Endocrinology and Metabolism Research Center, Endocrinology and Metabolism Clinical Sciences Institute, Tehran University of Medical Sciences, First Floor, No 10, Jalal-Al-Ahmad Street, North Kargar Avenue, Tehran, 14117-13137, Iran.
Radiology Department, Iran University of Medical Sciences, Tehran, Iran.
J Med Case Rep. 2022 Jul 21;16(1):283. doi: 10.1186/s13256-022-03498-1.
Hypoglycemia is a fairly common complication in diabetic patients, particularly in those on insulin therapy. Hypoglycemia symptoms are classified into two types: autonomic and neuroglycopenic symptoms. If a person develops neuroglycopenic symptoms before the appearance of autonomic symptoms or is asymptomatic until blood sugar levels are very low, the patient will develop hypoglycemic unawareness (HU).
A 25-year-old Iranian woman with HU presented with a severe hypoglycemic episode. This episode was characterized by loss of consciousness and focal neural deficits, which were unusual symptoms in the patient, who was a medical intern with type 1 diabetes and currently being treated with regular and NPH insulin.
Hypoglycemia is a common complication in diabetic patients receiving oral or insulin therapy. A patient who is unaware of their condition may experience severe and potentially fatal episodes. These incidents can negatively affect their daily lives as well as their careers and jobs. Hypoglycemia-associated autonomic failure is a possible cause for patients with multiple episodes of severe hypoglycemia. IThe use of a continuous glucose monitoring device with an alarm, if available, can be an excellent option for these patients.
低血糖是糖尿病患者相当常见的并发症，尤其是接受胰岛素治疗的患者。低血糖症状分为两类：自主神经症状和神经低血糖症状。如果一个人在出现自主神经症状之前出现神经低血糖症状，或者血糖水平非常低时没有症状，那么患者就会出现低血糖意识障碍（HU）。
一名 25 岁的伊朗妇女因 HU 出现严重低血糖发作。此次发作的特点是意识丧失和局灶性神经缺陷，这在该名患有 1 型糖尿病的实习医生患者中是不常见的症状，她目前正在接受常规和 NPH 胰岛素治疗。
低血糖是接受口服或胰岛素治疗的糖尿病患者的常见并发症。意识不到自身状况的患者可能会经历严重且可能致命的发作。这些事件会对他们的日常生活以及职业和工作产生负面影响。与低血糖相关的自主神经衰竭可能是多次严重低血糖发作患者的原因之一。如果有条件，使用带报警功能的连续血糖监测仪是这些患者的绝佳选择。
