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目的探讨甲亢合并糖尿病临床诊治措施。方法回顾分析21例患者的临床资料。结果同时治疗甲亢和糖尿病,甲亢病情控制后,血糖控制良好,接受胰岛素治疗的16例患者均改用口服降糖药,服降糖药的患者减量,其中1例在治疗过程中发生低血糖。结论治疗糖尿病时需控制饮食,适当增加总热量,甲亢经治疗病情稳定后再调整饮食;老年甲亢合并糖尿病者,要密切监测血糖,防止发生严重低血糖反应,尽量使用胰岛素治疗,随着患者甲亢的控制,胰岛素的使用量会明显减少。
Objective To investigate the clinical diagnosis and treatment of hyperthyroidism complicated with diabetes mellitus. Methods The clinical data of 21 patients were retrospectively analyzed. The results of treatment of hyperthyroidism and diabetes mellitus, hyperthyroidism condition control, good glycemic control, insulin treatment of 16 patients switched to oral hypoglycemic agents, hypoglycemic agents were reduced, of which 1 case of hypoglycemia occurred in the course of treatment . Conclusion The treatment of diabetes need to control the diet, appropriate to increase the total calories, hyperthyroidism after treatment in stable condition and then adjust the diet; elderly hyperthyroidism with diabetes, blood glucose should be closely monitored to prevent the occurrence of severe hypoglycemia, try to use insulin therapy, with patients with hyperthyroidism The use of insulin will be significantly reduced.