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Diabetes care providers’ manual for disaster diabetes care

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Abstract

To ensure that experiences and lessons learned from the unprecedented 2011 Great East Japan Earthquake are used to improve future disaster planning, the Japan Diabetes Society (JDS) launched the “Research and Survey Committee for Establishing Disaster Diabetes Care Systems Based on Relevant Findings from the Great East Japan Earthquake” under the supervision of the Chairman of the JDS. The Committee conducted a questionnaire survey among patients with diabetes, physicians, disaster medical assistance teams (DMATs), nurses, pharmacists, and nutritionists in disaster areas about the events they saw happening, the situations they found difficult to handle, and the needs that they felt required to be met during the 2011 Great East Japan Earthquake. A total of 3,481 completed questionnaires were received. Based on these and other experiences and lessons reported following the 2011 Great East Japan Earthquake and the 2004 Niigata-Chuetsu Earthquakes, the current “Manual for Disaster Diabetes Care” has been developed by the members of the Committee and other invited authors from relevant specialties. To our knowledge, the current Manual is the world’s first to focus on emergency diabetes care, with this digest English version translated from the Japanese original. It is sincerely hoped that patients with diabetes and healthcare providers around the world will find this manual helpful in promoting disaster preparedness and implementing disaster relief.

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Abbreviations

ACS:

Acute coronary syndrome

AKI:

Acute kidney injury

AP:

Angina pectoris

ASD:

Acute stress disorder

CCB:

Calcium channel blocker

CDEJ:

Certified Diabetes Educator of Japan

CF:

Cardiac failure

CI:

Cerebral infarction

CSII:

Continuous subcutaneous insulin infusion

CVD:

Cardiovascular disease

DiaMAT:

Diabetes medical assistance team

DPP-4:

Dipeptidyl peptidase-4

DVT:

Deep vein thrombosis

EMR:

Electronic medical records

GLP-1:

Glucagon-like peptide-1

IHD:

Ischemic heart disease

IT:

Information technology

JMAT:

Japan Medical Association team

MAS:

Medical aid stations

MI:

Myocardial infarction

NVG:

Neovascular glaucoma

PD:

Panic disorder

PE:

Pulmonary embolism

PT-INR:

The prothrombin time/international normalized ratio

PTSD:

Posttraumatic stress disorder

RAS:

The renin–angiotensin system

RD:

Retinal detachment

SD:

Standard deviation

SGLT2:

Sodium glucose co-transporter 2

SNS:

Social network services

SUs:

Sulfonylureas

TZD:

Thiazolidinedione

α-GI:

α-Glucosidase inhibitor

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Author information

Authors and Affiliations

  1. Tohoku Medical and Pharmaceutical University, Wakabayashi Hospital, 2-29-1, Yamatomachi, Wakabayashi-ku, Sendai, Miyagi, Japan

    Jo Satoh

  2. Kita-Harima Medical Center, Ono, Japan

    Koichi Yokono

  3. Kanagawa University of Human Services, Yokosuka, Japan

    Rie Ando

  4. Faculty of Pharmaceutical Sciences, Niigata University of Pharmacy and Applied Life Sciences, Niigata, Japan

    Toshinari Asakura

  5. Advanced Treatment and Prevention for Vascular Disease and Embolism, Niigata University Graduate School of Medicine and Dental Sciences, Niigata, Japan

    Kazuhiko Hanzawa

  6. Division of Diabetes, Metabolism and Endocrinology, Department of Internal Medicine, Iwate Medical University, Morioka, Japan

