低血糖的急診處理及相關(guān)問(wèn)題討論王超杰(編輯修改稿)
2024-11-04 14:47 本頁(yè)面
【文章內(nèi)容簡(jiǎn)介】 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 to the drug industry’s alltooeffective efforts ... to encourage patients and providers to intensify glycemic treatment. Pharmaceutical panies have shaped the current widespread belief in tight glycemic control that has led to aggressive prescribing of insulin, he said. ? ? We should not accept the current rates of hypoglycemia as inevitable or as an acceptable price to pay for treatment, Dr. Lee said. Rather, we should begin using a multipronged approach to decrease the overuse of insulin and minimize the risk of hypoglycemia. ? ? Dr. Lee is with the division of geriatrics at the University of California and the Veterans Affairs Medical Center, both in San Francisco. He reported no relevant financial conflicts of interest. These remarks were taken from his invited mentary acpanying Dr. Geller’s report (JAMA Intern. Med. 2020 March 10 [doi:]). ? 《 中華老年醫(yī)學(xué)雜志 》 上的一項(xiàng)研究表明， 2型糖尿?。?T2DM）患者嚴(yán)重低血糖事件中性別、 Ccr、 HbA1c、胰島素和胰島素促泌劑的使用是主要危險(xiǎn)因素，對(duì)于高危患者應(yīng)及早采取措施預(yù)防低血糖發(fā)生。 ? 暨南大學(xué)醫(yī)學(xué)院第四附屬醫(yī)院廣州市紅十字會(huì)醫(yī)院內(nèi)分泌科的研究人員納入了 49例因嚴(yán)重低血糖而收入院的 T2DM患者，并選取同期非低血糖住院的 T2DM患者
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