title: Managing Type 2 Diabetes Mellitus through Periodical Hospital Visits in the Aftermath of the Great East Japan Earthquake Disaster: A Retrospective Case Series.
abstract: OBJECTIVE
  To assess the impact of the Great East Japan Earthquake Disaster on daily diabetes practice and to determine the feasibility of controlling type 2 diabetes mellitus in an outpatient department.
  
  
  METHODS
  We retrospectively reviewed the data on disaster-affected patients with type 2 diabetes who periodically attended outpatient department of Soma Central Hospital. There were 767 patients with type 2 diabetes mellitus in total. The primary outcome measure was the change in HbA1c.
  
  
  RESULTS
  HbA1c levels of 58 patients with periodical hospital visits did not deteriorate after the disasters. Moreover, there observed no significant difference in the mean of HbA1c levels among all age and sex throughout the year. While several changes in diabetes medication usage occurred, DPP4-inhibitor was the only oral diabetic agent that increased in frequency (+60%).
  
  
  CONCLUSIONS
  Patients with type 2 diabetes who were managed with periodical hospital visits did not show significant deterioration in HbA1c levels.
authors.affiliation: Department of Internal Medicine, Soma Central Hospital, 3-5-18 Okinouchi, Soma, Fukushima, Japan.
authors.forename: Yoshitaka
authors.initials: Y
authors.lastname: Nishikawa
authors.affiliation: Department of Internal Medicine, Soma Central Hospital, 3-5-18 Okinouchi, Soma, Fukushima, Japan.
authors.forename: Yuji
authors.initials: Y
authors.lastname: Fukuda
authors.affiliation: Department of Radiation Protection, Soma Central Hospital, 3-5-18 Okinouchi, Soma, Fukushima, Japan; Division of Social Communication System for Advanced Clinical Research, the Institute of Medical Science, University of Tokyo, 4-6-1 Shirokanedai, Minato-ku, Tokyo, Japan.
authors.forename: Masaharu
authors.initials: M
authors.lastname: Tsubokura
authors.affiliation: Department of Radiation Protection, Soma Central Hospital, 3-5-18 Okinouchi, Soma, Fukushima, Japan.
authors.forename: Shigeaki
authors.initials: S
authors.lastname: Kato
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Imperial College London, Norfolk Place, London, United Kingdom.
authors.forename: Shuhei
authors.initials: S
authors.lastname: Nomura
authors.affiliation: Department of Internal Medicine, Soma Central Hospital, 3-5-18 Okinouchi, Soma, Fukushima, Japan.
authors.forename: Yasutoshi
authors.initials: Y
authors.lastname: Saito
mesh_terms: D000368:Aged; D001786:Blood Glucose / Q000032:analysis*; D003924:Diabetes Mellitus, Type 2 / Q000188:drug therapy*; D018819:Dipeptidyl Peptidase 4 / Q000378:metabolism; D054873:Dipeptidyl-Peptidase IV Inhibitors / Q000627:therapeutic use; D004190:Disasters; D055866:Earthquakes; D005260:Female; D062406:Fukushima Nuclear Accident; D006442:Glycated Hemoglobin / Q000032:analysis*; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D007564:Japan; D008297:Male; D008875:Middle Aged; D010044:Outpatient Clinics, Hospital; D012189:Retrospective Studies; D057192:Tsunamis
chemical_list: D001786:Blood Glucose; D018819:Dipeptidyl Peptidase 4; D054873:Dipeptidyl-Peptidase IV Inhibitors; D006442:Glycated Hemoglobin; D007328:Insulin; C517652:hemoglobin A1c protein, human; C042807:DPP4 protein, human