    Yasushi Ishigaki

  7. Department of Prevention of Diabetes and Lifestyle-Related Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

    Takashi Kadowaki

  8. Department of Metabolism and Nutrition, Mizonokuchi Hospital, Faculty of Medicine, Teikyo University, Tokyo, Japan

    Takashi Kadowaki

  9. The Institute for Adult Diseases, Asahi Life Foundation, Tokyo, Japan

    Masato Kasuga

  10. Department of Metabolism and Diabetes, Tohoku University Graduate School of Medicine, Sendai, Japan

    Hideki Katagiri

  11. Sakae-Katou Clinic, Nagoya, Japan

    Yasuhisa Kato

  12. Department of Plastic and Reconstructive Surgery, Graduate School of Medicine, Tohoku University, Sendai, Japan

    Koreyuki Kurosawa & Masahiro Tachi

  13. Department of Cardiovascular Medicine, Tohoku University Graduate School of Medicine, Sendai, Japan

    Masanobu Miura & Hiroaki Shimokawa

  14. Division of Diabetes, Department of Internal Medicine, Aichi Medical University, School of Medicine, Nagakute, Japan

    Jiro Nakamura

  15. Department of Ophthalmology, Yamagata University Faculty of Medicine, Yamagata, Japan

    Koichi Nishitsuka & Hidetoshi Yamashita

  16. Division of Nephrology, Endocrinology and Vascular Medicine, Tohoku University Hospital, Sendai, Japan

    Susumu Ogawa

  17. Tohoku University Hospital, Sendai, Japan

    Tomoko Okamoto

  18. Hirosaka Cardiology Medical Clinic, Koriyama, Japan

    Sadanori Sakuma

  19. Division of Infection Control, Department of Medical Safety, Iwate Medical University Hospital, Morioka, Japan

    Shigeru Sakurai

  20. Department of Metabolism and Endocrinology, Juntendo University, Tokyo, Japan

    Hiroaki Satoh

  21. Tohoku University, Sendai, Japan

    Hidetoshi Shimauchi & Hiroaki Tomita

  22. Department of Preventive Psychiatry, Graduate School of Medicine, Tohoku University, Sendai, Japan

    Wataru Shoji

  23. Department of Obstetrics and Gynecology, Ehime University Graduate School of Medicine, Toon, Japan

    Takashi Sugiyama

  24. Department of Laboratory Medicine, Iwate Medical University School of Medicine, Morioka, Japan

    Akira Suwabe

  25. Iwate Prefectural University, Takizawa, Japan

    Kazuma Takahashi

  26. Nakatsugawa Hospital, Morioka, Japan

    Susumu Takahashi

  27. Division of Neurology and Gerontology, Department of Internal Medicine, School of Medicine, Iwate Medical University, Morioka, Japan

    Yasuo Terayama

  28. Hirosaki Gakuin University, Hirosaki, Japan

    Yoko Tsuchiya

  29. Department of Diabetes and Metabolic Diseases, Graduate School of Medicine, The University of Tokyo, Tokyo, Japan

    Hironori Waki

  30. Japan Organization of Occupational Health and Safety, Fukushima Rosai Hospital, Iwaki, Japan

    Tsuyoshi Watanabe

  31. Nagaoka Chuo Hospital, Nagaoka, Japan

    Kazuaki Yahata

Authors
  1. Jo Satoh
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  2. Koichi Yokono
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  3. Rie Ando
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  4. Toshinari Asakura
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  5. Kazuhiko Hanzawa
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  6. Yasushi Ishigaki
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  7. Takashi Kadowaki
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  8. Masato Kasuga
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  9. Hideki Katagiri
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  10. Yasuhisa Kato
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  11. Koreyuki Kurosawa
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  12. Masanobu Miura
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  13. Jiro Nakamura
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  14. Koichi Nishitsuka
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  15. Susumu Ogawa
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  16. Tomoko Okamoto
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  17. Sadanori Sakuma
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  18. Shigeru Sakurai
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  19. Hiroaki Satoh
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  20. Hidetoshi Shimauchi
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  21. Hiroaki Shimokawa
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  22. Wataru Shoji
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  23. Takashi Sugiyama
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  24. Akira Suwabe
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  25. Masahiro Tachi
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  26. Kazuma Takahashi
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  27. Susumu Takahashi
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  28. Yasuo Terayama
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  29. Hiroaki Tomita
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  30. Yoko Tsuchiya
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  31. Hironori Waki
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  32. Tsuyoshi Watanabe
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  33. Kazuaki Yahata
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  34. Hidetoshi Yamashita
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Corresponding author

Correspondence to Jo Satoh.

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Conflict of interest statement

