{"id":315,"date":"2019-10-09T08:30:00","date_gmt":"2019-10-08T23:30:00","guid":{"rendered":"https:\/\/kamiuchidm-clinic.com\/blog\/?p=315"},"modified":"2022-12-16T21:35:01","modified_gmt":"2022-12-16T12:35:01","slug":"accord%e8%a9%a6%e9%a8%93","status":"publish","type":"post","link":"https:\/\/kamiuchidm-clinic.com\/blog\/?p=315","title":{"rendered":"ACCORD\u8a66\u9a13"},"content":{"rendered":"\n<p>\u7cd6\u5c3f\u75c5\u306e\u5408\u4f75\u75c7\u306b\u3064\u3044\u3066\u3001DCCT\u3084UKPDS\u3067HbA1c\u3092\u4e0b\u3052\u308b\u3068\u7d30\u5c0f\u8840\u7ba1\u75c7\u306e\u4e88\u9632\u306b\u3064\u306a\u304c\u308b\u3053\u3068\u306f\u3059\u3067\u306b\u8a3c\u660e\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u5927\u8840\u7ba1\u75c7\u306b\u3064\u3044\u3066\u306f\u4eca\u4e00\u3064\u306f\u3063\u304d\u308a\u3057\u306a\u304b\u3063\u305f\u306e\u3067\u3059\u3002\u7279\u306b\u53b3\u683c\u306b\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u884c\u3044\u3001HbA1c\u3092\u6b63\u5e38\u57df\u307e\u3067\u4e0b\u3052\u308b\u3068\u5927\u8840\u7ba1\u75c7\u4e88\u9632\u306b\u3064\u306a\u304c\u308b\u304b\u3069\u3046\u304b\u691c\u8a0e\u3057\u305f\u306e\u304cACCORD (Action to Control Cardiovascular Risk in Diabetes) \u8a66\u9a13\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u3053\u306e\u8abf\u67fb\u306f\u5fc3\u8840\u7ba1\u75be\u60a3\u306e\u9ad8\u30ea\u30b9\u30af\u306e\u7cd6\u5c3f\u75c5\u60a3\u8005\u3092\u5bfe\u8c61\u306b\u3001\u76ee\u6a19HbA1c\u5024\u3092\u5f37\u5316\u7642\u6cd5\u7fa4\u306f\uff1c6.0\uff05\uff0c\u6a19\u6e96\u7642\u6cd5\u7fa4\u306f7.0\uff5e7.9\uff05\u3068\uff12\u7fa4\u306b\u5206\u3051\u8abf\u67fb\u3057\u307e\u3057\u305f\u3002\u7d50\u679c\u306f\u5f37\u5316\u7642\u6cd5\u7fa4\u306e\u6b7b\u4ea1\u7387\u304c\u6a19\u6e96\u7642\u6cd5\u7fa4\u306e\u305d\u308c\u3088\u308a\u5897\u52a0\u3057\u3066\u3044\u305f\uff08\u5343\u30fb\u4eba\u30fb\u5e74\u3042\u305f\u308a14\u5bfe11\uff09\u3053\u3068\u304c\u8abf\u67fb\u306e\u9014\u4e2d\u3067\u5224\u660e\u3057\u3001\u3053\u306e\u8abf\u67fb\u3092\u4e2d\u6b62\u3059\u308b\u3068\u3044\u3046\u9a5a\u304f\u3079\u304d\u767a\u8868\u304c\u306a\u3055\u308c\u305f\u306e\u3067\u3059\u3002<\/p>\n\n\n\n<p>\u305d\u306e\u5f8c\u3001\u3069\u3046\u3057\u3066\u53b3\u683c\u306b\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3059\u308b\u3068\u6b7b\u4ea1\u7387\u304c\u4e0a\u6607\u3059\u308b\u306e\u304b\u691c\u8a0e\u3092\u3059\u308b\u3068\u3001\u30a4\u30f3\u30b9\u30ea\u30f3\u7b49\u3067\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u3059\u308b\u969b\u306b\u3001\u91cd\u75c7\u4f4e\u8840\u7cd6\u3092\u8d77\u3053\u3059\u3053\u3068\u3067\u3053\u308c\u304c\u5fc3\u4e0d\u5168\u306a\u3069\u306e\u81f4\u6b7b\u7684\u5408\u4f75\u75c7\u3092\u60f9\u8d77\u3059\u308b\u306e\u3067\u306f\u306a\u3044\u304b\u3068\u3044\u3046\u7d50\u8ad6\u306b\u81f3\u308a\u307e\u3057\u305f\u3002<\/p>\n\n\n\n<p>\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u306e\u8cea\u306b\u3082\u7126\u70b9\u304c\u3042\u3066\u3089\u308c\u305