Introduction.
So far, we have introduced basic knowledge on lifestyle-related diseases such as "hypertension," "diabetes," "fatty liver (MASLD)," and "exercise therapy" in a series of articles. This time, we complement them comprehensively,How Ikejiri-Ohashi Sera Clinic tackles lifestyle-related diseasesto the following.
1. detection of "invisible risks" through a comprehensive inspection system
The fear of lifestyle-related diseases is,Progression without symptoms.It is. Therefore, in addition to the usual blood pressure measurements and blood tests, we have introduced a more in-depth cardiovascular evaluation.
- fundus examination: Direct observation of retinal blood vessels for early detection of signs of arteriosclerosis and diabetic retinopathy.
- ABI (ankle-brachial index): quantifies the risk of peripheral arterial disease (PAD) and systemic atherosclerosis.
- carotid duplex (ultrasound): Assesses stroke risk by measuring vessel wall thickness and plaque.
- Holter electrocardiogram: 24-hour ECGs are recorded to check for the effects of arrhythmias and blood pressure fluctuations.
Combining these,I haven't developed the disease yet, but I'm in a high-risk stage."and enable early intervention.
2. diabetes, MASLD, hypertension, dyslipidemia, and musculoskeletal disease across the board
We do not isolate one disease from another,Management of related diseases across the board.The emphasis is on
diabetes mellitus
Based on blood glucose control and complication prevention, fundus, renal, and neurological evaluations are performed regularly. Exercise therapy and dietary modification are combined and optimized, including drug therapy.
MASLD (Metabolic Abnormalities Related Fatty Liver Disease)
Because it is closely related to obesity, diabetes, and hypertension,Integrated management of liver function, lipid metabolism, and blood pressureThe policy is to improve from the foundation of lifestyle-related diseases. Our policy is to improve from the foundation of lifestyle-related diseases.
high blood pressure
We practice step-by-step treatment in accordance with Guideline 2025. Utilizing fundus, ABI, and carotid echocardiography, we proceed with treatment taking into consideration not only the "number" of blood pressure but also the condition of the blood vessels.
dyslipidemia (dyslipidemia, dyslipidemia)
Management of LDL cholesterol and triglycerides is directly related to prevention of atherosclerosis. Based on diet and exercise therapy, combined with statins and other drug therapy as needed.
musculoskeletal disorder
Knee and back pain, osteoarthritis, sports injuries, etc,Background of "wanting to exercise but not being able to."We also provide support from an orthopedic perspective for pain control and rehabilitation,Creating the conditions necessary to continue the exercise regimen necessary to improve lifestyle-related diseasesis important to us.
3. exercise therapy and medical diet practice
One of the features of our hospital is,Physician-led "exercise therapy" or "medical diet."It is.
- Balanced prescription of aerobic exercise and strength training.
- Dietary habit improvement can be practiced by "replacement" instead of "prohibition".
- Designed a plan to improve diabetes, hypertension, dyslipidemia, and MASLD across the board.
4. what we aim to achieve
Ikejiri-Ohashi Sera Clinic values,
- Not just numbers.Improving the whole life.
- Tests to find "hidden risks"Early intervention.
- Patient.How to keep it realisticTo design together a
It is. Lifestyle-related diseases are not "life-long diseases,Diseases that can be improvedIt is.
summary
- This hospital is located in Examination (fundus, ABI, carotid echocardiogram, Holter EKG) + lifestyle guidance + drug treatmentComprehensive medical care combining
- Cross-cutting management of diabetes, MASLD, hypertension, dyslipidemia, and musculoskeletal disease to prevent complications.
- Physician-led incorporation of exercise therapy and medical diets,Lifestyle modifications that patients can follow without difficultySupport for the
References
- The Japan Society of Hypertension. Guidelines for the Treatment of Hypertension 2025.
- The Japan Diabetes Society. Diabetes Treatment Guide 2024-2025.
- The Japanese Society for Arteriosclerosis. Guidelines for the Prevention of Arteriosclerotic Disease 2022.
- European Association for the Study of the Liver (EASL). MASLD Clinical Practice Guidelines 2023
- Cornelissen VA, Smart NA. Exercise training for blood pressure: a systematic review. J Am Heart Assoc.. 2013
- Pedersen BK, Saltin B. Exercise as medicine - evidence for prescribing exercise as therapy in 26 different chronic diseases. Scand J Med Sci Sports. 2015
Diabetes Series - Related Article List
1. Know the basics of diabetes
- What is Diabetes - Why does blood sugar rise? Causes and Mechanisms Explained
Introduces the root causes of diabetes, including "insulin resistance," "heredity," and "lifestyle," which are all related to the development of diabetes, in an easy-to-understand manner. - Early Symptoms of Diabetes - Don't Miss the Early Detection Signs
Early signs that are difficult to recognize, such as thirst, polyuria, and weight loss, are carefully explained. - Diagnostic criteria for diabetes - Difference between HbA1c, blood glucose and OGTT and latest criteria
It summarizes the numerical values used for diagnosis and the key points of the recently revised diagnostic criteria. - Diabetes Testing - Comprehensive evaluation of blood, urine, and even complications
Introduction to the comprehensive examination system available at the Ikejiri-Ohashi Sera Clinic, including fundus examination, ABI, and carotid artery echocardiography.
2. Treatment and lifestyle modification
- Diabetes Treatment - Protecting Blood Sugar and Blood Vessels with Diet, Exercise, and Medication
Explains treatment strategies to "prevent complications" rather than "lower the numbers. - Diabetes Diet - Control Blood Sugar Effortlessly with Locavore
A practical diet that emphasizes how to eat, not what not to eat. - Diabetes and Exercise - Muscle is Medicine! The Science of Aerobic x Muscle Training
The benefits of exercise to directly lower blood sugar and how to create an easy to follow exercise routine. - Drug Therapy for Diabetes Mellitus - Latest Treatment Policies and Multi-Drug Approaches
The characteristics of DPP-4 inhibitors, SGLT2 inhibitors, and GLP-1 agonists are compared, and the latest treatment trends are presented.
3. To prevent complications
- Complications of diabetes - Complication measures to remember with "shimeji" and "enoki" mushrooms
The six major complications of neuropathy, retinopathy, nephropathy, gangrene, stroke, and cardiac disease are explained together. - Neuropathy due to diabetes - Mechanisms and countermeasures for numbness and pain in hands and feet
Early signs of peripheral neuropathy and ways to improve life that should be done early. - Diabetes and Renal Dysfunction - Importance of Urine Albumin Testing and Habits to Protect
Practical approaches to reduce the burden on the kidneys and prevent dialysis. - Diabetes and Eye Disease - Causes of Blurred Vision and Early Detection of Retinopathy
Explains how fundus camera examinations work and the risks of neglect.
4. Prevention and early intervention
- Prevention of Diabetes - Reduce blood sugar waves and make your body less prone to diabetes.
Introduces diet, exercise, and sleep regimens to "get in shape before it happens," rather than "fix it after it happens. - Characteristics and constitution of people prone to diabetes - Self-check that you can do now
Early intervention is recommended by sorting out the risk of developing the disease, including heredity, fatty liver, and lack of exercise.
5. Our features and support system
- Lifestyle-related disease treatment at Ikejiri-Ohashi Sera Clinic - Cross-cutting management of diabetes, MASLD, hypertension and dyslipidemia
Includes a comprehensive evaluation system including physician supervised exercise therapy, locavore diet support, fundus, ABI, and carotid artery echocardiography.