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[反应性低血糖——21世纪该疾病的跨学科研究方法]

[Reactive hypoglycemia - an interdisciplinary approach of the disease of XXI Century].

作者信息

Hall Marianna, Walicka Magdalena, Traczyk Iwona

机构信息

Zakład Żywienia Człowieka, Wydział Nauk o Zdrowiu, Warszawki Uniwersytet Medyczny, Warszawa, Polska, Klinika Chorób Wewnętrznych, Endokrynologii i Diabetologii CSK MSWiA w Warszawie, Warszawa, Polska.

Klinika Chorób Wewnętrznych, Endokrynologii i Diabetologii CSK MSWiA w Warszawie, Warszawa, Polska.

出版信息

Wiad Lek. 2020;73(2):384-389.

Abstract

Reactive hypoglycemia is characterized by low blood glucose level in non-diabetic patients. It manifests as a syndrome of adrenergic and neuroglycopenic symptoms in the postprandial period, and their resolution occurs after consuming carbohydrates. The etiology of reactive hypoglycemia is not fully understood. It may occur in patients after gastrointestinal surgery due to too fast gastric emptying. Decreases in postprandial glucose are also observed in people with a pre-diabetes condition in which insulin secretion is disturbed. Hypoglycaemia can also be seen in patients with insulin resistance and hyperinsulinism. The aim of this study was to summarize existing knowledge about reactive hypoglycemia - etiology, diagnostic model and treatment.

摘要

反应性低血糖的特征是在非糖尿病患者中血糖水平较低。它表现为餐后肾上腺素能和神经低血糖症状综合征,食用碳水化合物后症状会缓解。反应性低血糖的病因尚未完全明确。它可能发生在胃肠道手术后的患者中,原因是胃排空过快。在胰岛素分泌受干扰的糖尿病前期患者中也观察到餐后血糖下降。低血糖也可见于胰岛素抵抗和高胰岛素血症患者。本研究的目的是总结关于反应性低血糖的现有知识——病因、诊断模型和治疗方法。

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