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高龄者多并发动脉硬化等脏器损害及多种疾病,而且糖尿病多年往往导致肾功能损害,故高龄糖尿病患者在机体的多种功能方面与青壮年有别。而在糖尿病治疗中,严格的血糖控制可引起慢性低血糖症。本文报告高龄糖尿病患者在治疗上的低血糖症问题。6例患者年龄77~89岁,平均80.7岁。接受胰岛素治疗者5例,口服降糖药1例。病程15~40年。患者入院以控制糖尿病为目的,入院后查血糖(多次查直至翌晨),尚作脑电图及脑 CT 检查。所有患者在治疗中均出现与慢性低血糖有关的精神症状,并有以下特
Elderly people often complicated with atherosclerosis and other organ damage and a variety of diseases, and diabetes for many years often lead to renal dysfunction, so the elderly with multiple functions in patients with diabetes and young adults are different. In the treatment of diabetes, strict glycemic control can cause chronic hypoglycemia. This article reports the treatment of hypoglycemia in elderly patients with diabetes. 6 patients aged 77 to 89 years, an average of 80.7 years old. 5 cases received insulin treatment, oral hypoglycemic agents in 1 case. Course of 15 to 40 years. Patients admitted for the purpose of controlling diabetes mellitus, check blood glucose after admission (repeatedly check until the next morning), yet for EEG and brain CT examination. All patients had psychiatric symptoms associated with chronic hypoglycemia during treatment and had the following special