\u306e\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u304c\u4f7f\u308f\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<h3 class=\"blue-dec\">\u30d3\u30b0\u30a2\u30ca\u30a4\u30c9\u85ac<\/h3>\n<p>\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u306b\u4ee3\u8868\u3055\u308c\u308b\u30d3\u30b0\u30a2\u30ca\u30a4\u30c9\u85ac\u306f\u809d\u81d3\u306b\u4f5c\u7528\u3057\u3066\u7cd6\u65b0\u751f\uff08\u30bf\u30f3\u30d1\u30af\u8cea\u306a\u3069\u304b\u3089\u30d6\u30c9\u30a6\u7cd6\u3092\u4f5c\u308a\u51fa\u3059\u4f5c\u7528\uff09\u3092\u6291\u5236\u3057\u3066\u8840\u7cd6\u5024\u306e\u4e0a\u6607\u3092\u6291\u3048\u308b\u85ac\u3067\u3059\u3002eGFR\u304c30\u672a\u6e80\u306f\u7981\u5fcc\uff08\u4f7f\u3063\u3066\u306f\u3044\u3051\u306a\u3044\uff09\u3068\u306a\u3063\u3066\u3044\u307e\u3059\u3002<\/p>\n<h3 class=\"blue-dec\">\u30c1\u30a2\u30be\u30ea\u30b8\u30f3\u85ac<\/h3>\n<p>\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u52b9\u304d\u3092\u60aa\u304f\u3059\u308b\u7269\u8cea\u3092\u4f5c\u3063\u3066\u3044\u308b\u8102\u80aa\u7d30\u80de\u306b\u50cd\u304d\u304b\u3051\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u62b5\u6297\u6027\u3092\u6539\u5584\u3059\u308b\u85ac\u3067\u3059\u3002<\/p>\n<h3 class=\"blue-dec\">\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\uff08SU\uff09<\/h3>\n<p>\u81b5\u81d3\u306e\u7d30\u80de\u306b\u76f4\u63a5\u50cd\u304d\u304b\u3051\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u5206\u6ccc\u3092\u4fc3\u3059\u85ac\u3067\u3059\u3002<\/p>\n<h3 class=\"blue-dec\">\u30b0\u30ea\u30cb\u30c9\u85ac<\/h3>\n<p>\u30b9\u30eb\u30db\u30cb\u30eb\u5c3f\u7d20\uff08SU\uff09\u85ac\u3068\u540c\u3058\u4f5c\u7528\u3067\u3059\u304c\u3001SU\u85ac\u3088\u308a\u3082\u65e9\u304f\u52b9\u3044\u3066\u3001\u65e9\u304f\u52b9\u679c\u304c\u306a\u304f\u306a\u308b\u7279\u5fb4\u304c\u3042\u308a\u307e\u3059\u3002<\/p>\n<h3 class=\"blue-dec\">DPP-4\u963b\u5bb3\u85ac<\/h3>\n<p>\u81b5\u81d3\u304b\u3089\u306e\u30a4\u30f3\u30b9\u30ea\u30f3\u5206\u6ccc\u3092\u4fc3\u3059\u6d88\u5316\u7ba1\u30db\u30eb\u30e2\u30f3\uff08GLP-1\u306a\u3069\u306e\u30a4\u30f3\u30af\u30ec\u30c1\u30f3\uff09\u3092\u5206\u89e3\u3059\u308bDPP-4\u9175\u7d20\u3092\u963b\u5bb3\u3059\u308b\u3053\u3068\u3067GLP-1\u306e\u5206\u89e3\u3092\u9632\u3044\u3067\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u5206\u6ccc\u3092\u4fc3\u3059\u85ac\u3067\u3059\u3002<\/p>\n<h3 class=\"blue-dec\">GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac<\/h3>\n<p>\u81b5\u81d3\u306b\u3042\u308bGLP-1\u53d7\u5bb9\u4f53\u306b\u76f4\u63a5\u50cd\u304d\u304b\u3051\u3066\u30a4\u30f3\u30b9\u30ea\u30f3\u306e\u5206\u6ccc\u3092\u4fc3\u3059\u85ac\u3067\u3059\u3002<\/p>\n<h3 class=\"blue-dec\">\u30a2\u30eb\u30d5\u30a1\u30b0\u30eb\u30b3\u30b7\u30c0\u30fc\u30bc\u963b\u5bb3\u85ac<\/h3>\n<p>\u7cd6\u8cea\u304b\u3089\u30d6\u30c9\u30a6\u7cd6\u3092\u5207\u308a\u51fa\u3059\u9175\u7d20\uff08\u30a2\u30eb\u30d5\u30a1\u30b0\u30eb\u30b3\u30b7\u30c0\u30fc\u30bc\uff09\u3092\u963b\u5bb3\u3057\u3066\u3001\u8840\u4e2d\u3078\u306e\u30d6\u30c9\u30a6\u7cd6\u53d6\u308a\u8fbc\u307f\u3092\u6291\u3048\u308b\u85ac\u3067\u3059\u3002<\/p>\n<h3 