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1 (Tomoyuki Kawamura) (Masakazu Hirose (Hiroki Fujimoto) (Kaori Noi) 1 2 1 The Diabetes Control and Complications Trial(DCCT) 1 / / 2007 2 1 15g 10g 1 1 10g 1 10g 4 5 1 15g 1 15g 2 1)

2 80kcal 1g 4kcal 80kcal 20g 1 15g 1 20g 40g 1 15g 1 10g 4 2 1 10g 1 = 10g 1 10g / / / 6 6 9 / 1 30 1 30mg/dl / 60 300mg/dl 120mg/dl 2 / 100 120mg/dl 150mg/dl 120 150mg/dl / / / / A

3 / 50 / 100 / 1 1 20 / 50 / 1 10g 1 / 1 / / 100 B / / 120mg/dl 10 8 3 120mg/dl 10 8 1 / 280mg/dl 3 3 130mg/dl 3 150mg/dl 1 50mg/dl 50 3 15 18 1 100 200mg/dl C 500 (50 )

4 1800 500 500 1 1 500 1 1 25 500 25 20 20 1 1 / 500 1 1 ( / ) 50 50 1 50 / 50 / 1 60 60 50 1 1800 1800 1800 1 1 30 1800 30 60 60 500 1800 / / D / / / 3-4 /

5 / / / / / / 3 3 3 4 / / / /

6 / h / 150g 6 1 3 1 200 0 0 / / 2009

7 A4 80 2520 2007 A5 112 100 2625 1) Franz MJ : Protein: metabolism and effect on blood glucose :643-651,1997 2) Leontos C : Implementing the American Diabetes Association's Nutrition Am Osteopath Assoc103: S17-20,2003 3) Anderson EJ, Richardson M, Castle G, et al : Nutrition interventions for intensive therapy in the Diabetes Control and Complications Trial. The DCCT Research Am Diet Assoc93:768-772,1993 4) Walsh J,Roberts R,Varma C,et al : Using Insulin,Everything You Need for Success With Pines Press,San Diego,139-162,2003 5.

8 ,2006 6 : Diabetes Frontier 17:612-618,2006 7) Gillespie SJ, Kulkarni KD, Daly AE : Using carbohydrate counting in diabetes clinical Am Diet Assoc98:897-905,1998 8) Gregory RP, Davis DL : Use of carbohydrate counting for meal planning in type I Educ 20:406-409,1994 9) The DCCT RESEARCH GROUP : Nutrition interventions for intensive therapy in the Diabetes Control and Complications Trial. J Am Diet Assoc 93:768-772,1993 10) R Rabasa-Lhoret, J Garon, H Langelier, et al : Effects of meal carbohydrate content on insulin requirements in Type 1 diabetic patients treated intensively with the basal-bolus (ultralente-regular)insulin regimen.

9 Diabetes care22:667-673,1999