« 3/15(木) | メイン | 3/17(土) »

3/16(金) セミナー参加

◆今日の気持ち
(脳外科 3週目)
・今日の午前中はGFを教えていただこうと思っていたのに、忘れていた!!
・添付文書の確認、しばしば忘れてしまう…

●今の目標
・脳外科を味わいきる

●今日の新患・診断
・薬剤性高脂血症

●今日の病院滞在時間
8時半〜18時半

●今日行ったこと・見たこと・知ったこと
・DMと動脈硬化についてのセミナー参加
 インスリン抵抗性を改善するピグアノイド・チアゾリジンは、のみ始めのBS低下率は低いけれど、SU薬よりもイベント発生率を下げる。またSU薬は数年すると効果がなくなってくる。β細胞も疲れてしまうし。それに、高インスリンの状態は食欲亢進をまねく…
 ピグアノイドは特に肝にきく。50年近くの古さがある安い薬だから研究費もでなくて研究されていなかったけれど、見直されつつある。乳酸アシドーシスという致死的な副作用があって怖がられたけれど、新しい薬は副作用発生率はかなり減っている。VirusやLCがあると使いにくいけれど、脂肪肝・NASHには実はいいのではないかと言われつつある。そして、安い!
 チアゾリジンは末梢の器官、特に脂肪に効く。脂肪が出している悪玉物質を抑える。だからイベントを抑えるには一番よい?? また脂肪が多い、太っている人にこそ、よく効く。特に女性には非常に効く。つまり、浮腫や心不全の副作用も出やすくなる…。女性には半分量の処方からがちょうどいいかもしれない。
 グルコシダーゼ阻害薬。これもけっこうイベント発生率抑える。食後の血糖上昇速度を遅らせるだけでは説明がつかない?
 HOME-R。BSとインスリンのバランスが保たれていればインスリン抵抗性と近似されるけれど、そのバランスが大きく崩れた進行DMでは近似できない。結局、太っている、ことがインスリン抵抗性と相関性が高い。

・抗血小板薬
 胃潰瘍、消化管出血を強く注意。

トラックバック

このエントリーのトラックバックURL:
http://dream-hosp.net/cgi/mt/mt-tb.cgi/2465

コメント

My wife and i felt so cheerful when Louis could carry out his researching while using the precious recommendations he made from your very own web site. It's not at all simplistic to just continually be giving out guidelines that others might have been trying to sell. So we do understand we've got you to give thanks to because of that. The most important explanations you've made, the easy site menu, the friendships your site aid to promote - it's got many fantastic, and it is letting our son and us feel that the idea is enjoyable, and that's pretty indispensable. Thanks for all!

What a lovely day for a 1052993! SCK was here

What a lovely day for a 1362832! SCK was here

Can I just say what a relief to find someone who truly is aware of what theyre talking about on the internet. You definitely know how you can deliver an issue to gentle and make it important. More people need to read this and understand this facet of the story. I cant believe youre no more common since you definitely have the gift.

I have been absent for a while, but now I remember why I used to love this site. Thank you, I will try and check back more often. How frequently you update your site?

What a lovely day for a 4043119! SCK was here

Awesome blog! Do you have any suggestions for aspiring writers? I'm hoping to start my own blog soon but I'm a little lost on everything. Would you advise starting with a free platform like Wordpress or go for a paid option? There are so many choices out there that I'm completely confused .. Any ideas? Thanks!

purpose and chief element is conspicuous waste; and it would be

I'm still learning from you, as I'm trying to reach my goals. I certainly enjoy reading everything that is written on your site.Keep the tips coming. I loved it!

Get AUTO INSURANCE? New, FREE service compares quotes to get you the best and cheapest policy. Need Auto Insurance

ツ。Gran poste! Gracias por tardar la テゥpoca de escribir algo que estテ。 realmente digno de la lectura. Encuentro demasiado a menudo el Info inテコtil y no algo que es realmente relevante. Gracias por su trabajo duro.

Im not that much of a reader to be honest but your sites pretty good, keep it up as I will bookmark ready for my next read

I was just searching for this info for a while. After 6 hours of continuous Googleing, at last I got it in your website. I wonder what's the lack of Google strategy that do not rank this kind of informative web sites in top of the list. Normally the top sites are full of garbage.

Love this site!

I precisely had to say thanks yet again. I do not know what I would've taken care of without the actual tips and hints documented by you directly on my field. It truly was the depressing difficulty for me personally, but noticing a expert approach you dealt with the issue forced me to jump with contentment. I'm just grateful for the support and as well , have high hopes you realize what a powerful job that you're providing teaching some other people with the aid of your blog post. I am sure you have never come across any of us.

Youre so awesome, man! I cant believe I missed this blog for so long. Its just great stuff all round. Your design, man...too amazing! I cant wait to read what youve got next. I love everything that youre saying and want more, more, MORE! Keep this up, man! Its just too good.

Good day! I know this is kind of off topic but I was wondering which blog platform are you using for this website? I'm getting fed up of Wordpress because I've had issues with hackers and I'm looking at options for another platform. I would be awesome if you could point me in the direction of a good platform.

