{"created":"2023-06-19T11:22:28.809726+00:00","id":94,"links":{},"metadata":{"_buckets":{"deposit":"9732da2e-0be6-4600-a6f0-9fa09734ca70"},"_deposit":{"created_by":12,"id":"94","owners":[12],"pid":{"revision_id":0,"type":"depid","value":"94"},"status":"published"},"_oai":{"id":"oai:jichi-ir.repo.nii.ac.jp:00000094","sets":["14:20"]},"author_link":["774","775","776","777","778","779","780","767","768","769","770","771","772","773"],"item_2_biblio_info_7":{"attribute_name":"書誌情報","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2016-03","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"51","bibliographicPageStart":"47","bibliographicVolumeNumber":"38","bibliographic_titles":[{"bibliographic_title":"自治医科大学紀要"},{"bibliographic_title":"Jichi Medical University Journal","bibliographic_titleLang":"en"}]}]},"item_2_description_5":{"attribute_name":"抄録","attribute_value_mlt":[{"subitem_description":"症例は65歳男性。２型糖尿病の診断でグリメピリド１mg/日を内服した状態で当院紹介となり，初診時の空腹時血糖129㎎/dl，HbA1c（JDS）5.3％でコントロール良好であった。2005年４月まではHbA1c（JDS）５％台で推移していたが，2005年６月空腹時血糖147㎎/dl，HbA1c（JDS）8.1％とHbA1cの上昇を認めた。治療強化を行ったがHbA1c（NGSP）７～８％と改善を認めず，一方で問診上昼食前等の低血糖が疑われた。2014年に，本患者の長女がHbA1c高値からHb Toranomonであることが判明した。本患者のCGMでは血糖値とHbA1c値が乖離していることが判明し，遺伝子検査の結果，長女と同様，Hb Toranomonを認めた。Hb Toranomon患者において，旧式のHbA1c測定法では，Tosoh G3では概ね血糖を反映し，Arkray HA-8150では他の測定法と比較して低く測定されるが，Tosoh G5以降の新機種では高く測定されると報告されている。本症例においても，当院におけるHPLC測定法の変更（Arkray HA-8150→Tosoh G7）時期とHbA1cの上昇時期は合致していた。臨床上注意すべきと考え報告する。","subitem_description_type":"Abstract"}]},"item_2_full_name_3":{"attribute_name":"著者別名","attribute_value_mlt":[{"nameIdentifiers":[{}],"names":[{"name":"Masayo, Isoda","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Shoichiro, Nagasaka","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Syuichi, Nagashima","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Akihiko, Ando","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Kenta, Okada","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Ken, Ebihara","nameLang":"en"}]},{"nameIdentifiers":[{}],"names":[{"name":"Shun , Ishibashi","nameLang":"en"}]}]},"item_2_publisher_8":{"attribute_name":"出版者","attribute_value_mlt":[{"subitem_publisher":"自治医科大学"}]},"item_2_source_id_9":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"1881-252X","subitem_source_identifier_type":"PISSN"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"磯田, 雅代","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"長坂, 昌一郎","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"永島, 秀一","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"安藤, 明彦","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"岡田, 健太","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"海老原, 健","creatorNameLang":"ja"}],"nameIdentifiers":[{}]},{"creatorNames":[{"creatorName":"石橋, 俊","creatorNameLang":"ja"}],"nameIdentifiers":[{}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2016-06-01"}],"displaytype":"detail","filename":"自治医科大学紀要1881-252X  第38巻 p47-51 2016.3.pdf","filesize":[{"value":"525.9 kB"}],"format":"application/pdf","licensetype":"license_11","mimetype":"application/pdf","url":{"label":"自治医科大学紀要1881-252X  第38巻 p47-51 2016.3","url":"https://jichi-ir.repo.nii.ac.jp/record/94/files/自治医科大学紀要1881-252X  第38巻 p47-51 2016.3.pdf"},"version_id":"aceb2c66-7c73-44c3-b2ba-eaf212a63bec"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"異常ヘモグロビン症","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Hb Toranomon","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"HPLC","subitem_subject_language":"ja","subitem_subject_scheme":"Other"},{"subitem_subject":"Hb Toranomon","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"high performance liquid chromatography","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"Variant hemoglobins","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"jpn"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"departmental bulletin 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