Porzi Jessie, Petriccioli Nicole, Malacarne Sarah
Service de médecine interne, Hôpital de La Tour, 1217 Genève.
Service d'endocrinologie et diabétologie, Hôpital de La Tour, 1217 Genève.
Rev Med Suisse. 2020 Feb 5;16(680):264-267.
Considering the progressive nature of type 2 diabetes, glycated hemoglobin (HbA1c) goals and treatment plans should be regularly tailored to the patient's need to prevent hypoglycemia. There are individual HbA1c target levels that take into account factors such as age, comorbidity, and risks of treatment. The emergence of new therapeutic classes reducing hypoglycemia has changed ongoing practices. This article presents a potentially preventable case of a patient with hypoglycemia and reflects on the latest European and American recommendations for antidiabetic treatment in elderly patients.
考虑到2型糖尿病的进展性,糖化血红蛋白(HbA1c)目标和治疗方案应根据患者预防低血糖的需求定期调整。存在考虑年龄、合并症和治疗风险等因素的个体化HbA1c目标水平。减少低血糖的新治疗类别出现后,正在改变现有的治疗方式。本文介绍了一例具有潜在可预防性的低血糖患者病例,并对欧美关于老年患者抗糖尿病治疗的最新建议进行了思考。