Diabetes, Endocrinology, Metabolism

• Introduction
• Characteristics of this department
• Outpatient schedule
• Medical track record of the clinical department
• Medical devices
• Academically certified facility
• Regarding clinical research

Introduction

All of the doctors in our department are specialists certified by the Diabetes Society.
We work closely with not only doctors, but also nurses (who provide foot care and lifestyle advice), pharmacists (who advise on the appropriate use of diabetic medication), registered dietitians (who suggest the best dietary therapy for each individual), and physiotherapists (who suggest exercise therapy), and strive to provide team medical care based on the latest knowledge.
We also have a specialist in endocrine disorders on staff, and can treat various hormonal disorders (endocrine disorders) and electrolyte abnormalities.

Characteristics of this department

As of 2021, 529 million people in the world (6.1% of the population) have diabetes, and we like in an era where 1 in every 10 adults in the world has diabetes.

The "Western Pacific region" (Japan, Australia, New Zealand, China, India, Mongolia, Myanmar, etc.) is known to be the region with the largest diabetic population in the world. Japan's diabetic population in 2021 is estimated to be 11 million, making it the 9th largest diabetic country in the world. It can already be said to be a national disease.

Although they both cause chronic hyperglycemia, diabetes is not a single type of disease, but is broadly divided into "type 1 diabetes," "type 2 diabetes," and "diabetes due to other causes." Type 2 diabetes, especially the type that is thought to be based on obesity, is on the rise now, accounting for 90% of all diabetes cases.

The main factors that cause type 2 diabetes are 1) aging 2) obesity 3) lack of physical activity 4) family history.

The fact that Japan has become an aging society (aging) and whether or not you have many genes that make you susceptible to diabetes (family history) are not something you can do on your own. However, maintaining a proper daily diet and amount of physical activity to aim for a body that is less prone to obesity is a way to prevent and treat diabetes yourself.

From this point of view, diabetes can be said to be a disease that is closely related to a person's lifestyle. Treatment with medicine is essential, but if the lifestyle habits that contribute to diabetes are not properly reviewed, it will be difficult to control blood sugar, making it challenging to maintain long-term health.

In our department, we have many nurses, registered dietitians, pharmacists, and rehabilitation staff who are not only doctors but also qualified as diabetes care instructors, and we provide detailed, customized treatment for each patient through team medical care that makes use of each person's area of expertise.

Thirty years ago, there were only two types of diabetes treatment drugs: insulin injections and sulfonylureas, and it was difficult to control advanced diabetes.

Fortunately, in recent years, the development of diabetes treatment drugs has progressed, and the number of available drugs has increased to three types of injectable drugs and eight types of oral drugs, making blood sugar control much easier (as of 2024). On the other hand, as the number of available drugs has increased, it has become necessary to be more creative in how to use them and in the dosage they are administered. We use the latest knowledge to select the right drug for each patient.

Reception

Waiting area

Treatment Room

Diseases and medical procedures that can be treated in our department

Diseases related to blood sugar abnormalities

• Diabetes(type 1, type 2, other types)
• Treatment of diabetic emergencies (hyperosmolar hyperglycemic syndrome, diabetic ketoacidosis, severe hypoglycemia)
• Support for surgery patients/emergency patients with diabetes
• Introduction of self-monitoring of blood glucose, continuous subcutaneous glucose monitoring, insulin pump

Thyroid diseases

• Graves' disease, chronic thyroiditis (Hashimoto's disease), subacute thyroiditis, painless thyroiditis, etc.
• Diagnosis of thyroid tumors (thyroid ultrasound, needle biopsy)

Diseases of the diencephalon and pituitary gland

• Diagnosis of acromegaly, Cushing's disease, proglottoma, hypopituitarism, isolated ACTH deficiency, growth hormone deficiency, central diabetes insipidus, lymphocytic hypophysitis, etc.

Adrenal diseases

• Diagnosis of primary aldosteronism, Cushing's syndrome, pheochromocytoma, adrenal incidentaloma, etc.

Pancreatic hormone diseases

• Digestive tract neuroendocrine tumors (insulinoma, etc.)

Abnormalities of bone and calcium metabolism

• Primary hyperparathyroidism, etc.

Electrolyte abnormalities

• Diagnosis and treatment of diseases causing abnormalities in blood sodium, potassium, and calcium levels

Outpatient schedule

Morning 9:00～12:00（Reception8:00-11:30）/
Afternoon to Evening 13:30～16:30（Reception13:00-16:00）

Medical track record of the clinical department
［January 1, 2024 to December 31, 2024］

Medical devices

• Blood glucose self-monitoring device (CareFast R)
• Continuous subcutaneous glucose meter (FreeStyle Libre)

Academically certified facility

• Japan Diabetes Society-certified educational facility
  [Japan Diabetes Society　https://www.jds.or.jp/modules/shisetsu/]

Regarding clinical research

Click here for more information on clinical research