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KMID : 0361419850090020138
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Journal of Korean Academy of Rehabilitation Medicine
1985 Volume.9 No. 2 p.138 ~ p.144
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Glucose Intolerance in Chronic Spinal Cord Injuries
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이종신/Lee, Jong Sin
강창희/박영옥/김동은/Kang, Chang Hee/Park, Young Ok/Kim, Dong Eun
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Abstract
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Glucose Intolerance occurs frequently - patients with spinal cord injuries. Also, glucose intolerance in many SCI patients is characterized by hyperinsulinemia after glucose loading orally or intravenously.
The present approach undertook to investigate the glucose intolerance of chronic SCI patients by retrospective chart analysis of 60 consecutive discharges from the Korea Veterans Hospital, and by the screening test of a group of stable chronic SCI 19 cases.
The results are as follows;
I) In a retrospective chart analysis, 2 =a of 60 discharges had hyperglycemia and 33% of 12 discharges had postprandial 2 hours ..perglycemia exceeding 200 mg/dl.
2) In a screening test, 10% of 19 stable SCI patients had fasting hyperglycemia and 58°0 had 2-hour glucose values exceeding 200 mg/dl after glucose 100 gm loading orally.
3) 54% of a group of stable SCI patients 13 cases with glucose intolerance had elevated insulin level, suggesting resistance to endogenous insulin.
4) The resistance in insulin resistant group was not due to abnormalities in glucagon secretion.
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KEYWORD
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