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目的提高对老年2型糖尿病发生低血糖反应特点的认识,并探讨预防措施。方法回顾性分析69例老年2型糖尿病低血糖反应患者的临床资料,总结其低血糖发生的原因、特点及预防措施。结果老年2型糖尿病低血糖反应具有临床症状不典型、低血糖持续时间长、恢复慢等特点,其诱因主要与饮食不规律有关,医源性因素也是另一重要原因。结论提高对老年2型糖尿病低血糖临床特点的认识,及早发现和治疗;加强对老年2型糖尿病患者及家属血糖监测宣教,放宽血糖控制标准,预防低血糖的发生。
Objective To improve the understanding of the characteristics of hypoglycemic response to type 2 diabetes in the elderly and to explore the preventive measures. Methods The clinical data of 69 elderly patients with type 2 diabetes mellitus with hypoglycemia were retrospectively analyzed. The causes, characteristics and preventive measures of hypoglycemia were summarized. Results The hypoglycemic response to type 2 diabetes in elderly patients was characterized by atypical clinical symptoms, long duration of hypoglycemia and slow recovery. The causes were mainly related to irregular diet, and iatrogenic factors were another important reason. Conclusion To improve the understanding of the clinical features of type 2 diabetes mellitus in elderly with early detection and treatment, to strengthen the blood glucose monitoring in elderly patients with type 2 diabetes and their mission education, to relax the standard of blood glucose control and prevent the occurrence of hypoglycemia.