Evans Kreider Kathryn, Pereira Katherine, Padilla Blanca I
Duke University School of Nursing, Durham, NC, USA.
Duke University Medical Center, Durham, NC, USA.
Diabetes Ther. 2017 Dec;8(6):1427-1435. doi: 10.1007/s13300-017-0325-9. Epub 2017 Nov 2.
Hypoglycemia in individuals with diabetes can increase the risk of morbidity and all-cause mortality in this patient group, particularly in the context of cardiovascular impairment, and can significantly decrease the quality of life. Hypoglycemia can present one of the most difficult aspects of diabetes management from both a patient and healthcare provider perspective. Strategies used to reduce the risk of hypoglycemia include individualizing glucose targets, selecting the appropriate medication, modifying diet and lifestyle and applying diabetes technology. Using a patient-centered care approach, the provider should work in partnership with the patient and family to prevent hypoglycemia through evidence-based management of the disease and appropriate education.
糖尿病患者发生低血糖会增加该患者群体发病和全因死亡的风险,尤其是在存在心血管功能损害的情况下,并且会显著降低生活质量。从患者和医疗服务提供者的角度来看,低血糖可能是糖尿病管理中最棘手的问题之一。用于降低低血糖风险的策略包括个体化血糖目标、选择合适的药物、调整饮食和生活方式以及应用糖尿病技术。采用以患者为中心的护理方法,医疗服务提供者应与患者及其家人合作,通过基于证据的疾病管理和适当的教育来预防低血糖。