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重视低血糖:糖尿病、痴呆症和心脏病。

Taking hypoglycaemia seriously: diabetes, dementia and heart disease.

作者信息

Holt Paula

机构信息

School of Healthcare, University of Leeds.

出版信息

Br J Community Nurs. 2011 May;16(5):246-9. doi: 10.12968/bjcn.2011.16.5.246.

DOI:10.12968/bjcn.2011.16.5.246
PMID:21642929
Abstract

Hypoglycaemia is a common and potentially deadly problem for people with diabetes who are prescribed insulin secretagogues and/or insulin as part of their treatment regimen. This article focuses mainly on type 2 diabetes and considers the incidence, pharmacological causes and definition of hypoglycaemia. It discusses the recently defined relationships between hypoglycaemia and the onset and development of dementia and cardiovascular disease. Hypoglycaemia risk factors are identified and linked to specific characteristics found in the elderly, and information is offered on how to treat hypoglycaemia effectively and avoid repeated episodes.

摘要

低血糖对于接受胰岛素促泌剂和/或胰岛素治疗的糖尿病患者而言是一个常见且可能致命的问题。本文主要聚焦于2型糖尿病,探讨低血糖的发生率、药理学成因及定义。文中讨论了低血糖与痴呆症和心血管疾病的发生及发展之间最近明确的关系。识别了低血糖风险因素,并将其与老年人的特定特征联系起来,还提供了关于如何有效治疗低血糖并避免反复发生的信息。

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引用本文的文献

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The association between dementia and the risk of hypoglycaemia events among patients with diabetes mellitus: a propensity-score matched cohort analysis.糖尿病患者中痴呆与低血糖事件风险之间的关联:一项倾向评分匹配队列分析。
Front Med (Lausanne). 2023 Jul 5;10:1177636. doi: 10.3389/fmed.2023.1177636. eCollection 2023.
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PLoS One. 2016 Jun 15;11(6):e0156867. doi: 10.1371/journal.pone.0156867. eCollection 2016.
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Severe hypoglycemia and coronary artery calcification during the diabetes control and complications trial/epidemiology of diabetes interventions and complications (DCCT/EDIC) study.
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JAMA Intern Med. 2013 Jul 22;173(14):1300-6. doi: 10.1001/jamainternmed.2013.6176.
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