f\u753b\u671f\u7684\u306a\u5831\u544a\u3067\u3057\u305f\u3002\u4eca\u3067\u306f\u3001\u65e5\u672c\u306e\u7cd6\u5c3f\u75c5\u81e8\u5e8a\u3067\u306f\u4f4e\u8840\u7cd6\u3092\u3067\u304d\u308b\u9650\u308a\u8d77\u3053\u3055\u306a\u3044\u3088\u3046\u306b\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3057\u3066\u3044\u304f\u3088\u3046\u3001\u610f\u8b58\u3065\u3051\u304c\u3055\u308c\u3066\u3044\u307e\u3059\u3002<\/p>\n\n\n\n<p>\u65e5\u672c\u8a9e\u3067\u306e\u8aac\u660e\u306f<\/p>\n\n\n\n<p><a href=\"https:\/\/www.ebm-library.jp\/diabetes\/trial\/detail\/51069.html\">https:\/\/www.ebm-library.jp\/diabetes\/trial\/detail\/51069.html<\/a><\/p>\n\n\n\n<p>(Action to Control Cardiovascular Risk in Diabetes Study Group, , Miller ME, Byington RP, Goff DC, Bigger JT, Buse JB, Cushman WC, Genuth S, Ismail-Beigi F, et al.: Effects of intensive glucose lowering in type 2 diabetes. N Engl J Med 2008; 358: 2545-2559.)<\/p>\n","protected":false},"excerpt":{"rendered":"<p>\u7cd6\u5c3f\u75c5\u306e\u5408\u4f75\u75c7\u306b\u3064\u3044\u3066\u3001DCCT\u3084UKPDS\u3067HbA1c\u3092\u4e0b\u3052\u308b\u3068\u7d30\u5c0f\u8840\u7ba1\u75c7\u306e\u4e88\u9632\u306b\u3064\u306a\u304c\u308b\u3053\u3068\u306f\u3059\u3067\u306b\u8a3c\u660e\u3055\u308c\u3066\u3044\u307e\u3057\u305f\u304c\u3001\u5927\u8840\u7ba1\u75c7\u306b\u3064\u3044\u3066\u306f\u4eca\u4e00\u3064\u306f\u3063\u304d\u308a\u3057\u306a\u304b\u3063\u305f\u306e\u3067\u3059\u3002\u7279\u306b\u53b3\u683c\u306b\u8840\u7cd6\u30b3\u30f3\u30c8\u30ed\u30fc\u30eb\u3092\u884c\u3044\u3001HbA1c&hellip;<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2],"tags":[],"class_list":["post-315","post","type-post","status-publish","format-standard","hentry","category-ebm"],"_links":{"self":[{"href":"https:\/\/kamiuchidm-clinic.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/315","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/kamiuchidm-clinic.com\/blog\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/kamiuchidm-clinic.com\/blog\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/kamiuchidm-clinic.com\/blog\/index.php?rest_route=\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/kamiuchidm-clinic.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=315"}],"version-history":[{"count":3,"href":"https:\/\/kamiuchidm-clinic.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/315\/revisions"}],"predecessor-version":[{"id":1823,"href":"https:\/\/kamiuchidm-clinic.com\/blog\/index.php?rest_route=\/wp\/v2\/posts\/315\/revisions\/1823"}],"wp:attachment":[{"href":"https:\/\/kamiuchidm-clinic.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=315"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/kamiuchidm-clinic.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=315"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/kamiuchidm-clinic.com\/blog\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=315"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}