class=\"blue-dec\">SGLT2\u963b\u5bb3\u85ac<\/h3>\n<p>\u814e\u81d3\u3067\u306e\u30d6\u30c9\u30a6\u7cd6\u306e\u518d\u5438\u53ce\u3092\u6291\u5236\u3057\u3066\u8840\u7cd6\u5024\u306e\u4e0a\u6607\u3092\u9632\u3050\u85ac\u3067\u3059\u3002<span style=\"color: #ff0000; font-weight: bold;\">\u8fd1\u5e74\u3001\u814e\u81d3\u3084\u5fc3\u81d3\u306e\u6a5f\u80fd\u3092\u4fdd\u3064\u4f5c\u7528\u304c\u898b\u51fa\u3055\u308c\u3066\u6b27\u7c73\u3067\u306f\u6162\u6027\u814e\u81d3\u75c5(CKD)\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/span>\uff082022\u5e747\u6708\u73fe\u5728\u3001\u65e5\u672c\u3067\u3082\u524d\u8ff0\u306e\u30d5\u30a9\u30b7\u30fc\u30ac\u3068\u30ab\u30ca\u30b0\u30eb\u304c\u627f\u8a8d\u3055\u308c\u3066\u3044\u307e\u3059\uff09\u3002<\/p>\n<p>\u3053\u306e\u3088\u3046\u306b\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u306b\u306f\u5207\u308a\u53e3\u304c\u7570\u306a\u308b\u69d8\u3005\u306a\u7a2e\u985e\u304c\u5b58\u5728\u3057\u3066\u3044\u3066\u3001\u304a\u533b\u8005\u3055\u307e\u306f\u3042\u306a\u305f\u306e\u75c5\u72b6\u3092\u7dcf\u5408\u7684\u306b\u6349\u3048\u3066\u3001\u9069\u5207\u306a\u85ac\u3092\u51e6\u65b9\u3057\u3066\u304f\u308c\u308b\u308f\u3051\u3067\u3059\u3002<\/p>\n<h2 class=\"blue-dec\">\u6162\u6027\u814e\u81d3\u75c5(CKD)\u306e\u7cd6\u5c3f\u75c5\u85ac\u7269\u6cbb\u7642<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2021\/07\/665499e166163f6741b690221b00305c-1-450x300.jpg\" alt=\"\u5065\u5eb7\u8a3a\u65ad\u306e\u7d50\u679c\" width=\"450\" height=\"300\" \/><br \/>\n<a href=\"https:\/\/care.diabetesjournals.org\/content\/43\/Supplement_1\/S98\" target=\"_blank\" rel=\"noopener\">2020\u5e74\u7248\u306e\u7c73\u56fd\u7cd6\u5c3f\u75c5\u5b66\u4f1a\u8a3a\u7642\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3<\/a>\u3067\u306f\u3001\u307e\u305a\u7b2c\u4e00\u306b<br \/>\n\u2460\u30e1\u30c8\u30db\u30eb\u30df\u30f3\uff08\u6ce81\uff09\u3068\u300c\u98df\u4e8b\u3084\u904b\u52d5\u3001\u4f53\u91cd\u7ba1\u7406\u306a\u3069\u306e\u751f\u6d3b\u7fd2\u6163\u6539\u5584\u300d\u3067\u6cbb\u7642\u3092\u884c\u3044\u3001<br \/>\n\u2461eGFR\u304c30\uff5e60\u306e\uff08\u307e\u305f\u306f\u5c3f\u4e2d\u30a2\u30eb\u30d6\u30df\u30f3\/\u30af\u30ec\u30a2\u30c1\u30cb\u30f3\u6bd4\u304c30\u3092\u4e0a\u56de\u308b\uff09\u814e\u6a5f\u80fd\u4f4e\u4e0b\u304c\u3042\u308b\u5834\u5408\u306fSGLT2\u963b\u5bb3\u85ac\u3092\u8ffd\u52a0\u3057\u3066\u6cbb\u7642\u3059\u308b\u3053\u3068\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\uff08\u6ce82\uff09\u3002<br \/>\n\u6ce81\uff1a\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u306feGFR30\u672a\u6e80\u3084\u91cd\u5ea6\u306e\u809d\u6a5f\u80fd\u969c\u5bb3\u3001\u598a\u5a66\u306a\u3069\u8907\u6570\u306e\u7981\u5fcc\uff08\u98f2\u3093\u3067\u306f\u3044\u3051\u306a\u3044\u72b6\u614b\uff09\u304c\u3042\u308b\u306e\u3067\u3001\u7981\u5fcc\u306b\u5f53\u3066\u306f\u307e\u3089\u306a\u3044\u3053\u3068\u304c\u670d\u7528\u306e\u6761\u4ef6\u3067\u3059\u3002<br \/>\n\u6ce82\uff1aSGLT2\u963b\u5bb3\u85ac\u304c\u4f7f\u3048\u306a\u3044\u5834\u5408\u306fGLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u304c\u63a8\u5968\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n<p><span style=\"color: #ff0000; font-weight: bold;\">\u203b\u91cd\u8981\uff012022\u5e742\u6708\u8ffd\u8a18<\/span><br \/>\n2022\u5e74\u7248\u306e\u30ac\u30a4\u30c9\u30e9\u30a4\u30f3\u3067\u306f\u300c\u30e1\u30c8\u30db\u30eb\u30df\u30f3\u3092\u7b2c\u4e00\u9078\u629e\u85ac\u3068\u3059\u308b\u300d\u8a18\u8ff0\u304c\u6d88\u3048\u3066\u3001<span style=\"color: #ff0000;\">\u6162\u6027\u814e\u81d3\u75c5\u3084\u5fc3\u4e0d\u5168\u304c\u3042\u308b\u7cd6\u5c3f\u75c5\u306e\u5834\u5408\u306b\u306f\u3001\u6700\u521d\u304b\u3089SGLT2\u963b\u5bb3\u85ac\u3084GLP-1\u53d7\u5bb9\u4f53\u4f5c\u52d5\u85ac\u306e\u6295\u4e0e\u304c\u63a8\u5968\u3055\u308c\u307e\u3057\u305f\u3002<\/span><\/p>\n<h2 class=\"blue-dec\">\u65e5\u672c\u306b\u304a\u3051\u308bSGLT2\u963b\u5bb3\u85ac\u306e\u5be9\u67fb\u72b6\u6cc1<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2019\/01\/239013d940e61b9052aee73934c84fa2-450x300.jpg\" alt=\"\u30dd\u30ea\u30d5\u30a1\u30fc\u30de\u30b7\u30fc\u3000\u591a\u5264\u670d\u7528\" width=\"450\" height=\"300\" \/><br \/>\n2021\u5e741\u670827\u65e5\u3001SGLT2\u963b\u5bb3\u85ac<a href=\"https:\/\/www.astrazeneca.co.jp\/media\/press-releases1\/2021\/2021012802.html\" target=\"_blank\" rel=\"noopener\">\u300c\u30d5\u30a9\u30b7\u30fc\u30ac\u300d\u304c\u6162\u6027\u814e\u81d3\u75c5(CKD)\u6cbb\u7642\u85ac\u3068\u3057\u3066\u512a\u5148\u5be9\u67fb\u54c1\u76ee\u306e\u6307\u5b9a<\/a>\u3092\u53d7\u3051\u307e\u3057\u305f\u3002<br \/>\n\u30d5\u30a9\u30b7\u30fc\u30ac\u306feGFR25\uff5e75\u672a\u6e80\u3067\u30a2\u30eb\u30d6\u30df\u30f3\u5c3f\u304c\u5897\u52a0\u3057\u305f4,304\u4f8b\u306e\u6162\u6027\u814e\u81d3\u75c5(CKD)\u60a3\u8005\u306b\u304a\u3044\u3066\u3001\u7cd6\u5c3f\u75c5\u306e\u6709\u7121\u306b\u95a2\u308f\u3089\u305a\u814e\u6a5f\u80fd\u306e\u4f4e\u4e0b\u3092\u6291\u5236\u3057\u305f\u3068\u306e\u3053\u3068\u3067\u3059\u3002<br \/>\n\u30ab\u30ca\u30b0\u30eb\u3084\u30b8\u30e3\u30c7\u30a3\u30a2\u30f3\u30b9\u3068\u3044\u3063\u305f\u4ed6\u306eSGLT2\u963b\u5bb3\u85ac\u3082\u6162\u6027\u814e\u81d3\u75c5(CKD)\u6cbb\u7642\u85ac\u3068\u3057\u3066\u306e\u958b\u767a\u304c\u9032\u3093\u3067\u3044\u307e\u3059\u3002<br \/>\n\u6b27\u7c73\u3067\u306f2\u578b\u7cd6\u5c3f\u75c5\u306e\u6709\u7121\u306b\u95a2\u308f\u3089\u305a\u6162\u6027\u814e\u81d3\u75c5(CKD)\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f\u8a8d\u3055\u308c\u3066\u3044\u308b\u3053\u3068\u304b\u3089\u3001\u65e5\u672c\u3067\u3082\u5e83\u304f\u4f7f\u3048\u308b\u3088\u3046\u306b\u306a\u308b\u3068\u671f\u5f85\u3055\u308c\u307e\u3059\u3002\u203b\u8ffd\u8a18\u30002021\u5e748\u6708\u306b\u30d5\u30a9\u30b7\u30fc\u30ac\u306f\u6162\u6027\u814e\u81d3\u75c5\uff08CKD\uff09\u6cbb\u7642\u85ac\u3068\u3057\u3066\u65e5\u672c\u3067\u3082\u4f7f\u3046\u3053\u3068\u304c\u51fa\u6765\u308b\u3088\u3046\u306b\u306a\u308a\u30012022\u5e746\u6708\u306b\u306f\u30ab\u30ca\u30b0\u30eb\u304c\u627f\u8a8d\u3055\u308c\u307e\u3057\u305f\u3002<\/p>\n<h2 