Saeed Saad Aldeen, Hameed Asjad, Yousif Saif, Lessan Nader
Department of Acute Medicine, Walsall Hospitals NHS Trust, Walsall, West Midlands, UK.
BMJ Case Rep. 2011 Aug 11;2011:bcr0720103191. doi: 10.1136/bcr.07.2010.3191.
Diabetes mellitus is increasing in its incidence and prevalence. Reduction in refined carbohydrate (sugar) intake is an important part of nutritional advice to patients with known diabetes. Sugar is available in a variety of confectionary products. It is also available in especially packaged 'convenience foods' as high energy drinks. Among people without diabetes, such food can have its own health risks. A significant group of patients with diabetes remain undiagnosed. This group are at especially high risk from all the negative metabolic effects of high sugar intake available as high calorie drinks. The authors report two patients without previously known diabetes who presented similarly with marked hyperglycaemic states, leading to severe metabolic disturbances. Both were obese, had common precipitating factors and consumed large quantities of sugary soft drinks ('lucozade'). Both patients recovered well. They were followed up for over 7 years. One is not diabetic and the second is diabetic requiring a small dose of metformin.
糖尿病的发病率和患病率正在上升。减少精制碳水化合物（糖）的摄入是对已知糖尿病患者进行营养建议的重要组成部分。糖存在于各种糖果产品中。它也存在于特别包装的“方便食品”中，如高能量饮料。在没有糖尿病的人群中，这类食物也有其自身的健康风险。相当一部分糖尿病患者仍未被诊断出来。这一群体因高糖摄入（如高热量饮料）所带来的所有负面代谢影响而面临特别高的风险。作者报告了两名先前未被诊断出患有糖尿病的患者，他们表现出相似的显著高血糖状态，导致严重的代谢紊乱。两人都肥胖，有共同的诱发因素，且都大量饮用含糖软饮料（“卢戈氏液”）。两名患者恢复良好。他们被随访了7年多。一人没有患糖尿病，另一人患有糖尿病，需要小剂量服用二甲双胍。