Jo Satoh received honoraria from Boehringer Ingelheim, Eli Lilly and Company, MSD, Ono pharmaceutical Co., Ltd., Sanofi, and Sumitomo Dainippon Pharma Co., Ltd. Toshinari Asakura received honoraria from Novo Nordisk. TA also received research funding from Eli Lilly Japan. Kazuhiko Hanzawa received honoraria from Daiichi Sankyo Co. Yasushi Ishigaki received honoraria from MSD Ltd., Sanofi Ltd., Bayer Yakuhin Ltd., Takeda pharmaceutical Co., Novo Nordisk Pharma Ltd., Novartis Pharma Ltd., Ono pharmaceutical company, Kowa pharmaceutical Co., Ltd. YI also received subsidies/donations from MSD Ltd., Ono pharmaceutical company. Takashi Kadowaki received honoraria from MSD Corporation, Daiichi Sankyo Co., Ltd., Takeda Pharmaceutical Co., Ltd., Mitsubishi Tanabe Pharma Corporation, Kowa Pharmaceutical Co., Ltd., Astellas Pharma Inc., Ono Pharmaceutical Co., Ltd., AstraZeneca K. K., Sumitomo Dainippon Pharma Co., Ltd., Sanofi K. K., Eli Lilly Japan K. K., Nippon Boehringer Ingelheim Co. Ltd., Sanwa Kagaku Kenkyusho Co., Ltd., Kyowa Hakko Kirin Co., Ltd., and Taisho Pharmaceutical Co., Ltd. TK also received research funding from MSD Corporation, Daiichi Sankyo Co., Ltd., Novo Nordisk Pharma Ltd., Sanofi K. K., and Takeda Pharmaceutical Co., Ltd. TK belongs to endowed departments by Takeda Pharmaceutical Co., Ltd., TERUMO Corporation, MSD Corporation, Novo Nordisk Pharma Ltd., and Nippon Boehringer Ingelheim Co. Ltd. Hideki Katagiri received honoraria from Astellas Pharma Inc., Daiichi-Sankyo, Taisho Toyama Pharmaceutical Co., Ltd., Mitsubishi Tanabe Pharma Co., Boehringer Ingelheim, MSD K.K., and Novartis Pharma. HK also received subsidies/donations from Astellas Pharma Inc., Novo Nordisk Pharma Ltd., Takeda Pharmaceutical Company Ltd., Sanofi K.K., Daiichi-Sankyo, Eli Lilly Japan K.K., Taisho Toyama Pharmaceutical Co., Ono Pharmaceutical Co., Ltd., Mitsubishi Tanabe Pharma Co., MSD K.K., and Novartis Pharma. Jiro Nakamura received honoraria from Astellas Pharma Inc., AstraZeneca K.K., MSD KK., Ono Pharmaceu. Co., Ltd., Daiichi Sankyo Co., Ltd., Kowa Pharmaceu, Co., Ltd., Sanofi K.K., Takeda Pharmaceu. Co., Ltd., Mitsubishi Tanabe Pharma Corp., Terumo Co., Boehringer Ingelheim Japan Co., Ltd., Eli Lilly Japan K.K., Novartis Pharma K.K., and Novo Nordisk Pharma Ltd. JN also received research funding from Kissei Pharmaceu. Co., Ltd., Boehringer Ingelheim Japan Co., Ltd., and EPS Co., Ltd. JN also received subsidies/donations from Astellas Pharma Inc., MSD K.K., Ono Pharmaceu. Co., Ltd., Sanofi K.K., Daiichi Sankyo Co., Ltd., Taisho Toyama Pharmaceu. Co., Ltd., Sumitomo Dainippon Pharma Co., Ltd., Takeda Pharmaceu. Co., Ltd., Eli Lilly Japan K.K., Japan Tobacco Inc., Novartis Pharma K.K., and Novo Nordisk Pharma Ltd. Shigeru Sakurai received subsidies/donations from Philips-Respironics Co., Ltd. Hiroaki Tomita received subsidies/donations from Kodama Hospital and Medical Corporation Association Zao-kai. Hironori Waki received subsidies/donations from Sanofi K.K. and Novo Nordisk Pharma Ltd. HW belongs to endowed departments by MSD K.K., Novo Nordisk Pharma Ltd., and Nippon Boehringer Ingelheim Co. Ltd. Koichi Yokono, Rie Ando, Masato Kasuga, Yasuhisa Kato, Koreyuki Kurosawa, Masanobu Miura, Koichi Nishitsuka, Susumu Ogawa, Tomoko Okamoto, Sadanori Sakuma, Hiroaki Satoh, Hidetoshi Shimauchi, Hiroaki Shimokawa, Wataru Shoji, Takashi Sugiyama, Akira Suwabe, Masahiro Tachi, Kazuma Takahashi, Susumu Takahashi, Yasuo Terayama, Yoko Tsuchiya, Tsuyoshi Watanabe, Kazuaki Yahata, Hidetoshi Yamashita declare that they have no conflict of interest.

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Jo Satoh, Koichi Yokono, Rie Ando, Yasushi Ishigaki, Hideki Katagiri, Hiroaki Satoh, Kazuma Takahashi, Yoko Tsuchiya, Tsuyoshi Watanabe, and Kazuaki Yahata are the members of Research and Survey Committee for Establishing Disaster Diabetes Care Systems Based on Relevant Findings from the Great East Japan Earthquake.

Takashi Kadowaki is the Board of Directors, the Japan Diabetes Society.

Masato Kasuga is Academic Investigation and Education, the Japan Diabetes Society.

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Satoh, J., Yokono, K., Ando, R. et al. Diabetes care providers’ manual for disaster diabetes care. Diabetol Int 10, 153–179 (2019). https://doi.org/10.1007/s13340-019-00397-7

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