??????????????????

1
??????????

• ??????
• ?????

2
????????????

• ??????????????????????????????????

3
????????????

• ??????????????????????????????????
• ??????????????????????????????

4
????????????

• ??????????????????????????????????
• ??????????????????????????????
• 2????????????????????????

5
????????????

• ??????????????????????????????????
• ??????????????????????????????
• 2????????????????????????
• ??????????????????????????????????????

6
??????????????

• ????????????????1????????????????????????????????
  ????????????????????
• ???????????????????????????????????
• ??????????????????????????????
• ????????
• ???????????????????????????????????????????????

7
????????
???????126mg/dl ??? ??????200mg/dl
??? 75gOGTT2????200mg/dl
????
??????(??????????) ?HbA1c?6.5 ???????
???????
?????? ????2??? ???????1?

8
??????

• 1?(ß????????????????????)
• A.?????
• B.???
• 2?(???????????????????????????????????????????????
  ???????)
• ?????????????????
• A.????????????????????
• B.????????????
• ?????

9
???????????
10
???????????
11
???????????
12
2???????
1.???? 2.???? 3.??????????? ?????
?????????? ????????????
13
????
14
????????

• ???????????????????????
• (1)?????????(2)????????????????????????
• ??????????
• ???? x (2535 ) kcal
• ????(kg)??(m)x??(m) x 22

15
?????????

• ???????????????????
• ???????????????
• ???????????(????????)?????
• ???????????????????????????????????
• 3?????????????????????????

16
?????
17
1600??????????
1??80?????? ?20??(1600kcal)
?
?
?
18
?????????

• 1.???????????6?????????(?1-6)
• 2.1??80kcal
• ?????1????6??1??2??????1?3??
• ?????????1??1??
• ??1?????1???1??(80g)??1????1??
• ???1??????1/3??1??
• ???1?(200ml)?1.4??
• ?????1??1??
• ?????????????????
• ??1??????1???( )??
• 3.??????(?)????????

19
?????????

• 1.???????????6?????????(?1-6)
• 2.1??80kcal
• ?????1????6??1??2??????1?3??
• ?????????1??1??
• ??1?????1???1??(80g)??1????1??
• ???1??????1/3??1??
• ???1?(200ml)?1.4??
• ?????1??1??
• ?????????????????
• ??1??????1???(2)??
• 3.??????(?)????????

20
1?????????????
1??80kcal
21
1600??????????
?
?
?
1??80??????
22
1600??????????
23
1600??????????
24
1600??????????
25
1600??????????
26
????
27
????

• ??????????????????
• ????????????????(???100120/?)
• ?????(????)?????
• 1?30?60???4?????????????????????????
• ?????????????????????????????

28
????????????????????

• ??????250mg/dl???????????????????????????????????
  ????

29
????
30
????????

• ???????
• (1)???????(SU)?
• (2)????????????? (3)?????????
• (4)??????????
• (5)a??????????
• ???????????????????????????
• ???????
• ????????????

31
???????
32
???????

• 1.??????????
• ????????
• ?????????????
• 2.???????????
• ?????????
• ??????????
• 3.??????
• a?????????????

33
???????(SU)?

• ??????????????????
• ?????????
• ??????2????????

34
?????????????

• ???????????????????????
• ????????
• ?????????????????
• SU????????

35
?????????

• ??????????????????????????
• ????????????????????????
• ?????????????????

36
?????????(BG)?

• ????????????????????????
• ???????????????????????
• ?????????????????????????

37
a??????????(aGI)

• ??????????????????????????????
• ??????
• ??????????????????????
• ????????????(?????????????)??????

38
???????????

• ???????????????
• ??????????????????HbA1c?8?????
• ????????????????????????????????????????
• ??????????????2?????????????????
• ??????????HbA1c 6.5????????????2-3???????????

39
???????????

• ???????????
• 1????
• ?????
• ??????????
• ????????????????
• ??????????
• ???????????
• ??????200mg/dl??????????????????
• ????350mg/dl????????????
• ????????????????aGI??????SU?????????????????HbA1c?
  ????8??????????

40
??????????????

• 1?????????????????????????????????????????????????
  ????????
• 2????????????????????????????????
• ???????????????????????
• 2???????????????????????????
• ???????????????

41
????????(?????????)

• 1.????
• ????3-5????????
• 2.???
• ????5-8?????30???
• 3.???
• ????18-24???1?1-2???
• 4.???
• (1)????????(????25?30?50??)
• (2)???????(???10-50??)
• 5.?????
• ???????????????24???1?1???

42
????????(?????????)

• 1.????????????
• ?????????????????????
• ???????????????????
• 2.??????????
• ?????(???)???????????
• ??????????????????
• 3.?????
• ?????(?????????????)???????????
• 4.????

43
????
44
??????
45
???????
46
???????
47
??????????
48
?????
49
?????????
?? ?? ????????? ?????????
???? ???? ??? ??????????????????
??? ??? ??30? ?????R????????R???????R??????R
??? ??? ??????30????? ?????N????????N???????N??????N
??? ???????? ??? ?????????30????????????????25?50
??? ??????? ??30? ?????10-30R????????3/7???????10-50R??????30R
????? ????? 1?1??? ????
50
??????????

• ????????
• ?????????????????????????????????????????????????
  ??
• ???????????????????????????????
• ??
• ?????????1??2????
• ????????????????????
• ????????????????????????

51
(No Transcript)
52
??????
53
?????????(1)???????

• ??????????????????????????????????
• ?????????(??????????????)
• ??????????1?/?
• ?????????1?/3-6??
• ???????????????????
• ??????????????????????????????

54
?????????(2)??????

• ??????????????????(???????Cr???)
• ?????????lt30mg/g??????
• ?????????30-299mg/g??????
• ?????gt300mg/g??????
• ?????????????????(ARB?ACE????????)?????
• ???2-3????????????

55
?????????(3)????????

• ????????????(?????)?????B12????????NSAID???????
• ????????????

56
????????(1)?????????

• ??????????
• ??
• ???????????

57
????????(2)???????

• ??????????????????????
• ????????????????????

58
??????????????

• ?????????
• ????? 130mmHg ??
• ??
• ????? 80mmHg ??
• ????????????(ACE)?????????????II??????(ARB)???????
  Ca??????????????????????????????????????ß????a????
  ????????

59
???????????????

• ??????????
• LDL???????120mg/dl??
• (????????????100mg/dl??)
• ????????200mg/dl??
• (???????????180mg/dl??)
• ????150mg/dl??(?????)
• HDL-???????40mg/dl??
• ?????????????????????

60
???????(?????)

• ??
• ???????
• ???????????????????
• ????????1-2????????????
• ??????????????????????????????????
• ???????????????????????????????????????

61
???(1)????????????

1. ?????????
2. ??????????????
3. ????????????
4. 2??????????????
5. ????????????????????????????????????

62
???(2)??????????

• ???? 180mg/dl??
• HbA1c 6.5??
• ?? 130/80mmHg??
• LDL??????? 120mg/dl??
• (???????? 200mg/dl??
• HDL??????? 40mg/dl??)
• ???? 150mg/dl??

63
2007??????
??????????????