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目的总结老年2型糖尿病患者发生低血糖的原因及处理方法。方法回顾性分析100例老年人发生低血糖的2型糖尿病患者临床资料,总结低血糖发生原因。结果低血糖发生原因包括:对疾病认识不足,不规范应用降糖药物、饮食不规律、其他药物的协同作用、应激对血糖的影响以及临床表现不典型甚至无症状而不易察觉。结论 2型糖尿病患者发生低血糖时症状多不典型,甚至无症状;建议给予动态监测血糖以发现不易察觉的低血糖,及时调整饮食及降糖药物。
Objective To summarize the causes and treatment of hypoglycemia in elderly type 2 diabetic patients. Methods The clinical data of 100 type 2 diabetic patients with hypoglycemia in the elderly were retrospectively analyzed, and the causes of hypoglycemia were summarized. Results The causes of hypoglycemia include: lack of understanding of the disease, non-standard application of hypoglycemic drugs, irregular diet, synergistic effect of other drugs, the impact of stress on blood glucose, and the clinical manifestations of atypical or even asymptomatic symptoms. Conclusions In patients with type 2 diabetes mellitus, the symptoms are mostly atypical or even asymptomatic when hypoglycemia occurs. It is suggested that dynamic monitoring of blood glucose should be performed to find subtle hypoglycemia and adjust diet and hypoglycemic drugs in time.