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目的探讨老年2型糖尿病发生低血糖的原因、临床特点及如何预防避免等。方法对24例≥60岁2型糖尿病患者低血糖症发生的相关资料进行回顾性分析并加以总结。结果 24例患者低血糖常见原因有老年、降糖药物不合理应用、生活不规律、病程及低血糖的应激能力、夜间发生、药物种类及使用不当等。临床上多表现为典型低血糖症状如面色苍白、出冷汗、四肢乏力、手抖等交感神经兴奋临床表现,也可以表现为脑部症状,甚至无任何症状,很容易引起误诊及漏诊。结论老年2型糖尿病患者易出现低血糖症且症状不典型,易漏诊、误诊,临床医生应根据该类患者发生低血糖症的特点,注意观察及时调整用药和治疗,以防可能引起的不可逆性损害.
Objective To investigate the causes of hypoglycemia in elderly type 2 diabetes mellitus, its clinical features and how to prevent it. Methods The data of 24 cases of type 2 diabetes mellitus with type 2 diabetes mellitus were retrospectively analyzed and summarized. Results The common causes of hypoglycemia in 24 patients were elderly, unreasonable application of hypoglycemic drugs, irregular life, stress and hypoglycemia, nighttime occurrence, improper use of drugs and so on. Clinically, the performance of typical hypoglycemia symptoms such as pale, sweating, limb weakness, tremor and other sympathetic nerve stimulation clinical manifestations can also be manifested as brain symptoms, and even without any symptoms, it is easy to cause misdiagnosis and missed diagnosis. Conclusions Elderly patients with type 2 diabetes are prone to hypoglycemia and the symptoms are not typical, easily missed diagnosis, misdiagnosis, clinicians should be based on the characteristics of patients with hypoglycemia, pay attention to the timely adjustment of medication and treatment, in case possible irreversibility damage.