I've also been meditating on the identical issue personally recently. Glad to see a person on the same wavelength! Nice article.

I've also been wondering about the identical issue myself lately. Happy to see a person on the same wavelength! Nice article.

What a lovely day for a 4342676! SCK was here

Good points窶ヲI would note that as someone who really doesn窶冲 write on blogs much (in fact, this may be my first post), I don窶冲 think the term 窶徑urker窶 is very flattering to a non-posting reader. It窶冱 not your fault at all, but perhaps the blogosphere could come up with a better, non-creepy name for the 90% of us that enjoy reading the content .

Hi there this is kind of of off topic but I was wanting to know if blogs use WYSIWYG editors or if you have to manually code with HTML. I'm starting a blog soon but have no coding skills so I wanted to get guidance from someone with experience. Any help would be greatly appreciated!

Hmmm thanks for yet another very interesting post. Where do you receive your inspiration for all this :|?

I just learned about your internet site a few days ago and I have been checking it out regularly. You have a wide range of good informative stuff on the site and i also really like the kind of your website at the same time. Keep up the great work!

Hey There. I found your blog using msn. This is a really well written article. I窶冤l make sure to bookmark it and return to read more of your useful information. Thanks for the post. I窶冤l definitely return.

hi!,I like your writing very much! share we communicate more about your article on AOL? I require a specialist on this area to solve my problem. Maybe that's you! Looking forward to see you.

Generally I do not read article on blogs, but I wish to say that this write-up very forced me to try and do so! Your writing style has been surprised me. Thanks, quite nice post.

What a lovely day for a 1010974! SCK was here

You completed certain good points there. I did a search on the theme and found mainly persons will consent with your blog.

What a lovely day for a 3369159! SCK was here

hey there and thank you for your info 窶 I窶况e definitely picked up anything new from right here. I did however expertise some technical issues using this site, since I experienced to reload the site many times previous to I could get it to load correctly. I had been wondering if your web host is OK? Not that I am complaining, but slow loading instances times will often affect your placement in google and could damage your high quality score if advertising and marketing with Adwords. Anyway I窶冦 adding this RSS to my e-mail and can look out for much more of your respective fascinating content. Make sure you update this again very soon..

Great website. A lot of useful info here. I窶冦 sending it to several friends ans also sharing in delicious. And obviously, thanks for your sweat!

He ist dieses ein groテ歹r Pfosten. Kann ich einen Teil auf ihm auf meinem Aufstellungsort benutzen? Ich wテシrde selbstverstテ、ndlich mit Ihrem Aufstellungsort verbinden, also konnten Leute den vollen Artikel lesen, wenn sie zu wテシnschten. Dankt jeder Weise.

It窶冱 really a nice and useful piece of info. I窶冦 glad that you shared this useful info with us. Please keep us informed like this. Thank you for sharing.

Wow, marvelous blog layout! How long have you been blogging for? you make blogging look easy. The overall look of your site is magnificent, let alone the content!

Wow, wonderful blog layout! How long have you been blogging for? you made blogging look easy. The overall look of your web site is excellent, let alone the content!

It窶冱 really a great and helpful piece of information. I am glad that you shared this helpful information with us. Please keep us informed like this. Thank you for sharing.

The following time I read a weblog, I hope that it doesnt disappoint me as a lot as this one. I imply, I do know it was my option to learn, but I really thought youd have one thing attention-grabbing to say. All I hear is a bunch of whining about something that you would fix in case you werent too busy in search of attention.

Wow! Thank you! I constantly needed to write on my site something like that. Can I include a portion of your post to my blog?

Since i must talk about the fact that review is marvelous which help you knowledgeable a whole lot of tasks current information. I got plenty of practice i believe finally. Great this. I hope you are able to keep planning and in addition save percentage different important information which i how to start up to this point.

I just got to articulate how the writing is undoubtedly wonderful that will make us mastered a bunch of objects press. I bought sufficient suggestion in my mind right away. Thank you this particular. Do you can continue to keep started and also stop display latest guidance we have do not and.

You made some respectable points there. I looked on the internet for the problem and found most individuals will associate with together with your website.

This is very interesting, You're a very skilled blogger. I've joined your feed and look forward to seeking more of your excellent post. Also, I have shared your website in my social networks!

I personally really think your posting is really brilliant which aid i am trained a whole lot of information media. I got lots of perception i believe at this point. Very good this excellent. I think you will can sometimes really going and then stay portion all new data that people need ideas at this point.

Thought provoking, and I will need to ponder this more.. bookmarked. Aspire to observe a good revise quickly!

I used to be very pleased to find this net-site.I wanted to thanks to your time for this wonderful read!! I definitely enjoying every little little bit of it and I've you bookmarked to check out new stuff you weblog post.

What窶冱 Happening i'm new to this, I stumbled upon this I've found It absolutely useful and it has aided me out loads. I hope to contribute & aid other users like its helped me. Good job.

コメントを投稿