Steel J M, Masterton G, Patrick A W, McGuire R
Diabetic Department, Royal Infirmary, Edinburgh, UK.
Diabet Med. 1989 Dec;6(9):820-1. doi: 10.1111/j.1464-5491.1989.tb01287.x.
Two women with insulin-treated diabetes who presented with hyperventilation in the setting of generalized anxiety disorder and panic disorder, respectively, are reported. The symptoms of hyperventilation and hypoglycaemia proved indistinguishable even after successful treatment with a behavioural approach including explanation, breathing retraining, and relaxation. With diabetic patients a cognitive strategy is complicated by conditioning to think in terms of diabetic control and an inability to safely reattribute symptoms to faulty breathing habit because of the risk of ignoring hypoglycaemia.
报告了两名接受胰岛素治疗的糖尿病女性，她们分别在广泛性焦虑症和惊恐障碍的背景下出现了过度通气症状。即使采用包括解释、呼吸再训练和放松在内的行为疗法成功治疗后，过度通气和低血糖的症状仍难以区分。对于糖尿病患者而言，认知策略因习惯从糖尿病控制的角度思考而变得复杂，并且由于存在忽视低血糖的风险，无法安全地将症状重新归因于错误的呼吸习惯。
