低血糖的急診處理及相關(guān)問題討論王超杰-全文預(yù)覽
【正文】 (JAMA Intern. Med. 2020 March 10 [doi:]). ? ? The most mon precipitating factor was mealrelated misadventure – failing to eat shortly after taking rapidacting insulin or failing to adjust the insulin regimen to account for a missed meal or a very small meal. Hypoglycemia also was frequently preceded by the patient taking the wrong dose of insulin or the wrong insulin product, usually taking rapidacting insulin instead of longacting insulin. ? ? These data probably underestimate the total burden of hypoglycemic events because hypoglycemia, although a frequent cause of [emergency medical services] calls, is most often cared for outside the ED setting. Patients who have hypoglycemia unawareness and whose episodes do not result in EMS or ED care [were] not counted, nor [were] those who died en route to the ED, they added. ? ? No financial conflicts of interest were reported. ? ? View on the News ? Drug industry fuels overuse of insulin ? ? Severe insulinrelated hypoglycemia is not just remarkably mon, it also differs from most other causes of emergency department visits in that it is almost always iatrogenic, said Dr. Sei J. Lee. ? ? And as noted by Dr. Geller and his associates, the 50% increase in insulin use during the past decade is fueling this epidemic of hypoglycemia. That, in turn, can be attributed
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