Murase Yuko, Imagawa Akihisa, Hanafusa Toshiaki
First Department of Internal Medicine, Osaka Medical College.
Nihon Rinsho. 2006 Jan;64(1):124-7.
Sick-day is defined as a state of common illness like cold or flu, which can reduce oral intake and make blood sugars hard to control in diabetic patients. The symptoms associated with hyper- or hypoglycemia may be atypical in the geriatric population, therefore, elderly patients need to take extra precautions on sick days to avoid diabetic crises. The elderly are particularly vulnerable to hyperglycemia and dehydration, the key components of hyperosmolar hyperglycemic syndrome, because insulin sensitivity and thirst mechanisms decrease with increasing age. Frequent monitoring of blood glucose is recommended and an individualized sick-day plan in considering the heterogeneity of older patients is important.
患病日被定义为诸如感冒或流感等常见疾病的状态，这会减少糖尿病患者的口服摄入量并使血糖难以控制。与高血糖或低血糖相关的症状在老年人群中可能不典型，因此，老年患者在患病日需要格外注意预防，以避免糖尿病危机。老年人特别容易发生高血糖和脱水，这是高渗高血糖综合征的关键组成部分，因为胰岛素敏感性和口渴机制会随着年龄的增长而下降。建议频繁监测血糖，并且制定考虑到老年患者异质性的个性化患病日计划很重要。