class=\"blue-dec\">\u304a\u308f\u308a\u306b<\/h2>\n<p><img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/juntan.net\/blog\/wp-content\/uploads\/2019\/01\/4f259a45ad477ad89de23c644029f3f5-450x300.jpg\" alt=\"\u5973\u533b\u3000\u8a3a\u5bdf\" width=\"450\" height=\"300\" \/><br \/>\n\u8840\u6db2\u691c\u67fb\u3067\u8840\u7cd6\u5024\u304c\u9ad8\u304b\u3063\u305f\u308a\u3001HbA1c\uff08\u30d8\u30e2\u30b0\u30ed\u30d3\u30f3A1c\uff09\u3084\u7cd6\u5316\u30a2\u30eb\u30d6\u30df\u30f3\u304c\u9ad8\u3044\u5834\u5408\u306b\u306f\u3001<\/p>\n<table style=\"border-collapse: collapse; width: 100%;\">\n<tbody>\n<tr>\n<td style=\"width: 100%;\">\u2460\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u304c\u51e6\u65b9\u3055\u308c\u3066\u3044\u308b\u304b\uff1f<\/td>\n<\/tr>\n<tr>\n<td style=\"width: 100%;\">\u2461\u3069\u3093\u306a\u7a2e\u985e\u306e\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u3092\u98f2\u3093\u3067\u3044\u308b\u306e\u304b\uff1f<\/td>\n<\/tr>\n<\/tbody>\n<\/table>\n<p>\u304a\u624b\u5143\u306e\u304a\u85ac\u624b\u5e33\u3067\u78ba\u8a8d\u3057\u3066\u307f\u3066\u304f\u3060\u3055\u3044\u306d\u3002<\/p>\n<p><a href=\"https:\/\/juntan.net\">\u3010\u7d14\u70ad\u7c89\u672b\u516c\u5f0f\u5c02\u9580\u5e97\u3011\u30c8\u30c3\u30d7\u30da\u30fc\u30b8\u306f\u3053\u3061\u3089<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u3053\u3093\u306b\u3061\u306f\u3001\u7d14\u70ad\u793e\u9577\u306e\u6a0b\u53e3\u3067\u3059\u3002 2021\u5e748\u6708\u306b\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u3067\u3042\u308b\u30d5\u30a9\u30b7\u30fc\u30ac\u304c\u6162\u6027\u814e\u81d3\u75c5\u6cbb\u7642\u85ac\u3068\u3057\u3066\u4f7f\u3048\u308b\u3088\u3046\u306b\u306a\u308a\u307e\u3057\u305f\u3002\u66f4\u306b2022\u5e746\u6708\u306b\u306f\u7cd6\u5c3f\u75c5\u6cbb\u7642\u85ac\u30ab\u30ca\u30b0\u30eb\u304c\u300c2\u578b\u7cd6\u5c3f\u75c5\u3092\u5408\u4f75\u3059\u308b\u6162\u6027\u814e\u4e0d\u5168\u300d\u306e\u6cbb\u7642\u85ac\u3068\u3057\u3066\u627f [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":15395,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[5,16,19],"tags":[],"class_list":["post-12284","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-kidney-disease","category-diagnosis-and-treatment","category-medicine"],"acf":[],"_links":{"self":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts\/12284","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/comments?post=12284"}],"version-history":[{"count":1,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts\/12284\/revisions"}],"predecessor-version":[{"id":15954,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/posts\/12284\/revisions\/15954"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/media\/15395"}],"wp:attachment":[{"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/media?parent=12284"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/categories?post=12284"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/juntan.net\/blog\/wp-json\/wp\/v2\/tags?post=12284"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}