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罕见低血糖的原因及处理策略:病例系列研究。

Causes and Management Strategies for Unusual Hypoglycemia: a Case Series.

出版信息

Clin Lab. 2024 Nov 1;70(11). doi: 10.7754/Clin.Lab.2024.240533.

DOI:10.7754/Clin.Lab.2024.240533
PMID:39506579
Abstract

BACKGROUND

Glucose levels are vital for indicating the body's sugar content, with imbalances leading to diseases like diabetes or hypoglycemia-related symptoms such as palpitations and fatigue.

METHODS

This case series describes three cases of hypoglycemia identified in recent years, utilizing multiple glucose measurement methods and exploring strategies to eliminate interferences.

RESULTS

Two cases of pseudo-hypoglycemia induced by PEGylated recombinant human granulocyte colony-stimulating factor (PEG-rhG-CSF) and Evolocumab injections, and one case of true reactive hypoglycemia following a glucose tolerance test in a patient post-gastric bypass surgery.

CONCLUSIONS

For unusual hypoglycemia, collaboration with clinicians and multiple methods is crucial for accurate analysis to differentiate true from pseudo-hypoglycemia, ensuring precise diagnosis and optimal clinical service.

摘要

背景

血糖水平对于指示人体的糖分含量至关重要,失衡会导致糖尿病或低血糖相关症状,如心悸和疲劳。

方法

本病例系列描述了近年来发现的三例低血糖病例,使用了多种血糖测量方法,并探讨了消除干扰的策略。

结果

两例由聚乙二醇化重组人粒细胞集落刺激因子(PEG-rhG-CSF)和依洛尤单抗注射引起的假性低血糖,以及一例胃旁路手术后葡萄糖耐量试验后的真性反应性低血糖。

结论

对于不常见的低血糖,与临床医生合作并采用多种方法对于准确分析区分真性和假性低血糖至关重要,以确保精确诊断和最佳临床服务。

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