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附属病院 総合臨床教育研修センター |
職務経歴（学内） 【 表示 ／ 非表示 】
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2023年05月-継続中
秋田大学 附属病院 総合臨床教育研修センター 特任助教
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2014年04月-2023年04月
秋田大学 大学院医学系研究科（医学専攻等） 医学専攻 病態制御医学系 代謝・内分泌内科学講座 医員
学位論文 【 表示 ／ 非表示 】
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Effects of GLP-1 receptor agonist on changes in the gut bacterium and the underlying mechanisms
Shunsuke Kato, Takehiro Sato, Hiroki Fujita, Masahiro Kawatani, Yuichiro Yamada
Scientific Reports 2021年09月 [査読有り]
国内共著
研究等業績 【 表示 ／ 非表示 】
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Cases of fulminant type 1 and type 2 diabetes mellitus whose HbA1c levels were unmeasurable due to increased labile HbA1c
Shunsuke Kato, Izumi Otaka, Hanako Toyama, Ryota Kusumi, Kazuyuki Takahashi, Mitsuhiko Nara, Yumi Suganuma, Takehiro Sato, Tsukasa Morii, Hiroki Fujita, Hironori Waki
Diabetol Int. 2022年07月 [査読有り]
研究論文（学術雑誌） 国内共著
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Sasaki K.
Biochemical and Biophysical Research Communications ( Biochemical and Biophysical Research Communications ) 741 2024年12月
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Recurrent nocturnal hypoglycemic hemiplegia: a case report and review of the literature
Toyama H.
Endocrine Journal ( Endocrine Journal ) 71 ( 4 ) 409 - 416 2024年
<p>A 67-year-old man with type 1 diabetes, Cronkhite-Canada syndrome, and membranous nephropathy who received insulin therapy was admitted to our hospital with right hemiplegia and dysarthria. Brain magnetic resonance imaging revealed a lesion with a high diffusion-weighted imaging signal and low apparent diffusion coefficient signal in the posterior limb of the left internal capsule. He was hypoglycemic with a blood glucose level of 56 mg/dL (3.1 mmol/L). Following glucose administration, the patient’s symptoms resolved within several hours. The patient experienced similar transient hypoglycemic hemiplegia at midnight, three times within 10 days. In a literature review of 170 cases of hypoglycemic hemiplegia, 26 cases of recurrent hemiplegia were investigated. Recurrent hypoglycemic hemiplegia occurs more frequently on the right side than on the left side, and most recurrences occur within approximately a week, almost exclusively at midnight and in the early morning. We speculate that hypoglycemia-associated autonomic failure may be involved in the nocturnal recurrence of episodes. In our patient, depleted endogenous insulin secretion and lipodystrophy at the injection site, may have acted as additional factors, leading to severe hypoglycemia despite the absence of apparent autonomic neuropathy. Clinically, it is important to recognize hypoglycemia as a cause of hemiplegia to avoid unnecessary intervention and to maintain an appropriate blood glucose level at midnight and early in the morning to prevent recurrent hypoglycemic hemiplegia.</p>
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Kato S.
Diabetology International ( Diabetology International ) 13 ( 4 ) 698 - 703 2022年10月
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Takahashi K.
Diabetes Therapy ( Diabetes Therapy ) 13 ( 7 ) 1383 - 1393 2022年07月
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Effects of GLP-1 receptor agonist on changes in the gut bacterium and the underlying mechanisms
Kato S.
Scientific Reports ( Scientific Reports ) 11 ( 1 ) 2021年12月